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Director of Operations

San Francisco Health Plan has an opening for a Director of Operations.

The Director of Operations assumes a critical role for the execution of processes that are mission critical and material to the success of the San Francisco Health Plan. As a member of the operations team, the Director of Operations will be responsible for the accurate and timely execution of the Member Services and Program Enrollment and Eligibility groups at SFHP. These departments are the key points of contact for members and providers and serves as the primary intake for enrollment, eligibility, grievances, and other areas of interchange between the Plan and its partners. This individual will have approximately 20 team members in the department with 2 direct reports.

This role calls for a thorough knowledge of Health Plan operations and a clear understanding of the Medi-cal, and other state and county sponsored products currently being offered in California.

The Director of Operations is responsible for all incoming calls through the member services and provider services lines, as well as the accurate analysis and reporting of trends and patterns in these calls. Additionally, the Director of Operations will be responsible for call quality, abandonment rates, wait times and member satisfaction in the above processes.

The Director of Operations will be responsible for the administration of the SFHP plan-sponsored products enrollment and member intake process, which accounts for approximately 15% of the total plan membership, as well as assistance to others in the process of accessing care in the San Francisco county market.

This individual will work closely with the Marketing Department to assist in the execution of enrollment programs as well as marketing programs in order to promote the Plan brand attract new members and retain existing members.

Ideal Qualifications:

  • Health care experience, particularly relating to insurance (Preferred at least 5 years).
  • Excellent project management skills, including skill in designing and implementing communication plans as part of project management.
  • Excellent personnel management skills.
  • Excellent analytical and communication skills.
  • Ability to participate as active member of high-level executive team.
  • Ability to rapidly adapt to changes in the internal and external environments.
  • Bachelors Degree (Masters preferred) in an appropriate field of study
  • High ethical standards.
  • Commitment to SFHP’s mission.

Interested candidates should please reference job code DOSFHP806, and submit their resumes to resumes@sfhp.org or via fax to: (415) 615-6471

San Francisco Health Plan is an Equal Opportunity Employer (EOE) M/F/D/V