Head of Health Plan Operations & Coding (Contractor)

Cypress HCM; Lehi (UT); On-site; USD 89,544 - 123,984; Full time

Job summary

Cypress HCM is seeking a Director of Plan Operations in Lehi, Utah. This role involves overseeing the execution and performance of health plan administration, driving operational excellence while leading a team of specialists.

The ideal candidate will possess over 10 years of experience in health plan administration, with strong technical expertise in TPA systems like Facets. Compensation ranges from $65 to $90 per hour, based on experience.

Qualifications

• 10+ years of experience with health plan administration, focusing on benefit operations.
• Proficiency in enterprise benefit platforms like Facets or QNXT.
• Strong analytical and leadership skills with a collaborative approach.

Responsibilities

• Lead and develop a high-performing team for system programming.
• Ensure operational excellence in coding and benefit configuration.
• Oversee client benefit plan implementation and management.
• Optimize workflows and ensure compliance with regulations.
• Collaborate with various internal and external stakeholders.

Skills

Health plan administration

Benefits operations

Technical experience in TPA or Payer setting

Enterprise benefit platforms

Analytical and problem-solving skills

Excellent communication skills

Leadership skills

Education

10+ years in health plan administration or related field

Certified Coding Specialist (preferred)

Tools

Facets

QNXT

HealthRules

Job description

Cypress HCM is seeking a Director of Plan Operations in Lehi, Utah. This role involves overseeing the execution and performance of health plan administration, driving operational excellence while leading a team of specialists.

The ideal candidate will possess over 10 years of experience in health plan administration, with strong technical expertise in TPA systems like Facets. Compensation ranges from $65 to $90 per hour, based on experience.