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Director of Health Benefits Plan Operations & Administration

Los Angeles, CA, United States

Position Highlights:

Excellent opportunity for growth and to launch a new operations team

Ability to positively impact the health and well-being in critical communities

Generous compensation and benefits package

Full-time, hybrid work environment (3 days onsite; 2 days work-from-home based on business needs)

Location: Los Angeles, CA

Company Overview:

Our southern California-based client is dedicated to providing exemplary services in healthcare and benefits administration. The client takes pride in their commitment to providing excellent, affordable healthcare benefits to its members while ensuring member satisfaction, operational efficiency, and compliance. The team values diversity, equity, inclusion, and justice (DEIJ), fostering a safe, collaborative workplace where everyone can thrive. If you're passionate about growth, making a meaningful impact, and driving positive change, join their mission to support their community's well-being.

Position Overview:

We are seeking a dynamic and experienced Director of Operations to oversee the day-to-day operations for a growing healthcare benefits trust fund. In this role, you will lead a team responsible for managing the fund's operations, including the functions of member services, employer outreach, finance and accounting, and facility management. You will play a pivotal role in strategic and operational planning, ensuring compliance with regulatory requirements, recruiting and developing key management and staff, and driving initiatives to improve operational efficiency and effectiveness. The ideal candidate is a proactive, highly ethical leader with strong business and financial acumen, exceptional organizational and people skills, proven ability to build and grow operations and teams, and a commitment to excellence.

What You Will be Responsible for:

Plan Administration: Oversee the day-to-day administration and operations of the Benefits Plan and Plan Office, ensuring operational efficiency and compliance with regulatory requirements. Monitor performance metrics and recommend solutions for improvement.

Customer Service and Employer Outreach: Establish performance standards and procedures for customer support and outreach activities. Handle appeals, complaints, and inquiries to ensure optimal customer satisfaction. Identify opportunities for process improvement and implement solutions to enhance service delivery.

Finance: Ensure the accuracy, integrity, and efficiency of finance and accounting activities. Collaborate with auditors to maintain sound internal controls and oversee annual financial audits. Monitor financial performance and recommend adjustments to operational budgets as needed.

Information Technology: Establish performance standards for IT systems and technology used in plan administration. Work with vendors to maintain and enhance technology infrastructure. Implement procedures to secure Plan Office technology and data.

Leadership: Recruit, train, and evaluate staff, providing vision, guidance, and motivation to achieve organizational goals. Foster a culture of diversity, equity, inclusion, and justice (DEIJ) within the team and across the organization.

Board of Trustee Meetings: Coordinate and attend Board meetings, assisting with agenda development, material preparation, and meeting logistics. Ensure timely distribution of meeting materials and accurate recording of meeting minutes.

Strategic Planning: Contribute to developing and implementing short- and long-term strategic goals. Identify opportunities for organizational growth and operational improvement.

Vendor Management: Negotiate and manage relationships with external partners and vendors, including IT service providers, consultants, and professional services firms.

What You Bring to the Role:

Bachelor's degree in healthcare administration, business, finance, operations, or related field; Master's degree preferred.

10+ years of experience in management-level administrative roles, with demonstrated expertise in operations and fiscal management.

Strong understanding of finance operations, health plan administration, and regulatory compliance.

Experience managing staff and functional areas, with a track record of successful leadership and team development.

Proficiency in Microsoft Office, financial management, and project management tools.

Excellent communication skills, with the ability to effectively interact with stakeholders at all levels.

Detail-oriented with strong analytical and problem-solving abilities. Thrives in an environment of innovation and growth.

Bilingual English/Spanish preferred.

Compensation, Benefits, and Job Structure:

Competitive salary of $100-130K annually based on experience

Flexible hybrid work arrangements, including 3 days in office and 2 days work from home (based on business needs)

Excellent medical, dental, and vision care plans

401(k), pension, life and AD&D insurances

Generous paid time off, including vacation, holidays, personal and sick days.

How to Apply:

Submit your resume through the NextGroup website. The NextGroup search team will contact you regarding the next steps.

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