Top 1110 Unit head Jobs in New York State

Director Configuration, Benefit Administration
Healthfirst —New York, NY
- $127,500 - $236,555 a year
- Full-time
- Office
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Head of Wealth Management Compliance City National Bank
City National Bank —New York, NY
- $200,000 - $340,000 a year
- Microsoft Excel
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Sr Dir, Business Operations and Data Governance – Intelligence Ventures
SPECTRUM —New York, NY
- $169,800 - $361,000 a year
- 5 years
- Office
- Residential
- Opportunities for advancement
Senior Director, Head of Associate Relations
GEICO —New York, NY
- $195,000 - $315,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Mentoring
Deputy Director DDSO 2
State of New York - People With Developmental Disabilities, Office for —Queens, NY
- $156,757 - $201,170 a year
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Nursing
- Paid parental leave
- Paid holidays
10d
Head of Operations
Somethings —New York, NY
- $200,000 - $250,000 a year
- Full-time
- Hybrid work
- Office
- Senior level
- 10 years
- Health insurance
Quick Apply
General Manager - Head of Consumer & Payments
Esusu —New York, NY
- $300,000 - $350,000 a year
- Remote
- Senior level
- Leadership
- 10 years
- Paid parental leave
- Health savings account
Head of Youth Safety & Well-being Policy - Trust and Safety
TikTok —New York, NY
- $159,000 - $384,000 a year
- 5 years
- Team management
- Fair chance
- Paid parental leave
- Paid holidays
Unit Head - Program Reporting and Evaluation
OFFICE OF MANAGEMENT & BUDGET —Manhattan, NY
- $121,768 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Loan forgiveness
Head of Culinary Operations - New York
Soho House & Co. —New York, NY
- $175,000 - $200,000 a year
- Weekends as needed
- Microsoft Outlook
- Word processing
- Travel
- Health insurance
- Dental insurance
Quick Apply
Site Leader
Amazon.com Services LLC —Liverpool, NY
- $149,600 - $202,400 a year
- Full-time
- Ability to walk for extended periods
- Bachelor's degree
- Mentoring
- AD&D insurance
- Health insurance
Deputy Chief of Staff
Metropolitan Transportation Authority —New York, NY
- $180,499 - $225,624 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Sr. Operations Manager
Amazon.com Services LLC - A57 —Rochester, NY
- $135,000 - $182,700 a year
- Full-time
- Management
- Construction site
- Mid-level
- AD&D insurance
- Health insurance
12d
Unit Head - CORRECTION
OFFICE OF MANAGEMENT & BUDGET —Manhattan, NY
- $121,768 a year
- Weekends as needed
- Hybrid work
- Management
- Office
- Finance
- Loan forgiveness
Founding Head of Enterprise Sales
Creative Market —New York, NY
- $200,000 - $300,000 a year
- Full-time
- Remote
- Business development
- Military encouraged
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Principal, Internal Communications
ActBlue —New York, NY
- $144,000 - $216,000 a year
- Full-time
- Remote
- Background check
- Travel
- Organizational skills
- AD&D insurance
- Disability insurance
Sr. Operations Manager
Amazon.com Services LLC —Rochester, NY
- $135,000 - $182,700 a year
- Weekends as needed
- Engineering
- Mentoring
- Recruiting
- AD&D insurance
- Health insurance
Unit Head - Summer Camp
Bank Street College of Education —New York, NY
- $30 an hour
- Full-time
- Background check
- Classroom
- CPR Certification
Site Leader, R2L
Amazon.com Services LLC —New York, NY
- $148,500 - $200,900 a year
- Full-time
- 7 years
- Engineering
- Bachelor's degree
- AD&D insurance
- Health insurance
Head of Social
FanDuel —New York, NY
- $171,000 - $214,000 a year
- Hybrid work
- 11+ years
- Senior level
- Commercial
- Commuter assistance
- Paid holidays
Quick Apply

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unit head jobs near new york state

Director Configuration, Benefit Administration

Healthfirst -
New York, NY

Apply Now

Job Details

Full-time
$127,500 - $236,555 a year

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Employee relationship building
High school diploma or GED

