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$83k–$139k/yr
Full-time
bachelor degree
Medical, Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account
Posted 1d ago
~40 hrs/week
Remote in United States
Responsibilities
The Director of CERIS Operations provides leadership and strategic oversight for non-clinical business functions to ensure operational excellence and compliance. This role manages cross-functional teams and implements process improvements to support long-term growth and client value.
Requirements
Candidates must possess a bachelor's degree in a relevant field or at least 7 years of equivalent operations management experience. Strong leadership, analytical skills, and knowledge of healthcare industry operations are required.
Full job description
The Director, CERIS Operations is responsible for providing leadership, strategic planning, operational management, and implementation of standards and continuous improvements across non-review business operations. This position leads operational performance across non-clinical functions and provides guidance and direction to ensure compliance with established operating standards, process and product enhancements, and effective workforce and production planning.
This role works closely with the Director of Audit Services and the Director of Policy and Payment Integrity to support and exceed annual objectives and long-term growth strategies.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Drive operational excellence across non-clinical business functions, with a focus on:
Delivering client value and enhancing client experience
Standardization of processes
Scalability of operations
Operational effectiveness
Operational efficiency
Lead and implement strategic initiatives and operational improvements across CERIS
Provide direct oversight and accountability for non-clinical operational departments
Oversee Set-Up, Procurement, Data Capture, RCM, Closing, and other functions within scope
Actively participate in company meetings, calls, and cross-functional initiatives
Lead by example while providing guidance, coaching, and mentoring to team members and direct reports
Foster and promote the CorVel and CERIS culture across all employees
Develop and maintain effective communication channels across cross-functional teams
Continuously evaluate and improve operational metrics, policies, procedures, and best practices
Ensure compliance with HIPAA regulations, policies, and procedures
Perform additional duties as assigned
KNOWLEDGE & SKILLS:
Excellent verbal and written communication skills, including the ability to communicate complex concepts in a clear and concise manner
Strong understanding of data, systems, and operational processes within a scalable business environment
Proven ability to influence stakeholders, build consensus, and present effectively to a variety of audiences
Proficiency with Microsoft Office applications
Excellent analytical, decision-making, and problem-solving skills
Strong leadership, organizational, and strategic planning capabilities
Ability to collaborate effectively across departments and all levels of the organization
Experience driving continuous improvement initiatives and operational efficiencies
EDUCATION & EXPERIENCE:
Bachelor's degree in Healthcare, Business Administration, or a related field; or 7+ years of equivalent education and experience in operations management with significant healthcare industry knowledge
Experience in Payment Integrity preferred
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERIS:
CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
A clear path to payment integrity | A CorVel Company
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1990
Headquarters
Fort Worth, Texas
LinkedIn followers
3,126
CERIS, a CorVel company, serves healthcare payers in excelling with paying medical claims correctly the first time. We drive business and policy strategies through technology to detect and resolve pre and post payment issues for health claims. Our team of policy and payment integrity leaders deliver savings through the prevention of improper payments and recovery of overpayments. Our multi-faceted processes and relationships with the medical community makes CERIS a partner of choice for state agencies, commercial health payors, managed care organizations, and third party administrators across the nation. Visit our website to learn more.
Offices: 5128 Apache Plume Rd., Ste: 400, Fort Worth, Texas 76109, US
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