OPERATIONS OFFICER - UNCLASSIFIED

State of Nevada; Carson City (NV); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health Insurance

Vacation: 3 weeks annual leave

Sick Leave: 3 weeks per year

Holidays: 12 paid holidays per year

PERS retirement benefits

Deferred Compensation

Job summary

The Nevada Health Authority in Carson City seeks an Operations Officer to provide strategic and operational leadership across the plan’s core administrative activities. This role oversees daily operations, supports policy implementation, ensures regulatory compliance, and collaborates with executive leadership, vendors, state agencies, and internal teams to deliver efficient, customer-focused services.

Responsibilities include leading workflows for eligibility, enrollment, claims administration,

Qualifications

• Education and/or experience in business administration, public administration, health administration, or a related field.
• Demonstrated experience in benefits administration, health plan operations, public sector risk management, or similar fields.
• Strong leadership, analytical, and problem-solving skills.
• Proven ability to manage cross-functional teams and complex operational processes.
• Excellent communication and stakeholder engagement skills.

Responsibilities

• Lead and manage operational workflows that support eligibility, enrollment, claims administration, customer service, and vendor coordination.
• Develop and implement operational policies and procedures to enhance consistency, efficiency, and compliance.
• Monitor performance metrics, operational reporting, and service level agreements to ensure high-quality plan administration.
• Partner with actuarial, finance, and compliance staff to support budgeting, forecasting, audits, and regulatory filings.
• Coordinate with third-party administrators, technology vendors, and partner agencies to optimize processes and resolve issues.
• Identify opportunities for operational improvement, risk mitigation, and modernization of plan administration systems.
• Support executive leadership in planning, communications, and strategic initiatives.

Skills

Leadership

Analytical thinking

Problem solving

Stakeholder engagement

Cross-functional collaboration

Education

Bachelor’s degree in business/public/health administration

Job description

• No Nevada state income tax.

Job Summary

The Nevada Health Authority is seeking an Operations Officer in Carson City. This position provides strategic and operational leadership across the plan’s core administrative activities. This position oversees daily operations, supports policy implementation, ensures regulatory compliance, and collaborates closely with executive leadership, vendors, state agencies, and internal teams to deliver efficient and customer-focused services.

Essential Qualifications

Minimum Qualifications:

• Education and/or experience in business administration, public administration, health administration, or a related field.


• Demonstrated experience in benefits administration, health plan operations, public sector risk management, or similar fields.


• Strong leadership, analytical, and problem-solving skills.


• Proven ability to manage cross-functional teams and complex operational processes.


• Excellent communication and stakeholder engagement skills.

Preferred Qualifications

• Bachelor’s degree in business administration, public administration, health administration, or a related field; or 5 years or more combined experience and education in the above areas.


• Experience with self-insured or public employee benefit programs.


• Knowledge of state and federal regulations governing health benefits and insurance operations.


• Familiarity with eligibility systems, claims platforms, and vendor management.

Job Duties

• Lead and manage operational workflows that support eligibility, enrollment, claims administration, customer service, and vendor coordination.


• Develop and implement operational policies and procedures to enhance consistency, efficiency, and compliance.


• Monitor performance metrics, operational reporting, and service level agreements to ensure high-quality plan administration.


• Partner with actuarial, finance, and compliance staff to support budgeting, forecasting, audits, and regulatory filings.


• Coordinate with third-party administrators, technology vendors, and partner agencies to optimize processes and resolve issues.


• Identify opportunities for operational improvement, risk mitigation, and modernization of plan administration systems.


• Support executive leadership in planning, communications, and strategic initiatives.

Knowledge Of

Knowledge, Skills, and Abilities

• Contract administration, vendor performance oversight, and service level monitoring.


• Budget development, financial reporting, actuarial concepts, and cost-containment strategies.


• Operational planning, workflow design, and best practices for process improvement.


• Principles and practices of health benefits administration, self-insured plan operations, and risk management.


• State and federal regulations governing public employee benefit programs, including privacy, reporting, and compliance requirements.

Skills In

• Managing and improving operational systems, procedures, and performance measures.


• Interpreting complex data, analyzing trends, and preparing clear and actionable reports.


• Project management, including setting timelines, coordinating cross-functional teams, and ensuring deliverables are met.


• Using technology platforms related to eligibility, claims management, data reporting, and records administration.


• Communicating clearly and professionally with diverse internal and external stakeholders, inclusive of board members and lawmakers.

Ability To

• Support the goals and objectives of the Nevada Health Authority and Public Employees’ Benefit Program and ensure both entities are in alignment as we move forward.


• Demonstrate a growth mindset and support and assist staff in navigating different phases of change as we move toward our NVHA/PEBP goals.


• Exercise sound judgment and make data-informed decisions in a fast-moving operational environment.


• Establish and maintain effective working relationships with staff, vendors, agency partners, and members.


• Provide clear, concise, consistent, accurate, and timely communication.


• Maintain a professional and collaborative tone, and provide constructive feedback to partners.


• Identify operational risks and develop practical, effective solutions.


• Lead organizational change, build team capacity, and foster a culture of service and accountability.


• Translate policy directives into operational practices that improve consistency and efficiency.

Benefits Include

• Health Insurance: Medical, dental, life, and disability insurance programs for employees and their dependents/family are offered through the Public Employees’ Benefits Program (PEBP).


• Vacation: Accrual of three weeks of annual leave each year.


• Sick Leave: Accrual of three weeks of sick leave each year.


• Holidays: 12 paid holidays per year.


• Retirement: Participation in the Nevada Public Employees Retirement System (PERS). Employees do not contribute to Social Security but will contribute to PERS if their position is at 50% or more full-time equivalency. For more information on how PERS service may impact Social Security benefits, visit the SSA publication.


• Deferred Compensation: The State offers a voluntary Deferred Compensation Program.


• No Nevada state income tax.


• Public Service Loan Forgiveness: Eligible due to public sector employment.


• Longevity Payments Eligibility: Employees who have received a performance rating of “standard” or better and have completed eight (8) or more years of continuous service are eligible for longevity pay.

Additional benefits may apply to employees covered under a Collective Bargaining Agreement (CBA), depending on their designated bargaining unit. For more information, visit the Labor Relations Unit (LRU).

The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or compensation and/or wages.

For more details about your rights and responsibilities as a State of Nevada employee, please review the State of Nevada Employee Handbook (PDF).

• State Holidays The holiday schedule for State employees is established by the Legislature.

The Following Are Legal Holidays

January 1.............................................. New Year's Day

Third Monday in January.................. Martin Luther King, Jr.'s Birthday

Third Monday in February................ Washington’s Birthday

Last Monday in May........................... Memorial Day

June 19................................................ Juneteenth Day

July 4.................................................... Independence Day

First Monday in September.............. Labor Day

Last Friday in October....................... Nevada Day

November 11........................................ Veterans' Day

Fourth Thursday in November........ Thanksgiving Day

Friday following the Fourth Thursday in November...................... Family Day

December 25........................................ Christmas Day

When January 1, June 19, July 4, November 11, or December 25 falls on a Saturday, the preceding Friday is the observed legal holiday. If these days fall on Sunday, the following Monday is the observed holiday. Eligibility for holiday pay is covered by the provisions of NAC 284.255