Assistant Director of Business Operations - Medicaid Managed Care

 
Position: Assistant Director of Business Operations - Medicaid Managed Care

Job ID: 149642

Location: US-TX-Bellaire

Department: TCHP - BUSINESS OPERATIONS

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a-5p

About Texas Children's Hospital

Texas Children’s Health Plan (TCHP) is the largest Texas Medicaid managed care organization, and is part of the Texas Children’s healthcare system. Founded in 1996, TCHP is the nation's first health maintenance organization (HMO) created just for children and pregnant women. Our plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently the Health Plan serves more than 450,000 members across three service areas (Harris, Jefferson, North East). Members of the plan receive care from our network of more than 4,000 primary care physicians, 8,000 specialists, and 110 hospitals. They can also receive care at The Center for Children and Women, a patient and family-centered medical home with two convenient locations for TCHP members who can have all their medical needs met in one place, receiving multiple services the same day. TCHP is a recognized leader at encouraging holistic care that empowers families to live healthier lives. To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org

Summary:

We are searching for an Assistant Director of Business Operations — someone who works well in a fast-paced setting. In this position, you will provide daily oversight of the Business Operations department, including the management of member eligibility, medical policy/configuration, and provider setup. You will lead and ensure the successful completion and/or implementation of process improvement initiatives, strategic priorities, regulatory mandates, policies, procedures, and other operational activities. Lastly, you will be the point of contact for vendors that interact with the department.

 

Think you’ve got what it takes?



Responsibilities :

  • Collaborate with other Health Plan department leaders to ensure cross-departmental process and workflow impact the Business Operations department efficiently, are thoroughly documented, and meet regulatory requirements as needed
  • Provide guidance on the development, tracking, and reporting of department performance, productivity, and quality metrics
  • Manage and track critical projects assigned to the department, ensure challenges or roadblocks are removed, and provide updates to the appropriate Health Plan leadership
  • Interface with the Information Services department to create a departmental dashboard that encompasses the appropriate metrics
  • Collaborate with department managers and Human Resources business partners to provide training and other tools for the staff
  • Direct the growth and development of the Business Operations team members and have annual performance management plans based on organizational and departmental goals


Qualifications:

  • Bachelor’s degree in health care administration, business administration, or related field, master’s degree preferred
  • Minimum 4 years’ experience in management or leadership
  • Minimum 4 years’ experience in Medicaid managed care and health plan operations, including leading and implementing strategy and process improvement initiatives
  • Minimum 4 years’ experience in health plan payer systems


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