Effectively communicate operational issues and concerns to leadership. * Ensure compliance with ... management experience Required * 2 years of relevant experience Prior claims administration ...
Effectively communicate operational issues and concerns to leadership. * Ensure compliance with ... management experience Required * 2 years of relevant experience Prior claims administration ...
Be Seen First
Office Manager - Financial Advisory Firm
Brighton, MI · On-site
$65K - $85K/yr
Key Responsibilities Office Operations & Administration * Oversee daily office operations and administrative workflow * Maintain organization and functionality of office spaces * Manage office ...
Quick apply
Be Seen First
Office Manager - Financial Advisory Firm
Brighton, MI · On-site
$65K - $85K/yr
Key Responsibilities Office Operations & Administration * Oversee daily office operations and administrative workflow * Maintain organization and functionality of office spaces * Manage office ...
Healthcare Operations Manager
Dearborn, MI · On-site
$70K - $80K/yr
Healthcare Operations Manager Department: Operations Reports To: Executive Director / Chief ... Bachelor's degree in healthcare administration, Business Administration, Public Health, or related ...
Quick apply
Healthcare Operations Manager
Dearborn, MI · On-site
$70K - $80K/yr
Healthcare Operations Manager Department: Operations Reports To: Executive Director / Chief ... Bachelor's degree in healthcare administration, Business Administration, Public Health, or related ...
Departmental Manager 14 - HS Claims Review Unit
Lansing, MI · On-site +1
$35.28 - $52.61/hr
This position manages staff responsible for the review of suspended ambulatory and institutional ... Administration, Policy, Planning & Operational Support Administration, Legislative Services ...
Departmental Manager 14 - HS Claims Review Unit
Lansing, MI · On-site +1
$35.28 - $52.61/hr
This position manages staff responsible for the review of suspended ambulatory and institutional ... Administration, Policy, Planning & Operational Support Administration, Legislative Services ...
The Operations Manager oversees all daily warehouse and logistics operations for the parts division ... Master's degree in business administration (MBA) * Experience in continuous improvement projects
The Operations Manager oversees all daily warehouse and logistics operations for the parts division ... Master's degree in business administration (MBA) * Experience in continuous improvement projects
Finance Manager, Sponsored Program Administration Wayne State University is searching for an ... support operational efficiency and timely submission. Ensure the timely preparation, review, and ...
Finance Manager, Sponsored Program Administration Wayne State University is searching for an ... support operational efficiency and timely submission. Ensure the timely preparation, review, and ...
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
Operations Standards Manager
$80K - $90K/hr
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
Operations Standards Manager
$80K - $90K/hr
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
Operations Standards Manager
$80K - $90K/hr
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
Operations Standards Manager
$80K - $90K/hr
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
The Operations Manager will have direct responsibility for the plant operations, safety, quality ... Bachelors Degree in Business or Engineering is required * MBA is preferred Experience: * Requires 5 ...
The Operations Manager will have direct responsibility for the plant operations, safety, quality ... Bachelors Degree in Business or Engineering is required * MBA is preferred Experience: * Requires 5 ...
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
Operations Manager
Detroit, MI · On-site
$50K - $62K/yr
As an Operations Manager, you are responsible for assisting in directing and overseeing the support ... Communicates with staff, administration, and other departments. * Coordinates outside services (i.e.
Operations Standards Manager
Sturgis, MI · On-site
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
Operations Standards Manager
Sturgis, MI · On-site
Bachelor's Degree in Business Administration, Operations Management, Healthcare Administration, Quality Management, or related field required. Experience and Qualifications: * 5+ years of experience ...
... support operational efficiency and timely submission. Ensure the timely preparation, review, and ... to the administration of sponsored programs. Perform personnel management responsibilities ...
... support operational efficiency and timely submission. Ensure the timely preparation, review, and ... to the administration of sponsored programs. Perform personnel management responsibilities ...
Bachelors Degree in Business or Engineering is required MBA is preferred Experience: Requires 5-7 ... Operations Manager in a manufacturing environment is preferred Tier 1 automotive experience ...
Bachelors Degree in Business or Engineering is required MBA is preferred Experience: Requires 5-7 ... Operations Manager in a manufacturing environment is preferred Tier 1 automotive experience ...
Operations Manager
Saint Clair, MI · On-site
... • MBA is preferred Experience: • Requires 5-7 years of relevant experience as a leader in a manufacturing environment • A minimum of 3 years experience as an Operations Manager in a ...
Operations Manager
Saint Clair, MI · On-site
... • MBA is preferred Experience: • Requires 5-7 years of relevant experience as a leader in a manufacturing environment • A minimum of 3 years experience as an Operations Manager in a ...
Bachelor's degree in business administration, Engineering, Operations Management, or related field; or equivalent combination of education and experience. * Minimum five years of operations ...
Bachelor's degree in business administration, Engineering, Operations Management, or related field; or equivalent combination of education and experience. * Minimum five years of operations ...
