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.
Pay Range: $83,494 – $139,002
A list of our benefit offerings can be found on our CorVel website: CorVel
Careers | Opportunities in Risk Management
[https://www.corvel.com/company/careers/]
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.
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