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Health Plan Operations Director information

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$45K

$97K

$159.5K

How much do health plan operations director jobs pay per year?

As of Sep 11, 2026, the average yearly pay for health plan operations director in the United States is $97,045.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $122,000.00 per year, depending on experience, location, and employer.

What does a health plan operations director do?

A Health Plan Operations Director oversees the daily operations of health insurance plans, ensuring efficiency, regulatory compliance, and high-quality service delivery. They manage teams responsible for claims processing, customer service, quality improvement, and provider relations. This role also involves developing and implementing strategies to improve operational performance, reduce costs, and enhance member satisfaction. Additionally, the director collaborates with other departments to meet organizational goals and stay aligned with healthcare regulations.

What are the key skills and qualifications needed to thrive as a health plan operations director?

To thrive as a Health Plan Operations Director, you need expertise in healthcare administration, regulatory compliance, and strategic management, often supported by a bachelor's or master's degree in health administration or a related field. Familiarity with claims processing systems, data analytics platforms, and regulatory software such as HIPAA compliance tools is typically required. Strong leadership, problem-solving abilities, and effective communication are essential soft skills for guiding teams and managing stakeholder relationships. These competencies ensure efficient plan operations, regulatory adherence, and positive outcomes for both the organization and its members.

What are some common challenges faced by health plan operations directors when implementing new regulatory requirements?

Health Plan Operations Directors often encounter challenges such as adapting existing processes to comply with frequently changing healthcare regulations and ensuring all teams are adequately trained on new compliance standards. Coordinating across multiple departments—such as claims, member services, and provider relations—requires strong communication and project management skills to ensure timely and accurate implementation. Additionally, balancing regulatory compliance with maintaining operational efficiency and a positive member experience can be complex, making proactive planning and continuous process evaluation essential in this role.

What is the difference between Health Plan Operations Director vs Health Plan Underwriter?

AspectHealth Plan Operations DirectorHealth Plan Underwriter
Required CredentialsBachelor's degree, experience in healthcare or insurance operationsBachelor's degree, background in insurance, risk assessment certifications
Work EnvironmentManagement of operational teams, strategic planningAnalyzing risk, assessing policy applications
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance carriers, health plan providers
Common Search & ComparisonOperational leadership roles in health plansRisk assessment and policy underwriting roles

The Health Plan Operations Director focuses on managing daily operations, strategic planning, and team leadership within health insurance organizations. In contrast, the Health Plan Underwriter specializes in evaluating risks, assessing policy applications, and determining coverage terms. While both roles require healthcare or insurance knowledge, the Operations Director has a broader managerial scope, whereas the Underwriter concentrates on risk analysis and policy approval.

What cities are hiring for Health Plan Operations Director jobs?

Cities with the most Health Plan Operations Director job openings:

What states have the most Health Plan Operations Director jobs?

States with the most job openings for Health Plan Operations Director jobs include:

What are popular job titles related to Health Plan Operations Director jobs?

For Health Plan Operations Director jobs, the most frequently searched job titles are:

Infographic showing various Health Plan Operations Director job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $97,045 per year, or $46.7 per hour.

