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The Director of Customer Service is accountable for customer satisfaction, retention and growth by providing leadership for call center functions specific to customer segmentation by members, providers and brokers. Physical Location Optima Health Va Bch Department Number and Name 706002352 Customer Operations Admin Employment Status Full time Shifts First (Days) Job Posting Director, Customer
Posted 1 day ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Responsible for leading and facilitating enterprise wide projects approved by Optima Health's executive leadership team. Directs implementation of multi departmental, large scale projects. Identifies opportunities for operational improvements, stream lining and automation and makes recommendations based on findings. Manages operational and tactical aspects of the project, including financial and h
Posted 28 days ago
Produce integration playbook (approach) for specific functional area. Get alignment with IT SVP before going to steering (integration) committee. Capture integration value/achieve goals. Coordinate projects and priorities. Serve as single point of contact for the IMO as well as its peer functional leads. Communicate status, progress, risks ad recommended next steps. Work collaboratively, proactive
Posted 1 month ago
The Clinical Psychologist is responsible for providing clinical leadership to Optima health and is accountable for monitoring utilization and quality outcomes. Works collaboratively with Behavioral Health Medical Directors, Clinical Care Services and UM staff to establish guidelines and implement clinical criteria to determine medical necessity for behavioral health outpatient services. Works dire
Posted 2 months ago
Optima Health
- Virginia Beach, VA
Claims Manager is responsible for sustaining and developing departmental policies and procedures, providing oversight to staff responsible for claims processing activities, and ensuring that the organizations service, quality, productivity, and financial standards or goals are achieved. Oversee high dollar, complex claims auditing, monitor claims interest, perform detailed claims analyses and comp
Posted 3 months ago
Responsible and accountable for the planning, development, coordination, monitoring and evaluation of all activities and functions related to the Behavioral Health and Addiction Recovery and Treatment Program for all government programs across the state. Reporting to the Government Programs VPs and working with the Directors of Clinical Care Services, plan and direct Optima's behavioral health and
Posted 4 months ago
The Design Thinking Consultant will work with the Optima Transformation Team to educate, guide and embed design thinking approaches to generate creative, practical and effective solutions to our strategy, process, technology and service delivery challenges. Physical Location Optima Health Va Bch Department Number and Name 706002214 Other Growth Capabilities Employment Status Full time Shifts F
Posted 6 months ago
The ideal leader will have a solid background in network management, network operations, physician engagement, value based contracts and transforming business processes with the objective of delivering an exceptional customer experience and employee engagement while improving overall efficiency. Individuals in this role will apply an iterative, design thinking process and lens improvement, technol
Posted 6 months ago
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