Trenton, New jersey
Medicaid Operations Director Job Opening in Trenton, New jersey - POSITION SUMMARY
Reporting to the Vice President of Heath Operations, this professional will be responsible for the execution of the overall operation of the project, its performance to contract requirements, and all major functions of the contract. Leading operations, customer service/call center, finances, internal controls, human capital, and IT systems and support, this position will effectively oversee the day-to-day operation of a large and complex organization, and will serve a critical role in advising the Vice President of Operations in all aspects of the operation. The Project Director will work collaboratively with the VP and all other corporate staff as needed to ensure the overall success and financial viability of the project, and will work towards establishing a strong, healthy relationship with the client as a trusted advisor, helping to achieve all applicable compliance, financial, and operational goals and targets.
POSITION ESSENTIAL FUNCTIONS
Establish and maintain a productive relationship with the client and key stakeholders.
Ensure the company is in compliance with all applicable requirements of the contract, state and federal regulations, and terms and conditions of the RFP.
Oversee the leadership team responsible for the following functional areas: call center, operations, reporting, business intelligence, information technology, security, and administrative support including human resources, finance and facilities.
Serve as the single point of contact for the client for Disaster Recovery (DR) plans and related communications and execution of DR activities.
Coordinate with Corporate Officer-in-Charge for corporate resources and input as necessary
Oversee all customer service, eligibility, and outreach functions and staff on a daily basis.
Communicate project status to Corporate Officer-in-Charge & members of senior mgmt.
Assist in the creation and implementation of innovative methodologies to continually streamline and improve project operations and outcomes.
Approve project schedules, work plans, and deliverables.
POSITION QUALIFICATIONS
BA/BS is required with a preferred field of study in public policy administration, public policy, public health or related field. Master?s degree preferred.
A minimum of five years of experience in managing large complex organizations health, human services, insurance or related operations, including performing and maintaining appropriate service levels and quality.
Progressively responsible management positions in related fields.
Experience in an MMIS, CHIP, health insurance eligibility, enrollment and call center operations.
Knowledge of the New Jersey health care, social service, geographic and demographic environments are mandatory
Strong leadership skills; ability to lead and motivate a large and diverse workforce
Excellent organizational, interpersonal, verbal, and written communication skills in addition to ability to perform quantitative and qualitative analyses of existing business processes based on in-depth industry knowledge of organizational and or client objectives
Ability to influence senior level leaders regarding matters of significance, ability to negotiate with internal and external customers to gain desired outcome, ability to successfully manage many complex tasks simultaneously.
Job Type: Full-time
Salary: $120,000.00 to $150,000.00 /year
Required education:
Bachelor's
Required experience:
healthcare management: 5 years
call center operations: 5 years
Medicaid: 5 years
Operations Management: 5 years
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