Operations Manager
Troy, MI · On-site
Bachelor's degree in business administration, Engineering, Operations Management, or related field; or equivalent combination of education and experience. * Minimum five years of operations ...
Operations Manager
Troy, MI · On-site
Bachelor's degree in business administration, Engineering, Operations Management, or related field; or equivalent combination of education and experience. * Minimum five years of operations ...
Own the BI/reporting roadmap (dashboards, operational reports, executive scorecards, and self ... Administration Program Managers. Basic Qualifications: * A Bachelor's degree in Business ...
Own the BI/reporting roadmap (dashboards, operational reports, executive scorecards, and self ... Administration Program Managers. Basic Qualifications: * A Bachelor's degree in Business ...
$77K - $116K/yr
Responsibilities include oversight of research operations including resource allocation, financial management, grants and contracts administration and efficient flow of daily research operations.
$77K - $116K/yr
Responsibilities include oversight of research operations including resource allocation, financial management, grants and contracts administration and efficient flow of daily research operations.
Operations Administration Manager information
What are some common challenges faced by operations administration managers, and how can they overcome them?
Is operations administration manager a high paying job?
How much is an operations administration manager paid?
What are the key skills and qualifications needed to thrive as an operations administration manager, and why are they important?
What does an operations administration manager do?
What is the difference between Operations Administration Manager vs Operations Supervisor?
| Aspect | Operations Administration Manager | Operations Supervisor |
|---|---|---|
| Credentials | Bachelor's degree in Business, Management, or related field; certifications like PMP or Six Sigma beneficial | High school diploma or associate degree; relevant certifications optional |
| Work Environment | Office setting, overseeing multiple departments or teams | On-site, direct supervision of operational staff |
| Employer & Industry Usage | Common in corporate, manufacturing, and logistics sectors | Found in retail, manufacturing, and service industries |
| Search & Comparison Intent | Understanding managerial roles, responsibilities, and qualifications | Looking for supervisory duties, daily operations management |
The Operations Administration Manager typically holds a higher-level, strategic role overseeing multiple teams and processes, requiring more advanced credentials. The Operations Supervisor focuses on direct supervision of staff and daily operational tasks. Both roles are essential in operational management but differ in scope and responsibilities.

Full-time
Medical, Retirement
Re-posted 19 days ago
Corewell Health rating
7.0
Based on 774 frontline employees who took The Breakroom Quiz
416th of 887 rated healthcare providers
Job description
The Director of Claims Administration is responsible for the accurate, timely and efficient adjudication and payment of claims for all product lines at Priority Health. The leader is accountable for claim inventory, claim speed to process, claim auto adjudication rate, claim examiner quality scores, coordination of benefits savings, and third party liability savings.
Essential Functions - Director, Claims Administration
- Lead and develop a high performing claims adjudication team. Assure proper staffing levels.
- Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and unit costs.
- Ensure functions to meet or exceed corporate standards for accuracy and timeliness of claim payment.
- Foster and maintain relationships with other departments to ensure that claims processes and procedures efficiently support other departments, products and overall customer service. Service on corporate committees as directed.
- Initiate process improvement and cost-saving measures. Foster an environment that allows for continuous improvement.
- Develop multi-year roadmaps and meet targets for unit costs, service levels, coaching and development, and other goals as developed.
- Effectively communicate issues and concerns through verbal and written communications. Effectively communicate operational issues and concerns to leadership.
- Ensure compliance with state and federal rules and regulations such as HIPAA, Department of Labor, ERISA, Michigan HMO Legislation, Medicaid, MiChild and Medicare.
Qualifications - Director, Claims Administration
- Required Bachelor's Degree or equivalent education and experience
- 10 years of relevant experience Prior management experience Required
- 2 years of relevant experience Prior claims administration management experience Preferred
- Health care plan claims experience strongly preferred.
Physical Demands - Director, Claims Administration
- Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
- Waist to Waist > 5 lbs: Seldom up to 10 lbs
- Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
- Waist to Overhead > 5 lbs: Seldom up to 10 lbs
- Bilateral Carry > 5 lbs: Seldom up to 10 lbs
- Unilateral Carry > 5 lbs: Seldom up to 10 lbs
- Pushing Force > 5 lbs: Seldom up to 10 lbs
- Pulling Force > 5 lbs: Seldom up to 10 lbs
- Sitting: Frequently
- Standing: Occasionally
- Walking: Occasionally
- Forward Bend - Standing: Seldom
- Forward Bend - Sitting: Occasionally
- Trunk Rotation - Standing: Seldom
- Trunk Rotation - Sitting: Occasionally
- Reach - Above Shoulder: Seldom
- Reach - at Shoulder or Below: Seldom
- Handling: Occasionally
- Forceful Grip > 5 lbs: Seldom
- Forceful Pinch > 2 lbs: Seldom
- Finger/Hand Dexterity: Frequently
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Quality and Payment Integrity Administration - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
9:00 a.m. to 5:00 p.m.
Days Worked
Monday through Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
What Corewell Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Corewell Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Grand Rapids, MI, US