Insurance Operations Manager Jobs in Niantic, CT

The Area Director of Operations is responsible for supporting the development, implementation and evaluation of operational policies and procedures, delivering quality patient care and family services programs in a cost effective manner and to represent the company in the community.

• Supports coordination of local functioning of operational functions.
• Assists in ensuring the hospice meets and exceeds all applicable regulatory requirements and assumes responsibility for maintaining readiness for all inspections, surveys, and reviews—including state licensure, federal certifications, and accreditations—by implementing company systems, policies, and standards.
• Assures compliance with policies in the following manner:
  • Monitors the compliance of all administrative functions and policies with applicable regulatory agencies – i.e., keeping personnel records up-to-date for Medicare surveys.
  • Maintains current copies of all applicable regulations, statutes, policies, and procedures.
  • Collaborates with appropriate corporate staff, the Medical Director, Clinical Manager, and Executive Director or Administrator to ensure survey readiness and compliance with all applicable regulatory agencies.
• Supports the development and implementation of initiatives to enhance revenue performance.
• Maintains strong working relationships with hospitals, nursing homes, physicians, and other healthcare organizations in alignment with the corporate business plan and revenue goals.
• Supports the implementation of contracts to ensure that discharge planning and case review functions are clearly defined, communicated, and effectively executed in compliance with applicable state and federal laws.
• Maintains and participates in collaborative, ongoing relationships with key officials of contracting entities—including those with line authority over discharge planning personnel—to support smooth and efficient functioning of contracts.
• Support the day-to-day operations of the hospice program, including but not limited to:
  • Financial management
  • Employment processes
  • Quality assurance and performance improvement
  • Payroll management
  • Admissions coordination
  • Medical staff support
  • Systems operations
  • Execution of the business plan
  • Human resource policy adherence
  • Staff training and development
  • Management of the patient and family services program
• Provides leadership and oversight for the clinical services function at the Hospice including the home, hospital settings, nursing homes, and other locations.
• Oversees overall management of the Volunteer Program including supervising the director of volunteers.
• Assures the performance of the volunteer and bereavement programs in compliance with the local work plan developed with corporate staff.
• Serves as representative for the company in the community; manages public relations, generates and responds to all opportunities for media requests in coordination with the Area Vice President of Operations the corporate communication department, and assures the handling and resolution of any complaints from patients, families, and the public.
• Participates in the coordination of all aspects of the patient’s hospice care and in the hospice’s quality assessment and performance improvement program.

Qualifications:

• Familiarity with state and federal guidelines and regulations
• Working knowledge of budget development, financial profit/loss process, and human resources.
• Ability to work with confidential information
• Well organized and confident to work independently, but is a team player
• Ability to communicate clearly to remote field, mid-level, and executive staff
• Exercises professional judgment and demonstrates good problem-resolution skills
• Very comfortable working with multiple online and computer applications
• Ability to balance multiple tasks and manage conflicting priorities
• Strong follow-up skills

 Education/Experience:

• RN Degree highly preferred; Bachelors’ degree in Business Related field may be considered
• Three years previous managerial experience, of which 2 years in healthcare service industry is preferred.

 License/Certification:

• Valid driver’s license and automobile liability insurance coverage
• Unencumbered and active RN license in state of residence required if RN

Training/Equipment:

• Intermediate Excel skills
• Basic PowerPoint skills
• Experience reviewing data in electronic systems
• Experience with HomeCare-HomeBase preferred

Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component.

Salary Range: $140,000 to $150,000

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund

Additional Full-Time Benefits:

• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

Apply Today and help redefine compassionate care as a leader in hospice operations.

• This is a safety-sensitive position
• Employee must meet minimum requirements to be eligible for benefits
• Where applicable, employee must meet state specific requirements
• We are proud to be an EEO employer
• We maintain a drug-free workplace

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

• Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
• Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
• Home health care: Heartland Home Health
• Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.