Full Job Description

The Director of Configuration, Benefit Administration is responsible for design, implementation, and deployment of benefit configuration structure in order to support product and regulatory needs. This role implements the configuration structure within Healthfirst’s technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The Director leads forums and meetings with leadership from across the enterprise to develop effective and efficient benefit configuration solutions to achieve business needs and objectives and maintain alignment with claims payment. The Director analyzes complex configuration defects and recommends strategies for successful and timely remediation. The Director leads a team of managers and analysts to ensure accurate, complete, and timely configuration benefit structure and maintenance of existing structure. The Director oversees team performance, configuration production, and quality metrics to ensure that project and department goals are met. The Director also collaborates across other configuration teams to ensure all required configuration aspects are accounted for in planning and implementation of benefit administration configuration structure. This role is critical to the success and growth of Healthfirst membership through product evolution and adherence to regulatory compliance. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality. The Director serves as the authoritative source for benefit design, product implementation, and regulatory rule adherence within benefit and product. Recognized as an influential leader, the individual at this level functions as a cultural ambassador and strategy driver for Healthfirst. He/she promotes and reinforces behavior that is consistent with Healthfirst’s desired culture and fulfills his/her role in aligning Healthfirst’s strategic initiatives with desired organizational outcomes.

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC

Duties & Responsibilities:

Develop and implement comprehensive operational strategies aimed at improving efficiency, productivity, and quality
Lead initiatives to identify inefficiencies in current processes and procedures, recommending and implementing solutions to optimize workflows
Identify opportunities for cost reduction and resource optimization while maintaining or improving service delivery and quality
Work closely with department heads, project managers, and other stakeholders to align operational goals with organizational objectives. Facilitate collaboration to drive consistent improvement across the organization
Support change management efforts related to operational improvement initiatives, ensuring successful implementation and adoption of new processes and technologies
Identify potential operational risks and develop mitigation strategies to minimize disruptions and ensure smooth operations
Drive flexible, repeatable and scalable benefit configuration design and implementation processes with industry best-practices
Engage directly with other operational teams and leaders to provide input on the scope, approach, and timing of configuration work
Assess upstream and downstream impact of configuration and policy changes to proactively identify and mitigate risk
Manage interdependencies across other configuration units and business areas to ensure delivery timelines and project deadlines are met
Identify and resolve inconsistencies between system configurations, regulation, contracts, and policies
Maintain effective and consistent configuration testing protocols and quality controls
Manage and monitor team performance, production and quality
Establish structure for ongoing education, training and knowledge share across team
Prepare and present updates to the business and senior executives on benefit configuration strategies, activities, and metrics
Lead and support company-wide initiatives
Work with internal and external parties to ensure benefit administration logic and business rules are well understood and administered appropriately
Actively support all Compliance and Regulatory requirements with appropriate policies, processes, reports, and audit support.

Minimum Qualifications:

Bachelor's Degree from an accredited institution or equivalent work experience
HS Diploma or GED of accredited institution
Proven ability to develop strong interpersonal relationships, as a leader and team member with experience communicating and influencing impact and progress to senior leadership level
Successful track record developing creative, workable strategies and tactics to accomplish division, corporate and plan goals

Preferred Qualifications:

Master's degree or MBA from an accredited institution
Healthedge Configuration and Integration experience
Proven experience in health insurance focused on claim configuration and reimbursement processes
Proficiency in provider contract reimbursement terms and code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices
Knowledge of medical claims and adjudication procedures, including the application of reimbursement and medical policy guidelines and contract pricing
Knowledge of benefit administration and or claim payment methodologies and regulatory frameworks governing health plan reimbursement methods in Medicare, Medicaid and commercial insurance markets
Experience leading complex, technical, cross-functional programs and working with senior executives
Experience articulating complex issues to audiences with varying levels of technical expertise
Experience influencing leaders, breaking down barriers and managing competing priorities
Strong problem solving and analytical skills

Compliance & Regulatory Responsibilities: N/A

License/Certification: N/A

Hiring Range*:

Greater New York City Area (NY, NJ, CT residents): $154,600 - $236,555
All Other Locations (within approved locations): $127,500 - $195,075

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

127500-195075

Apply Now

Refine Your Search

unit head jobs in new york state

Director Configuration, Benefit Administration

Head of Wealth Management Compliance City National Bank

Sr Dir, Business Operations and Data Governance – Intelligence Ventures

Senior Director, Head of Associate Relations

Deputy Director DDSO 2

Head of Operations

General Manager - Head of Consumer & Payments

Head of Youth Safety & Well-being Policy - Trust and Safety

Unit Head - Program Reporting and Evaluation

Head of Culinary Operations - New York

Site Leader

Deputy Chief of Staff

Sr. Operations Manager

Unit Head - CORRECTION

Founding Head of Enterprise Sales

Principal, Internal Communications

Sr. Operations Manager

Unit Head - Summer Camp

Site Leader, R2L

Head of Social

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