Assistant Director of Group Health

About the Role

Day-to-day, you will work closely with the Group Health Operations Teams to drive internal and external quality audits, recommend process improvements, and develop initiatives to enhance technology usage. Your ability to analyze complex data, think critically, and communicate effectively will be invaluable in this role.

As a key member of the leadership team, you will report to senior management and collaborate with the National Medical Director to develop and manage the physician panel. Your input will be crucial in shaping the division's strategy and driving business growth.

What You Will Do

• Oversee the delivery of key client metrics, including TAT, Quality, and P2P success
• Lead the Operations Management Team and ensure seamless operational procedures
• Attract, recruit, and retain top talent for the Group Health Division
• Collaborate with the Group Health Operations Teams on internal and external quality audits
• Recommend process improvements and develop initiatives to enhance technology usage
• Reconcile client outcomes reports and issue logs
• Manage the overall Profit and Loss of the Group Health Division
• Work with the National Medical Director to develop and manage the physician panel
• Develop and implement strategies to drive client satisfaction and business growth
• Analyze complex data to inform business decisions
• Communicate effectively with clients, team members, and senior management

What We Are Looking For

• Bachelor's or Graduate's Degree in a related field (preferred)
• Minimum 5-10 years of experience managing a team of Utilization Management (UM) Nurses at a Health plan or IRO
• RN (preferably BSN or higher)
• Experience working with Utilization Management standards and guidelines
• Proven leadership skills, with experience leading an operational unit/division
• Excellent communication and critical thinking skills
• Ability to work in a fast-paced environment and meet specific deadlines
• Computer literacy and typing skills
• Experience with digital tools and technology

Nice to Have

• Experience working in a remote or distributed team environment
• Familiarity with healthcare IT systems and software
• Certification in a related field (e.g., utilization management, quality improvement)
• Experience with data analysis and reporting
• Knowledge of healthcare regulations and compliance

Benefits and Perks

• Comprehensive benefits package, including medical, dental, and vision coverage
• Voluntary life insurance options for you, your spouse, and your children
• Hospital indemnity, critical illness, accident indemnity, and pet insurance plans
• Basic life insurance, short-term disability, and long-term disability coverage at no cost
• Generous paid time off policy
• 401k plan with company match
• Apple equipment and media stipend for remote workspace
• Opportunities for professional growth and development
• Collaborative and dynamic work environment

• Develop a strong understanding of utilization management principles and guidelines to stand out as a candidate.
• Be prepared to provide specific examples of your experience leading teams and driving client satisfaction in a healthcare setting.
• Familiarize yourself with digital tools and technology, such as healthcare IT systems and software, to demonstrate your ability to drive innovation and efficiency.
• Highlight your critical thinking and problem-solving skills, as these will be essential in analyzing complex data and informing business decisions.
• Consider creating a portfolio or case studies that demonstrate your achievements in healthcare leadership and operations management.
• Be prepared to discuss your experience working in a fast-paced environment and meeting specific deadlines.
• Research Dane Street's company culture and values to ensure you are a strong fit for the role and organization.