Insurance Operations Manager Jobs in Kerman, CA (NOW HIRING)

At ACHC, we’re more than just a healthcare provider—we’re a team that cares about our patients and our communities. As a Federally Qualified Health Center and licensed primary care clinic, we offer a wide range of services to keep families healthy, including medical and dental care, plus specialties like Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry.

With clinics across Fresno, Kings, and Tulare counties, we’re proud to make quality care accessible to everyone. When you join ACHC, you’re joining a mission-driven team that values collaboration, compassion, and growth.

The Director of Operations plays a significant role in developing, designing, and improving the systems that deliver the best medical treatment.  Provides leadership and direction to health services operations. Responsible for overall clinical operations, including:  medical/dental support, Behavioral Health,  laboratory management, clinical program contract compliance, immunization program, and community outreach program. Serves as member of the Administrative Staff. Participates in organizational planning, budgeting, and program development.

REPORTS TO: Chief Executive Officer

SUPERVISES: Medical, Dental, and Behavioral Health, Managers/Supervisors/Director, and Clinical Operations Manager.

• Fosters a culture of accountability and excellence.
• Drives execution and innovation.
• Empowers staff through effective communication and talent development.
• Ensures team members of all assigned areas of responsibility are fully functioning and performing at the highest level.
• Responsible for recruitment of direct reporting personnel, orientation, training, performance evaluation, and disciplinary action when necessary.
• Works with Human Resources for recruitment of providers and ensures adequacy of staffing for and coordination of clinic provider’s schedule(s) including employed, contracted providers and residents.
• Ensures development of department/division managers and supervisor receive instruction/training that is in compliance with training plan, including on the job training to develop department employees. Works with manager and/or supervisor to ensure necessary remediation is taken with the department/division employees assigned. 
• Engaged in the organizational accreditation effort and Patient Centered Medical Home recognition effort.
• Strive to eliminate the opportunity for medical error by organizing effective protocols and procedures.
• Works with executives to align clinical operations with the organization’s overall strategic vision.
• Participates in all clinical meetings.
• Serves as chair of standing operational meetings.
• Provides leadership for the health literacy initiative.
• Assures compliance with operational component of contractual obligations; establishes monitoring systems for various programs ACHC is committed to.
• Oversight of immunization program.
• Assumes responsibility for outreach programs.
• Serves as a member of the Administrative Staff.
• Develops budget for areas of direct responsibility and collaborates in development of overall budget for the organization.
• Develops/revises policies and associated procedures in areas of responsibility.
• Ensures regulatory compliance for assigned departments/divisions, and compliance with all workflows, policies, and procedures.
• In conjunction with the Medical, Behavioral Health and Dental Directors, and Director of Quality defines the core clinical performance measures and provides oversight for the data collection and reporting system.
• Assists in grant (federal, state, and local) application processes.
• Participates in strategic planning process.
• Participates in clinic site planning and provides oversight of construction/renovation and related activities.
• Develops ACHC Incident Command and serves in the role of Incident Commander.
• Participates in community health improvement activities in keeping with the mission of the organization.
• Travel required.
• Participates in seminars and conferences to keep abreast of new and changing laws and regulations.

QUALIFICATIONS

• Master’s degree in health/business administration or related field, or five years of relevant management/clinical experience in a healthcare setting and a bachelor’s degree in a related field
• Five years healthcare experience, ambulatory practice experience preferred.
• Excellent written and oral communication skills
• Experience working at a medical nonprofit preferred.
• Ability to motivate and lead staff.
• Computer literate, including Microsoft office suite, medical office management system applications, and electronic medical record.
• Required: Valid, properly classed driver license with a safe driving record.
• Due to insurance and regulatory requirements, employee must be 21 years of age or older.

PHYSICAL/COGNITIVE REQUIREMENTS

The physical and cognitive demands listed below represent essential functions of this position and are required with or without reasonable accommodation:

• Hearing: Sufficient to engage with patients and staff in person and by telephone.
• Speaking: Clear verbal communication to convey medical and operational information.
• Vision: Visual acuity adequate for reading printed materials and viewing electronic screens.
• Cognitive Abilities: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision-making, problem-solving, and comprehending.
• Motor Function & Mobility:
  • Ability to move within the work environment to complete tasks and interact with others.
  • Occasional lifting and carrying of items up to 10 pounds without assistance.
  • Frequent standing, sitting, bending, reaching, and other movements typical of a standard workday.
  • Regular use of hands and fingers for typing, writing, operating tools or equipment, and handling materials.
  • Some pushing and pulling required during daily tasks.

BENEFITS

• 403(B) matching
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Holidays
• Vacation Pay
• Sick Pay

Aria Community Health Center participates in E-Verify.

Aria Community Health Center is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.