We are seeking a Claims Operations Director to lead and oversee Capital Health Plan's end-to-end claims operations, including claims processing, other party liability (OPL) recoveries, premium ...
We are seeking a Claims Operations Director to lead and oversee Capital Health Plan's end-to-end claims operations, including claims processing, other party liability (OPL) recoveries, premium ...
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
The Director of Laboratory Services is responsible for the day-to-day functions of the assigned ... Ability to build an engaging culture of quality, performance effectiveness and operational ...
The Director of Laboratory Services is responsible for the day-to-day functions of the assigned ... Ability to build an engaging culture of quality, performance effectiveness and operational ...
The Director of Laboratory Services is responsible for the day-to-day functions of the assigned ... Ability to build an engaging culture of quality, performance effectiveness and operational ...
The Director of Laboratory Services is responsible for the day-to-day functions of the assigned ... Ability to build an engaging culture of quality, performance effectiveness and operational ...
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
Plant Operations Director
Titusville, FL · On-site
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
Plant Operations Director
Titusville, FL · On-site
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
The Operations Director oversees operational performance across their assigned portfolio, including administrative, contractual, and financial stewardship. This leader manages Program Managers, Task ...
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... plant operations of the community to ensure a safe, clean, attractive, and well-maintained ...
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... plant operations of the community to ensure a safe, clean, attractive, and well-maintained ...
Plant Operations Director
Titusville, FL · On-site
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
Plant Operations Director
Titusville, FL · On-site
Currently, we are on the search for an experienced Plant Operations Director to join our team. YOU. BELONG. HERE. At AgeWell Senior Living, we believe in creating senior living communities that allow ...
To learn more about playing for Team Amcor, visit www.amcor.com I LinkedIn I Glassdoor I Facebook I YouTube About the role The Commercial Operations Director role reports to the Vice President of ...
To learn more about playing for Team Amcor, visit www.amcor.com I LinkedIn I Glassdoor I Facebook I YouTube About the role The Commercial Operations Director role reports to the Vice President of ...
The Operations Director will create and maintain a First Choice Shopping destination, ensure efficient and effective operations of the center while maintaining positive and productive relationships ...
New
The Operations Director will create and maintain a First Choice Shopping destination, ensure efficient and effective operations of the center while maintaining positive and productive relationships ...
New
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
Plant Operations Director
Longwood, FL · On-site
We are currently seeking an experienced Maintenance Director for our beautiful memory care ... Recruit, hire, train, schedule, coach, and evaluate Plant Operations and Housekeeping team members ...
To learn more about playing for Team Amcor, visitwww.amcor.comILinkedInIGlassdoorIFacebook IYouTube About the role The Commercial Operations Director role reports to the Vice President of Global ...
To learn more about playing for Team Amcor, visitwww.amcor.comILinkedInIGlassdoorIFacebook IYouTube About the role The Commercial Operations Director role reports to the Vice President of Global ...
Operations Director (Plumbing)
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What You'll Do As Operations Director, you'll steer people, projects, and performance for a business unit--aligning resources to workload, elevating quality and client satisfaction, and partnering ...
Operations Director (Plumbing)
Tampa, FL · On-site
What You'll Do As Operations Director, you'll steer people, projects, and performance for a business unit--aligning resources to workload, elevating quality and client satisfaction, and partnering ...
Plant Operations Director
Titusville, FL · On-site
Role and Responsibilities • Oversee the maintenance, repair, housekeeping, and overall physical plant operations of the community to ensure a safe, clean, attractive, and well-maintained ...
Plant Operations Director
Titusville, FL · On-site
Role and Responsibilities • Oversee the maintenance, repair, housekeeping, and overall physical plant operations of the community to ensure a safe, clean, attractive, and well-maintained ...
SR SYSTEMS OPERATIONS DIRECTOR
Stuart, FL · On-site
Job Summary The Senior Systems Operations Director is a key operational leadership role supporting Morrison Healthcare's partnership with Cleveland Clinic Martin Health . This position provides daily ...
SR SYSTEMS OPERATIONS DIRECTOR
Stuart, FL · On-site
Job Summary The Senior Systems Operations Director is a key operational leadership role supporting Morrison Healthcare's partnership with Cleveland Clinic Martin Health . This position provides daily ...
Operations Director information
How does an operations director typically collaborate with other departments to drive organizational success?
What does an operations director do?
