Director, SHS Operations Administration

<strong>At Emergent Holdings, we&rsquo;re creating an innovative environment where our employees belong authentically, contribute meaningfully, and thrive intentionally &mdash; both personally and professionally.</strong>

Southfield, USA

Emergent Holdings

<p class="p1"><strong>Emergent Holdings is driven by a singular goal &mdash; improving the health and safety of our customers and our communities. How do we do that? We create innovative insurance products, technology solutions, and services to support our key stakeholders &mdash; individuals, employers, providers, and strategic partners &mdash; improving the health and safety of the people and places we serve.</strong></p>

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Competitive Compensation and Benefits Package

Overview: <br />The Director is responsible for management of staff who provide business process analysis and operational performance oversight in order to meet the compliance, growth, retention, membership, operational, and service goals for all group and individual product lines of Senior Health Services. This position provides effective and efficient solutions to complex business problems with delivery of key presentations/concepts, business reviews, and business development recommendations. This position&rsquo;s responsibilities include maintaining effective relations with HPB and EM partners. This role is also responsible for strategizing, innovating, analyzing, planning, organizing, budgeting, reporting, identifying equipment needs, and other functions that are required to maintain and operate an efficient and effective department.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.</p>
Responsibilities: <br /> <ul> <li>Provide vision, leadership, planning, project coordination, and management for the development of a cost-effective department while concurrently facilitating efficient operations to meet current and future business needs within the organization.&nbsp;Sets priorities that maintain continuity in accomplishing the strategic and delivery goals set for the department.</li> <li>Provides insights and transparency through dashboards and reporting.</li> <li>Works with SHS Operations initiative sponsors in delivering comprehensive requirements and results (financial) analysis for initiative proposals.</li> <li>Prepares and disseminates updates for sub-workstream initiatives as needed.</li> <li>Communicate and partner with counterparts across EM and HPB to drive operational progress and address cross-cutting efforts.</li> <li>Communicate and partner with counterparts across EM and HPB to drive progress in the implementation and use of agile practices.</li> <li>Develop, monitor, and report on Key Performance Indicators that are critical to operational performance and the achievement of the SHS Strategy. Identify key performance indicators to measure and inform the development of key initiatives that drive achievement of strategy and operational performance.</li> <li>Mature and lead the implementation of performance management to standardize and optimize tools, tracking, processes, governance, and reporting.</li> <li>Mature and lead production issue monitoring and resolution across IT, Compliance, and Operations.</li> <li>Lead performance transformation that results in cultural and operational changes that generate substantial, ongoing cost and performance improvements within the segment.</li> <li>Effectively partners with counterparts across EM and HPB to drive solutions and implementations.</li> <li>Facilitate executive-level discussions and successfully engage executives to support strategic and tactical objectives of the business.</li> <li>Maintains and promotes quality relationships with internal and external customers.</li> <li>Represent company in community and industry, programs, and conferences.</li> <li>Upon request, function as the department head in the absence of the executive leader.</li> <li>Participate in the development of programs as a strategic partner that supports the company plan.</li> <li>Participates in development of annual departmental budget, monitor budget, and identify budget discrepancies. Research cause and make recommendations&nbsp;to control supply expenditures and promotes efficient use of resources.</li> <li>Responsibility for balancing workload to optimize the effectiveness of the department.&nbsp;Compiles and analyzes statistics and prepares activity-related reports, manpower needs, and inventories and monitors all work within the unit.</li> </ul> <p>&nbsp;</p> <p><strong>DIRECTION EXERCISED:</strong></p> <ul> <li>Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws.&nbsp;</li> <li>Responsibilities include but are not limited to effectively interviewing, hiring, terminating, and training employees; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process.</li> </ul>
Requirements: <br /><br /> <p><strong>EDUCATION:</strong></p> <ul> <li>Bachelor&rsquo;s degree in Project Management, Business Administration, Health Care Administration, or a related field. &nbsp;</li> <li>Master&rsquo;s degree in a related field is preferred.</li> <li>Relevant combination of education and experience may be considered in lieu of degree.&nbsp;</li> <li>Continuous learning, as defined by the Company&rsquo;s learning philosophy, is required.&nbsp;</li> <li>Certification or progress toward certification is highly preferred and encouraged.</li> </ul> <p>&nbsp;</p> <p><strong>EXPERIENCE:</strong></p> <ul> <li>Ten years of progressively more responsible experience in a project management environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities.&nbsp;</li> <li>Five years management or supervisory in project required.</li> </ul> <p><em>&nbsp;</em></p> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Excellent analytical, organizational, planning, verbal, and written communication skills required.</li> <li>Proficient in work that involves analysis, organization, planning, presentation development, problem resolution, strategy, and innovation.</li> <li>Knowledge of BCBSM and BCN products, programs, underwriting rules, membership and billing procedures, open enrollment processes, claims processes, rating methodologies, rate renewals, and agent distribution systems to effectively manage staff.</li> <li>Must be self-motivated and have the ability to work well under pressure.</li> <li>Ability to effectively present information and respond to questions from internal and external contacts at all levels of the organization.</li> <li>Ability to read, analyze, write, and develop communications (i.e. white papers, strategy decks, etc.) or reports as required by leadership.</li> <li>Ability to work in an ever-changing environment.</li> <li>Proficient in current industry standard PC applications and systems, including project management software.</li> <li>Extensive knowledge of operations.</li> <li>Must demonstrate leadership ability and team-building skills to effectively supervise professional and non-professional staff and interact with all levels of management.</li> <li>Ability to work with and empower others on a collaborative basis to ensure success of unit team.</li> <li>Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques.</li> <li>Ability to effectively present budgetary and/or cost information, and respond to questions as appropriate.</li> <li>Ability to establish workflows, manages multiple projects, and meets necessary deadlines.</li> </ul>