Director Health Plan Administrative Operations

Reporting directly to the Vice President/COO of MedStar Family Choice Health Plan Operations, the Director will develop and implement a strategy to expand and increase E2E health plan administrative operations performance and oversight in collaboration with MedStar Family Choice and Strategic Partner leadership. This role will support enrollment and market expansion aspirations through the delivery of efficient and effective service delivery, enabling technology, collaborative relationships and demonstrated results to meet the healthcare needs of the MedStar Family Choice membership and communities it serves. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment for claims, service, benefit configuration, new member enrollment, encounter data integrity, provider data integrity and vendor performance oversight (in partnership with Director of Vendor Contracting team). The objective of this role is to provide end-to-end health plan operations subject matter expertise to ensure optimal performance and efficiencies, reduce operating costs, foster accountability and excellence, create a culture of collaboration, and increase new member enrollment and retention.