Dane Street · 1 month ago
Group Health Operations Manager
United States
Full-time
Remote
Mid Level
$75K/yr - $94K/yrDane Street, LLC is a fast-paced, Inc. 500 Company specializing in processing insurance claims for various health and compensation sectors. The Group Health Operations Manager is responsible for overseeing the profitability of regional operations, managing staff performance, and driving revenue growth through excellent customer service.
Auto InsuranceCommercial InsuranceEmployee BenefitsFinancial ServicesHealth InsuranceInsurance
Responsibilities
Oversee and ensure the overall profitability of the regional operations center
Driving Revenue Growth
The Operations Manager drives revenue growth by delivering excellent Customer service
This includes meeting scheduling best practices and turnaround time requirements
Ensuring the timely delivery of high quality reports
Managing client inquiries in a timely manner
Optimizing Physician cost
Ensuring that client invoices adhere to the agreed upon fee schedule
Overseeing the proper selection of physicians
Specifically ensuring that the team selects the most appropriate physician based on the claimant’s location, the required specialty, and the most appropriately priced physician based on the client’s fee schedule
Building relationships with key physicians to ensure panel retention
Manage Staff Performance and capacity
Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists
Ensure the team meets or exceeds 85% of output goals for scheduling and Quality Assurance targets
Responsible for hiring new staff members based on increased referral volume and/or the addition of new clients
Conducts performance evaluations that are timely and constructive
Handles discipline and termination of employees as needed and in accordance with company policy
Responsible for the overall production, performance, and quality of the assigned region
Plans and organizes daily activities related to production and operations
Measures productivity by analyzing performance data, financial data, and activity reports
Coordinates with other support departments such as human resources, finance, and IT and BA to ensure successful production operations
Determines labor needs to meet production goals
Qualification
Required
An Associate's Degree or Bachelor's Degree is preferred
RN / LPN License is required
Utilization Review experience is required
Present exceptional communication skills with a clear understanding of company business lines
The ability to apply critical thinking, manage time efficiently and meet specific deadlines
Computer literacy and typing skills are essential
Supply and support their own internet services
Maintaining an uninterrupted internet connection is a requirement of all work from home position
Preferred
Business experience in a healthcare and/or insurance setting is preferred
Business experience in a Worker's Compensation and/or Auto insurance setting is preferred
Benefits
Comprehensive benefits package including health insurance
Retirement plans
Performance bonuses
Medical, dental, and vision coverage for you and your family
Voluntary life insurance options for you, your spouse, and your children
Hospital indemnity
Critical illness
Accident indemnity
Pet insurance plans
Basic life insurance
Short-term disability
Long-term disability coverage at no cost
Generous paid time off policy
401k plan with a company match
Apple equipment and a media stipend
Company
Dane Street
Dane Street is an insurance company that offers review and evaluation services for workers compensation, health, and to some businesses.
Founded in 2008
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Josh Remillard
Chief Operating Officer
Greg Powers
Chief Marketing Officer/SVP Sales
Recent News
EIN Presswire
2025-07-23
2025-05-23
Company data provided by crunchbase