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American Medical Association · 2 days ago

Dirirector Administrative Operations (Hybrid)

Chicago, IL

Full-time

Hybrid

Director/Executive

$153K/yr - $207K/yr

10+ years exp

The American Medical Association (AMA) is the nation's largest professional Association of physicians and a non-profit organization. The Director of Administrative Operations will ensure outstanding customer service and develop operational processes and technology, while overseeing the performance management of various teams within the organization.

EducationHealth CareNon Profit

H1B Sponsor Likely

Responsibilities

Oversee hiring, training, and performance management for Administrative Operations management team and their customer service (call center), claims, and operations teams

Facilitate and oversee the performance management process including setting department and individual goals, performance reviews, development plans and corrective action

Create a culture and processes to deliver a comprehensive and seamless service experience to all customers measured by satisfaction survey KPIs

Oversee education, coaching and training including systems, processes, contract interpretation, and industry issues (such as HIPAA, Fraud, Unfair Claim Settlement Practices)

Prepare department budgets and operate within budget expectations

Continually improve the customer experience by evaluating and redesigning system and business processes to enhance operational efficiency, increase productivity and drive engagement

Support new product opportunities by assessing operational feasibility of supporting the product, and identifying and creating workflow process and system requirements

Accountable for compliance with regulatory, legal and contractual requirements, enforcing effective policies and procedures that comply with state and federal insurance regulation

Function as the Subject Matter Expert on insurance company guidelines, including an in-depth understanding and ability to interpret and apply insurance contract provisions to business processes, carrier manuals and procedures, and standard insurance industry business practices

Review and respond to escalated issues – complaints to regulators and AMA/AMAI executives

Liaise with insurance carrier partners, TPA clients and vendors to ensure AMAI meets administrative obligations

Provide support for all internal and external audits

Function as AMAI liaison for interactions with the AMA Facilities Management Department

Qualification

Insurance operations managementRegulatory complianceCustomer service experienceLife/health claims adjudicationContract interpretationTraining program developmentCoachingRelationship managementProcess improvementCall center processesMentoring

Required

Bachelor's Degree is required. In business administration or related field, preferred

10+ years of experience heading up an insurance operations team in a life and/or health insurance company, large brokerage or third-party administrator, required

Experience must include customer service, underwriting/certificate issue, life/health claims adjudication, contract interpretation and compliance, training and business requirement development; Life, Disability, Medicare Supplement product experience, required

Proven success facilitating progressive organizational change and development

Utilize a strong mentoring, coaching, and influencing style to engage and lead across all levels of the organization; leads effective training programs to support compliance and customer service

Knowledge of customer service and call center processes; insurance administration and claims systems

Directly manage relationships with TPA clients, management team of insurance company partners and vendors that support business operations

Benefits

Employees are also eligible to participate in an incentive plan.

Company

American Medical Association

Glassdoor3.5

American Medical Association promotes the art and science of medicine and the betterment of public health.

Founded in 1847

Chicago, Illinois, USA

1001-5000 employees

http://ama-assn.org

H1B Sponsorship

American Medical Association has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (7)

2024 (2)

2023 (5)

2022 (2)

2021 (2)

2020 (3)