What is the difference between Operations Director vs Operations Manager?
| Aspect | Operations Director | Operations Manager |
|---|---|---|
| Responsibilities | Oversees multiple departments, sets strategic goals, and manages overall operations | Manages daily operations within a specific department or area |
| Required Credentials | Bachelor’s degree, often MBA, extensive experience in operations | Bachelor’s degree, relevant experience in operations management |
| Work Environment | Executive-level, strategic planning, cross-departmental coordination | Team leadership, process management, operational oversight |
| Industry Usage | Common in large organizations and corporations | Found in organizations of all sizes, more operational focus |
The Operations Director typically holds a higher strategic role, overseeing multiple departments and setting long-term goals, while the Operations Manager focuses on managing daily operations within specific areas. Both roles require relevant experience and credentials, but the Operations Director operates at a broader, more strategic level.
What are the key skills and qualifications needed to thrive as an operations director, and why are they important?
- Director Of Facilities
- Regional Director Of Operations
- Director Of Infrastructure Operations
- Flexible Director Travel Operations
- Senior Director Clinical Operations
- Executive Director Of Operations
- Full Time Director Of Operations
- Executive Director Soccer
- Director Operations Excellence
- Regional Director Of Operations Qsr

Full-time
Re-posted 17 days ago
Job description
Department: Claims
FLSA: Exempt
Schedule: As required
About the role:
We are seeking a Claims Operations Director to lead and oversee Capital Health Plan's end-to-end claims operations, including claims processing, other party liability (OPL) recoveries, premium billing and reconciliation, contract administration, and payment integrity functions.
This role directs multiple operational teams and managers, ensuring the timely, accurate, and compliant processing of claims and premiums while maintaining the integrity of provider records, contract configurations, and reimbursement systems. The Claims Operations Director partners closely with senior leadership, cross-functional teams, and third-party vendors to drive operational performance, regulatory compliance, system enhancements, and continuous improvement across all claims-related functions.
We're looking for someone who has:
- Bachelor's degree from an accredited four-year college or university, or equivalent education and experience
- Significant leadership experience in claims operations, healthcare administration, or related functions; ten years of related experience preferred
- Demonstrated experience managing multi-disciplinary operational teams within a healthcare or payer environment
- Strong working knowledge of claims administration, premium billing, contract configuration, and payment integrity processes
- Ability to develop workflows, productivity standards, and performance metrics to meet operational and regulatory goals
- Strong analytical skills with experience using data to set KPIs and support senior leadership reporting
- Thorough understanding of healthcare billing and coding concepts (e.g., CPT, ICD, revenue codes)
- Strong written and verbal communication skills, including the ability to present complex operational information to senior leadership
Highly preferred candidates also have:
- Experience overseeing Medicare reimbursement processes and adapting to regulatory changes
- Experience with provider contract administration and system configuration management
- Experience managing software enhancements, reimbursement systems, or claims adjudication platforms
- Familiarity with provider billing operations and dispute resolution processes
- Strong financial acumen, including basic accounting knowledge and reconciliation concepts
- Experience leading cross-functional initiatives to improve claims, billing, or payment integrity outcomes
About Capital Health Plan (CHP):
CHP is a locally based, not-for-profit health maintenance organization serving the Tallahassee region for more than four decades. Founded by community leaders with a mission to deliver high-quality, affordable, and patient-centered health care, CHP has grown into a nationally recognized healthcare organization while remaining deeply rooted in the communities it serves.
CHP is proud to be an Equal Opportunity Employer and is committed to maintaining a workplace that values professionalism, integrity, and respect. We provide equal employment opportunities to all employees and applicants and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.
About Capital Health Plan
Sourced by ZipRecruiter
In 1982, a group of Tallahassee’s civic leaders came together to create a quality, affordable health care system to meet the health needs of the community. Forty years later, Capital Health Plan has become a national health care leader. We started with 5,000 members and a network of 75 doctors. We’ve now grown to more than 135,000 members with a broad network of more doctors, hospitals and other health care providers throughout our service area. A key component of CHP’s delivery system is its employed medical staff, who practice in three state-of-the-art health centers CHP has developed to serve its membership. These health centers are equipped with electronic medical records and can accommodate a broad range of preventive, primary, and specialty care services including evening and weekend urgent care, lab, x-ray, digital mammography, ultrasound, colon screening, eye care services, wound care, and a center focused on the needs of chronically ill members. CHP’s ability to offer this highly organized component of its delivery system provides unique opportunities for adding value. The staff model of CHP’s delivery system is the engine of our program, consistently driving better results on measures of clinical care, member satisfaction, and affordability. As a not-for-profit HMO, we exist to improve the health of our communities by providing high quality, comprehensive health plans with low administrative costs, through primary care focused, patient-centered healthcare.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Tallahassee, FL, US
Year founded
1982