Director of Operations - MAHP

As the Director of Operations at Medical Associates Health Plans, you will lead a talented operations team, ensuring top-tier service quality and compliance. Your role includes overseeing product design, onboarding new groups, managing claims and member services, and maintaining provider relations. You'll create performance metrics, manage administrative processes, and ensure network adequacy and competitiveness. This position is essential for steering the overall success of our health plan operations.

To apply for the Director of Operations role at Medical Associates Health Plans, candidates should have a minimum of ten years of progressive leadership experience in healthcare or health insurance. A college degree is essential, with a preference for a Master's in Business or Healthcare Administration. Strong interpersonal skills are also critical, as motivating and influencing others is an integral part of this role.

The Director of Operations plays a vital role in aligning business operations with the strategic goals of Medical Associates Health Plans. By leading health plan initiatives, managing provider relationships, and ensuring operational compliance and quality, you will help drive results that influence the organization's growth and service delivery, ultimately enhancing the member experience.

Success as a Director of Operations at Medical Associates Health Plans requires dynamic leadership, exceptional communication, and a strong business acumen. The ability to motivate teams, adapt to changing conditions, and deliver innovative solutions is essential. Furthermore, effective negotiation skills and experience in dashboard performance metrics will significantly contribute to operational efficiency and strategic success.

Joining Medical Associates Health Plans as a Director of Operations offers a competitive benefits package designed to support your overall well-being. This includes health insurance options, a 401k plan with immediate matching contributions, a flexible Paid Time Off program, and additional coverage options like life insurance and disability plans. A role at MAHP not only provides an opportunity to lead in the healthcare sector but also prioritizes employee growth and stability.

When leading operations in a health insurance company, I prioritize clear communication and collaboration among teams. Leveraging data-driven insights to inform decision-making is crucial. Additionally, I focus on aligning operational goals with overall strategic objectives and fostering a culture of continuous improvement throughout the organization.

My approach to onboarding new groups at MAHP would involve creating a structured process that ensures all stakeholders are engaged and informed. This includes tailored guidance for new groups, comprehensive training sessions, and ongoing support to address any challenges. Establishing robust feedback channels is also critical to continuously refine the onboarding experience.

In my previous role, I enhanced provider relations by implementing a systematic feedback and communication process, which improved transparency and collaboration. Regular meetings with key providers to discuss performance metrics and shared goals also led to stronger partnerships, benefiting both the providers and the organization.

The most critical factor in achieving compliance within health insurance operations is fostering a culture of accountability and education. Regular training sessions on regulatory requirements and encouraging open discussions about compliance issues will empower employees to uphold high standards, thereby minimizing risk and enhancing service quality.

I would evaluate the performance of my operations team at MAHP by establishing clear performance metrics in line with our strategic goals. Regular performance reviews and feedback sessions would help assess individual contributions effectively. I also believe in recognizing and celebrating achievements to motivate continuous improvement and team cohesion.

Data plays a pivotal role in my decision-making process as a Director of Operations. I rely on data analytics to identify trends, assess operational efficiency, and inform strategic planning. Using key performance indicators, I can make more informed decisions that align with our goals and ensure our operations are optimized for success.

During a recent operational crisis, I first assessed the situation to understand the impact. I quickly convened a team to brainstorm potential solutions and implemented a response plan. Communication with all stakeholders was key, to keep them informed and reassured. Post-crisis, I led a debrief to identify lessons learned and areas for improvement in our operational protocols.

Supporting innovation within my operations team involves fostering an environment where team members feel empowered to share ideas and experiment with new processes. I encourage creativity through brainstorming sessions and allocate time for team members to pursue innovative solutions to operational challenges, ensuring we stay competitive in a rapidly evolving market.

I have extensive experience managing financial performance in health insurance operations, where I monitor budgets, assess cost metrics, and allocate resources effectively. Understanding the financial implications of operational decisions is crucial, as is collaborating with finance teams to ensure our operations align with overall financial goals while delivering value to our members.

Fostering collaboration across different departments within a health insurance company requires clear communication channels and joint initiatives that promote teamwork. I would facilitate regular inter-departmental meetings and projects that require input from various teams. This helps to build relationships, share knowledge, and create unified goals that drive the organization forward.