Top 28 Operations manager Jobs in Owosso, Mi

Supervisor, Special Investigations Unit Operations
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
OPERATIONS MANAGER
HAMILTON COMMUNITY HEALTH NETWORK —Flint, MI
- Full-time
- RN License
- Computer literacy
- Writing skills
Quick Apply
Operations Manager
ABM Industries —East Lansing, MI
- $60,000 a year
- Weekends as needed
- Mid-level
- US work authorization
- 1 year
SR Manager Operations
Universal Logistics Holdings —Flint, MI
- Full-time
- 5 years
- Microsoft Office
- Bachelor's degree
Orchard & Cider Mill Operations Manager
Phillips Orchards & Cider Mill —Saint Johns, MI
- $22 - $26 an hour
- Full-time
- Mid-level
- In-person
- Leadership
- Paid time off
- Employee discount
Quick Apply
Pharmacy Business Operations Manager
Insight —Flint, MI
- Inpatient
- Outpatient experience
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply
Sparty's Operations Supervisor III / Operations Supervisor III
Michigan State University —East Lansing, MI
- Weekends as needed
- Mid-level
- Residential
- University
5d
Supervisor, Field Operations
Brightspeed —Chesaning, MI
- Overtime
- Microsoft Outlook
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
8h
Operations Manager
CVS Health —East Lansing, MI
- $19 - $29 an hour
- Overtime
- Inventory management
- No high school diploma
- Mid-level
- Health insurance
- Dental insurance
Manager Pharmacy Operations, MI
McLaren Health Care —Flint, MI
- Full-time
- Surgery
- Supervising experience
- Home Health
- Health insurance
3d
HVAC Office Operations Manager
Style Crest Enterprises Inc —Flint, MI
- Full-time
- Mid-level
- Office
- 3 years
- AD&D insurance
- Paid holidays
Quick Apply
Full-Time Stockroom Operations Supervisor
KOHLS —Flint, MI
- $18.10 - $23.10 an hour
- Weekends as needed
- 18 years or older
- Writing skills
- Merchandising

Discover related jobs

Based on your search for operations manager jobs.

Production Supervisor - 2nd Shift
Michigan Milk Producers Assoc —Ovid, MI
Coach, develop, and hold employees accountable to performance expectations and plant standards. Collaborate with cross-functional departments to resolve issues…
Quick Apply
Project Engineer (CAPITAL PROJECT MANAGEMENT) (CHEMICAL MANUFACTURING)
ACS U.S.A., LLC —Brighton, MI
Follow project front end loading process and identify project phases and design requirements. Work with site engineering & maintenance resources to develop…
Quick Apply
3d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Participant Relations & Operations Manager
Columbus Metropolitan Housing Authority. —Columbus, OH
Knowledge of: interviewing; office practices and procedures; *Agency/department goals and objectives; *Agency/department policies and procedures; *workplace…
$83,000 - $87,000 a year
Quick Apply
Operations Manager - West Jefferson, OH (Food DC)
Target —West Jefferson, OH
In compliance with state and federal laws, Target will make reasonable accommodations for applicants with disabilities.
$73,000 - $132,000 a year

Show more jobs in cities nearby

I want to receive the latest job alert for operations manager in owosso, mi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

operations manager jobs near owosso, mi

Operations Manager jobs in East Lansing, MI

Operations Supervisor jobs in East Lansing, MI

Operations Manager jobs in Flint, MI

Operations Supervisor jobs in Flint, MI

Operations Manager jobs in Saint Johns, MI

Remote Operations jobs in Atlanta, GA

Manager jobs in Ogden, UT

Entry Level Account Manager jobs in Houston, TX

Operations Coordinator jobs in Detroit, MI

Operations Manager jobs in Pensacola, FL

Operations Manager jobs in Lakeland, FL

Operations Manager jobs in Lansing, MI

Operations Manager jobs in Chula Vista, CA

Operations Supervisor jobs in Berkeley, CA

Operations Coordinator jobs in New York, NY

Director Of Operations jobs in Naperville, IL

Operations Supervisor jobs in Washington, DC

Operations Supervisor jobs in Roanoke Rapids, NC

Operations Supervisor jobs in Irving, TX

Operations Support Specialist jobs in Houston, TX

Supervisor, Special Investigations Unit Operations

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Contract documentation review
Healthcare financial misconduct investigations
Contract review
Team leadership
Word processing
Spreadsheets
Contract interpretation
Research
Health insurance knowledge
Healthcare billing investigations
Insurance investigations
Presentation preparation
Productivity software
Insurance (Financial sectors)
Healthcare ethical conduct investigations
Technical Proficiency
Data analysis software

Full Job Description

Job Title:

Supervisor, Special Investigations Unit Operations

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Plans, organizes, and supervises the Provider Auditor Focused Review Special Investigation Unit (SIU) , including oversight of data research and review, and audit and investigation activities. E nsures all team operations align with corporate and departmental goals and objectives, maintains compliance with applicable standards and policies, and supports continuous improvement in Focused Review processes.

Primary Job Responsibilities:

Supervises and monitors the daily administrative and technical functions of the Focused Review SIU teams, data research and review, and audit and investigation activities to ensure efficient, compliant operations that support departmental and corporate goals and objectives.
Supports staff recruitment, onboarding, and development by assisting with interviewing, training, mentoring, and evaluating team members to promote accountability and achievement of individual and team objectives.
Oversees staff engaged in data research, report development, and analytics, serving as a resource for audit and research questions and providing guidance to internal and external stakeholders on reporting issues, provider agreements, processing policies, client contracts, and regulatory compliance for both commercial and government programs.
Implements and enforces policies, procedures, and standards for audits and investigations, and assists in preparing departmental reports and analyzing business processes to ensure compliance with regulatory requirements for both commercial and government programs.
Facilitates communication with law enforcement and legal representatives by supporting the preparation of documentation and responses to subpoenas, and assisting with administrative or judicial proceedings related to fraud, waste, and abuse.
Builds and maintains collaborative relationships with business partners to provide operational support, clarify requirements, and promote effective use of SIU services and solutions.
Acts as a liaison for staff and internal departments, providing expertise and interpretation of dental policies, procedure codes, and processing guidelines related to claims adjudication, fraud, waste, and abuse activities.
Assists in developing and implementing departmental strategies, goals, and objectives to support continuous improvement and operational excellence.
Supports budget monitoring and resource allocation for the Focused Review SIU teams as directed by management.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration , criminal justice, or related field a nd five years of experience conducting investigations, audit s, or complex data analy sis . Previous leadership experience is preferred , as well as experience reviewing claims activity, provider behavior, or group contract compliance. Will accept any suitable combination of education, training, or experience.

Position requires advanced knowledge of the insurance industry operations; strong investigative skills related to fraud, waste, and abuse; proficiency with analytic al tools, word processing, spreadsheet, and presentation software skills; strong verbal and written communication skills, strong organizational and analytical skills; the ability to lead investigative teams ; the ability to interpret contract language and identify indicators of fraudulent activity ; the ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Professional certifications such as CFE, CIA, AHFI are preferred .

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

operations manager jobs in owosso, mi

Supervisor, Special Investigations Unit Operations

OPERATIONS MANAGER

Operations Manager

SR Manager Operations

Orchard & Cider Mill Operations Manager

Pharmacy Business Operations Manager

Sparty's Operations Supervisor III / Operations Supervisor III

Supervisor, Field Operations

Operations Manager

Manager Pharmacy Operations, MI

HVAC Office Operations Manager

Full-Time Stockroom Operations Supervisor

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for operations manager in owosso, mi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected