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Executive Director Operations - Johns Hopkins Health Plan
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- The Executive Director of Operations is responsible for leading health plan operations across all four of JHHP's lines of business, ensuring operational excellence while striving to improve member and provider satisfaction.
- Responsibilities include leadership and accountability for performance results of all Operations division functions including claims, customer service (member and provider), enrollment, systems configuration, education and training, quality assurance, business operations analytics, facilities, and provider accounts and receivables.
- Collaborates with the line of business leaders, Medical Management, Finance, Provider Network, and Information Technology to ensure the effective and efficient administration of services.
- Ensures compliance requirements are met for all regulatory bodies including CMS, NCQA, HEDIS, and Delmarva, as well as internal and external auditors.
- Reports directly to COO- JHHP and is responsible for all aspects of management for Directors, Managers, Supervisors, and individual contributors in the Operations department.
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