eClusive is a third-party administrator (TPA) that provides back-office functions for capitated health plans. Back-office functions include but are not limited to claims adjudication, member enrollment and reporting, data reporting submissions, and financial reporting. eClusive’s sister company, Mediture, develops healthcare information technology software solutions for managing care coordination for capitated health plans. Both companies work closely together to provide integrated and intuitive products to our health plans.
eClusive’s company goal is to seamlessly handle our client’s back-office functions to allow the plan to financially thrive and grow so they can focus on member care coordination. eClusive is looking for an industry expert that is energetic and entrepreneurial to help us build and optimize our client’s back-office workflows.
POSITION SUMMARY: The Director of Operations oversees a team of 16 staff to manage the claim adjudication process for customer’s health plans. The Director of Operations will have responsibility for overall management of client relationships and will work with the Executive Team to deliver best-in-class service and proactive solutions.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Mediture/eClusive offers competitive compensation and benefits. As an employee, you will contribute to highly valued products and business objectives of end users in a growing industry. You will be part of a professional and positive environment and have excellent opportunities to make an impact. To join our successful team, please apply with your resume, cover letter, and any salary expectations.
Mediture is an Equal Opportunity Employer.
Employment is contingent upon a successful background check.
Expected Hours of Work: This is a full-time position with an expectation to work an average of 40 hours per week, and an ability to be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Normal business hours are between 8:00 a.m. to 5:00 p.m.
Travel: Up to 10%.
Supervisory Responsibility: This position will supervise 16 team members.
Environment: This job operates in a professional, dress for your day, office environment. This role routinely uses standard office equipment such as computers, phones, printers, and filing cabinets.
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to travel; use hands to finger, handle or feel; and reach with hands and arms.
Who Is Mediture?
Mediture is a leading provider of healthcare software that supports the mission of helping elderly and vulnerable populations stay in their home. Mediture software solutions facilitate care management, benefit plan management, and financial oversight in capitated healthcare markets. Mediture TruChart Health Plan Management, Electronic Health Record, and Analytics solutions empowers organizations to track measurable outcomes to support the specific needs of the population they serve. Based in Eden Prairie, MN, Mediture has a national client base delivering care for populations with complex healthcare needs. As a driven team, Mediture works together to deliver solutions that solve customers' challenges and support vulnerable populations.
Job Type: Full-time