The Director, CERIS Operations is responsible for providing leadership, strategic planning, operational management, and implementation of standards and continuous improvements across non-review business operations. This position leads operational performance across non-clinical functions and provides guidance and direction to ensure compliance with established operating standards, process and product enhancements, and effective workforce and production planning.
This role works closely with the Director of Audit Services and the Director of Policy and Payment Integrity to support and exceed annual objectives and long-term growth strategies.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Drive operational excellence across non-clinical business functions, with a focus on:
- Delivering client value and enhancing client experience
- Standardization of processes
- Scalability of operations
- Operational effectiveness
- Operational efficiency
- Lead and implement strategic initiatives and operational improvements across CERIS
- Provide direct oversight and accountability for non-clinical operational departments
- Oversee Set-Up, Procurement, Data Capture, RCM, Closing, and other functions within scope
- Actively participate in company meetings, calls, and cross-functional initiatives
- Lead by example while providing guidance, coaching, and mentoring to team members and direct reports
- Foster and promote the CorVel and CERIS culture across all employees
- Develop and maintain effective communication channels across cross-functional teams
- Continuously evaluate and improve operational metrics, policies, procedures, and best practices
- Ensure compliance with HIPAA regulations, policies, and procedures
- Perform additional duties as assigned
KNOWLEDGE & SKILLS:
- Excellent verbal and written communication skills, including the ability to communicate complex concepts in a clear and concise manner
- Strong understanding of data, systems, and operational processes within a scalable business environment
- Proven ability to influence stakeholders, build consensus, and present effectively to a variety of audiences
- Proficiency with Microsoft Office applications
- Excellent analytical, decision-making, and problem-solving skills
- Strong leadership, organizational, and strategic planning capabilities
- Ability to collaborate effectively across departments and all levels of the organization
- Experience driving continuous improvement initiatives and operational efficiencies
EDUCATION & EXPERIENCE:
- Bachelor's degree in Healthcare, Business Administration, or a related field; or 7+ years of equivalent education and experience in operations management with significant healthcare industry knowledge
- Experience in Payment Integrity preferred
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $83,494 – $139,002
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERIS:
CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
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Skills Required
- Bachelor's degree in Healthcare, Business Administration, or a related field
- 7+ years of equivalent education and experience in operations management with significant healthcare industry knowledge
- Experience in Payment Integrity
- Strong understanding of data, systems, and operational processes within a scalable business environment
- Experience driving continuous improvement initiatives and operational efficiencies
- Proficiency with Microsoft Office applications
- Excellent verbal and written communication skills
- Strong leadership, organizational, and strategic planning capabilities
- Excellent analytical, decision-making, and problem-solving skills
- Ability to influence stakeholders, build consensus, and present effectively
- Ability to collaborate effectively across departments and organizational levels
CorVel Corporation Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CorVel Corporation and has not been reviewed or approved by CorVel Corporation.
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Wellbeing & Lifestyle Benefits — Work-from-home options and schedule flexibility are highlighted as meaningful offsets to lower base pay in certain roles. An Employee Assistance Program and related resources further support everyday wellbeing.
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Flexible Benefits — Multiple medical plan choices with dental/vision and a broad suite of supplemental coverages offer choice tailored to role and location needs. An HSA option with a company match adds flexibility in how healthcare expenses are managed.
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Retirement Support — A 401(k) with a company match is part of the core package.
CorVel Corporation Insights
What We Do
CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded and annual revenues exceeded $595 million in FY2019. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve customers through a national branch office network covering all 50 states.