Retirement Plan Operations Specialist

Fort Worth, TX • On-site, Remote

Guidant Financial
See more jobs at Guidant Financialexternal

Full-time

Medical, Retirement, PTO

Re-posted 15 days ago

Job description

This is a fantastic opportunity to work from the comfort of your own home! We are excited to offer a fully remote position with a reputable and thriving company. Currently, we are recruiting in select states across the US: AZ, FL, GA, ID, KS, LA, MI, MN, NC, NE, TX, UT, VA, MO, OK.
Please apply to only one location only per role. As a fully remote company, we post to multiple locations. Applying for more than one location could result in receiving multiple communications around a position.
Are you thrilled by the idea of assisting entrepreneurs nationwide in achieving their dreams of launching their own businesses?
For more than 23 years, Guidant Financial has been committed to empowering entrepreneurs and enhancing the growth of small businesses.. So far, we have distributed an impressive $5 billion in funding, supporting the launch of over 30,000 businesses and generating nearly 100,000 jobs that enrich the economy. We aim to inspire and empower you just as we do for the entrepreneurs we assist, allowing you to make a meaningful impact on their success and your own career path.
At Guidant, we believe in empowering our employees to make a genuine difference for our clients and their own professional paths. Our commitment to ownership is reflected in our daily work through accountability, innovative problem-solving, and diligent follow-through. We are on an exciting journey towards becoming an ESOP company, further solidifying our dedication to shared accountability and long-term prosperity.
Our Values
Adaptability: Embracing change is your superpower. You are always ready to seize opportunities to adapt and inspire others along the way.
Connection: Building meaningful connections is at the core of what you do. Elevating others is your way of growing and empowering yourself.
Excellence: You thrive outside of your comfort zone, constantly seeking ways to improve. Your unquenchable curiosity fuels your drive to make things better.
Role Summary
As a Retirement Plan Operations Specialist at Guidant Financial you will take the first step down the path of learning the full process of what it takes to administer, test and report on 401(k) plans. Through accelerated learning, in-depth training and practical experience, you will quickly grow from document review to administering basic plans. You'll review documents submitted by our clients, proactively keep clients updated on progress and help clients understand the year-end reporting documents necessary to complete government filings, including the annual 5500 return.
What You'll Be Doing:
  • Work with clients to obtain necessary information to prepare the annual reporting
  • Review documents submitted by clients for completeness and accuracy
  • Reconcile plans with only rollovers and plan stock using Excel and administration software
  • Utilize administration software to complete 401(k) testing and reporting
  • Make outgoing reminder calls and send emails to clients during the plan year reporting process
  • Prepare required 401(k) plan government filings, including the IRS Form 5500, using filing software
  • Educate clients regarding the administration of their 401(k) plan and 401(k) plan documents

Extra Tasks
  • Share knowledge and explain complex topics simply
  • Training on concepts for a Retirement Plan Administrator I
  • Performs other duties as required

Requirements
  • Experience with document review and transaction processing as daily job responsibilities
  • 1 to 5 years of adjacent back-office financial operations experience in one or more of the following areas: benefits administration, money movement and wires, insurance claims processing, tax prep processing, loan or mortgage document processing, or compliance or quality-control support
  • Proficiency in using Microsoft Excel, Word, and Outlook
  • Direct retirement-plan operations experience, including 401(k) or IRA administration, recordkeeping, distributions and rollovers, compliance testing, or 5500 or year-end reporting, is preferred
  • Experience with reconciliation as a daily job responsibility is preferred
  • Associate's or bachelor's degree in a related field such as business or finance, or equivalent work experience, is preferred
  • Basic knowledge of 401(k) plan structure, ROBS, and IRS/DOL regulations is preferred

Additional Requirements
For this position, we require you to meet minimum work from home requirements to ensure you can effectively carry out your responsibilities in a remote work from home (WFH) environment. These requirements consist of:
  • A designated workspace (such as a home office) where you can concentrate and be productive is preferred.
  • Reliable high-speed internet to ensure seamless communication and collaboration is preferred.

Benefits
  • Ownership Matters: We are working toward becoming an ESOP company, reinforcing a culture of shared accountability and long-term success.
  • Our People are Vital to Our Success: Join a team of intelligent, imaginative, and highly motivated individuals.
  • Growing Together: Constantly expand your knowledge with ongoing training, career development opportunities, and supportive leaders. Over the past three years, more than 20% of our organization has been promoted into new and exciting roles!
  • Wellness at its Best: Enjoy top-notch benefits and perks, including comprehensive health coverage (with a free premium option), paid parental leave, and a generous 401k match. Take advantage of 3 weeks of Paid Time Off plus 11 Paid Holidays to truly disconnect.
  • Flexible Work Arrangements: Work comfortably from your home office. We believe in giving you the freedom to structure your work while providing all the necessary equipment.
  • An Amazing Culture: Experience Guidant's award-winning culture, where you can connect with senior leaders over coffee or be part of our company sporting events.
  • Empowering Equity and Inclusion: Join an inclusive work environment that values employee voices, encourages active participation, and provides unwavering support.

This is a fantastic opportunity to work from the comfort of your own home! We are excited to offer a fully remote position with a reputable and thriving company. Currently, we are recruiting in select states across the US: AZ, FL, GA, ID, KS, LA, MI, MN, NC, NE, TX, UT, VA, MO, OK.
The wage for this position is $23.55 per hour, equivalent to an annual salary of $49,000

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