Senior Operations Lead – Health Plan Administration

State of Nevada; Carson City (NV); On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

Health Insurance

Vacations and holidays

Sick leave

Public service loan forgiveness

PERS retirement plan

Deferred compensation

Job summary

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

Essential duties include leading workflows for eligibility, enrollment, claims administration, and vendor

Qualifications

• Education/experience in business administration, public administration, health administration, or related field.
• 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 operational workflows supporting 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, reporting, and SLAs to ensure high-quality plan administration.
• Coordinate with actuarial, finance, and compliance staff to support budgeting, forecasting, audits, and regulatory filings.
• Partner with third-party admins, 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

Communication

Education

Bachelor’s degree in business/public/health administration or related field

5+ years combined experience and education in above areas

Job description

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

Essential duties include leading workflows for eligibility, enrollment, claims administration, and vendor