Collective Health is expanding its Operations team in Utah! We believe health benefits should be simple, accessible, and technology-driven. But moreover, we believe healthcare should be grounded by the people that it serves. To accomplish this, we are reimagining the operational core of health insurance. We are seeking leaders to help deliver on this vision. 

We are looking for a Director of Plan Operations to build and run our Plan Operations teams in Lehi and San Francisco.  This is a key leader within the Customer Experience team. You will have the rare opportunity to join a company early, contribute to scaling a large team, and set the foundation of our company's culture.  We are looking for a hands on leader with deep experience managing change across a large scale operational environment. 
 
The Plan Operations teams include Plan Policies, Plan Structure & Audits, Reporting/Data, Systems, Quality Assurance, and Plan Launch Operations.  These teams are critical in establishing the backbone for setting up and running our healthcare plans.
 
 
Responsibilities 
 
  • Build, lead and develop a high performing team 
  • Oversee the strategy and day-to-day operations of the team including:
     
    • Appeals & other exception processes
    • Collective Health’s adjudication rules & definitions
    • Management and completion of external audits
    • Stop Loss operations and other reporting
    • Management of claims related Systems & data exchanges
    • Implementation and renewal of Client’s Plan Designs and all corresponding Plan Artifacts (SPDs, SBCs, and Portals) 
  • Set and meet aggressive performance goals...driving performance, effectiveness and efficiencies 
  • Create, model, and improve processes to scale our operations while delivering an amazing customer experience 
  • Working cross-functionally with multiple Customer Experience teams, Legal, Product, Engineering, and Client Success
  • Monitor and ensure timely resolution of member and client inquiries
  • Help build and cultivate a culture of creativity, passion, drive, diversity and inclusiveness 
  • Drive for constant step-change improvements using your leadership skills, analytical abilities, and entrepreneurial grit 
  • Help us to become an employer of choice in Utah
  • Lead teams in Lehi and San Francisco
 
Requirements 
 
  • 10+ years experience in Health Plan Operations or Back-office Operations
  • 7+ years in leadership in an Operations environment 
  • Experience leading large teams across multiple sites
  • Experience managing complex work types
  • Experience building and implementing new processes and tools 
  • Excellent critical thinking, communication and change management skills coupled with the ability to influence cross-functionally 
  • Bachelor’s degree, or equivalent 
  • Creative, passionate, and driven about building key business functions that transform customer and employee experiences

Collective Health is a technology company simplifying employer healthcare to make health insurance work for everyone. With more than 200,000 members and over 45 enterprise clients—including Pinterest, Red Bull, Restoration Hardware, Activision Blizzard, and more—our technical and customer experience teams are reinventing the healthcare experience for forward-thinking employers and their people across the U.S.

Collective Health is headquartered in San Francisco, CA, with additional offices in Chicago, IL, and Lehi, UT. Founded in 2013, Collective Health is backed by the SoftBank Vision Fund, DFJ Growth, PSP Investments, NEA, GV, G Squared, Founders Fund, Maverick Ventures, Mubadala Ventures, Sun Life, and other leading investors. For more information, visit us at https://www.collectivehealth.com

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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