Director of Operations (Remote)

Lensa; United States; Remote; USD 160,000 - 180,000; Full time

Job summary

Join a leading company in health plan administration as a Director of Operations, where you will lead initiatives and ensure operational excellence. Benefit from a supportive environment that values integrity and innovation and enjoy a competitive package with comprehensive benefits including medical, dental, and generous paid time off.

Benefits

Medical, Dental and Vision coverage

401(k) and Quarterly Bonuses

Generous Paid-Time Off

Educational Assistance & Professional Development

Fitness Reimbursement Benefit

Qualifications

• 10 years’ experience in operations management within healthcare or TPA.
• Proven experience managing people and leading cross-functional teams.
• In-depth knowledge of claims processing and provider operations.

Responsibilities

• Lead operational initiatives and projects across the organization.
• Act as primary Operations lead for strategic vendors and projects.
• Ensure operational processes align with company goals.

Skills

Problem-solving

Decision-making

Communication

Teamwork

Education

Bachelor’s Degree (BS/BA) or equivalent

Tools

Microsoft Office

Job description

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Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Health Plans.

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, HPI is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do

HPI is unique. A respected industry leader that’s been serving customers for over 44 years, we’re known for our innovation and adaptability. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

Our commitment extends beyond our clients to our own employees. We foster a supportive and inclusive work environment where innovation thrives. By investing in our team’s growth and well-being, we ensure they are equipped to provide exceptional service.

What you’ll do

The Director of Operations is responsible for leading and coordinating operational initiatives across the organization. This role requires deep knowledge of claims, benefit configuration, provider operations, and health plan/TPA policies and procedures. The Director will serve as a key liaison with internal teams and external partners, ensuring operational excellence and client satisfaction.

In This Role, You’ll Also

• Provide strategic leadership and oversight for operational initiatives and cross-functional projects.
• Serve as the primary Operations lead for initiatives with strategic vendors and other key projects.
• Act as the single point of contact for Centurion and key vendors on Operations issues, including participation in weekly meetings.
• Collaborate with vendors such as Zelis and Echo to manage member and provider EOBs and EOPs.
• Support the development and implementation of an internal claims auditing function within the JV.
• Track, follow up, and resolve Operations issues impacting clients and members; participate in broker and client calls as needed.
• Lead the Operations component of the UMR conversion to JV.
• Ensure operational processes align with company goals and client expectations.
• Represent Operations on cross-departmental project teams to support enterprise-wide objectives.
  
  

What you bring

• Bachelor’s Degree (BS/BA) or equivalent.
• Minimum of 10 years’ experience in operations management within the healthcare or TPA industry. Proven experience managing people and leading cross-functional teams.
• In-depth knowledge of claims processing, benefit configuration, and provider operations.
• Strong problem-solving and decision-making skills.
• Excellent communication and documentation abilities.
• Experienced in presenting complex information clearly to internal and external stakeholders at all levels.
• Skilled in fostering teamwork and mentoring staff.
• Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint).
  
  

Why choose us?

• We’re a people-first company and value giving back to our community. Ask us about our volunteer opportunities.
• Our space is a reflection of who we are—innovative, open and collaborative.
• We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.
• Need to reenergize? When at our Westborough headquarters, take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms.
  
  

Our Benefits Package

Benefits

We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life, including:

• Medical, Dental and Vision and Prescription Drug Coverage
• Fitness Reimbursement Benefit
• Employee Assistance Program
• Flexible Spending Account & Health Savings Account
• 401(k) and Quarterly Bonuses
• Generous Paid-Time Off & Volunteering Opportunities
• Educational Assistance & Professional Development Opportunities
  
  

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at hpitpa.com/about-us/careers/

EEO/AA/M/F/Vet/Disability Employer

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  IT Services and IT Consulting

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