Director of Plan Operations - (Plan Configuration)

Responsibilities

• Plan Operations Strategy: Develop and execute a comprehensive strategy to enhance the efficiency, accuracy, and scalability of plan operations.
• Technology & Automation: Work closely with Product and Engineering teams to implement technology-driven solutions that enhance the efficiency and accuracy of plan operations.
• To be successful in this role, you'll need:
• Mandatory proficiency in enterprise benefit platforms (e.g., Facets, QNXT, HealthRules, or similar TPA/Payer systems) and demonstrated expertise in translating complex benefit logic into accurate system code.
• Deep understanding of health benefits, self-funded plans, third-party administration, and regulatory requirements.
• Proven track record of managing large-scale operations, process optimization, and driving operational excellence.
• Strong analytical and problem-solving skills with a data-driven approach to decision-making.
• Excellent communication and leadership skills, with the ability to collaborate effectively across teams and influence key stakeholders.
• Experience in fast-paced, high-growth environments with a focus on continuous improvement, change management and innovation.
• Certified Coding Specialist, preferred but not required.
• Pay Transparency Statement
• This is a hybrid position based out of one of our offi

Benefits

Additional Information

At Collective Health, we're transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design. The Director, Plan Operations is a critical leadership role responsible for ensuring the seamless execution and operational performance of health plan administration at Collective Health. This individual will oversee plan operations strategy, execution, and optimization to drive efficiency, compliance, and an excellent client and member experience. The Director will collaborate cross-functionally with internal teams, external partners, and clients to ensure operational excellence in plan configuration, benefit administration, and issue resolution.

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