Director, Operations

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🔴 Lead

⚙️ Operations

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NEXUS

WebsiteLinkedInAll Job Openings

1 - 10 employees

💼 Consulting

📣 Marketing

☁️ SaaS

Consulting • Marketing • SaaS

NEXUS is a forward-thinking collaborative incubator that operates as a physical and digital hub. Established on the principle that the value in a business is more than just the bottom line, it emphasizes the importance of ESG (environmental, social, and governance) factors. NEXUS provides its members with unique opportunities to leverage skills and contacts within a global network, access tailored business service support, and benefit from industry-specific expert guidance, all aimed at fostering growth and sustainability in the creative tech and digital space.

📋 Description

• Work closely with the VP, Operations to position the organization and subsidiaries for ongoing organizational change • Direct the daily administrative workflow for Nexus Enterprises, LLC and ProPeer Resources, LLC • Oversee daily operations and supervise the operational management team • Ensure staff performance across the Utilization Review and Independent Review Organization business lines • Drive clinical, financial, and utilization goals through effective management and role modeling • Manage financial, human resources, leadership, quality, and operational objectives • Participate in program development and unit performance improvement • Review performance against operating plans and standards and provide reports • Present monthly and ad hoc performance reports • Develop objectives, plans, processes, programs, budgets, and financial estimates for Operations • Coordinate and collaborate with other departments and management • Review operational projects involving major organizational changes • Plan new technology areas supporting the operational function and organizational mission • Establish objectives and processes for assigned activities and review Operations Management Team objectives • Select, retain, train, and develop qualified personnel • Manage human resources utilization, staff satisfaction, development, and progressive discipline • Ensure workflow completes client-specified work according to specifications • Participate in quality improvement and regulatory standards implementation • Research interdepartmental problems and take corrective action • Establish, evaluate, and monitor Utilization Review processes, policies, and procedures • Support company and departmental QA/QI initiatives • Maintain communication with team members, departments, management, and external departments • Ensure compliance and recommend policy and procedure improvements • Review, revise, and submit budget proposals • Provide orientation and on-the-job training • Define and communicate direct-report duties, responsibilities, authority, and accountability • Perform additional activities and responsibilities as directed

🎯 Requirements

• Current knowledge of utilization review processes and managed care • Knowledge of, or ability to learn, financial management related to Utilization Management functions and reporting • Knowledge of quality improvement processes and human resources management • Ability to monitor, evaluate, and administer resources and recommend resource allocation • Ability to identify trends through practice analysis to improve resource utilization and cost containment • Ability to communicate analytical trends through varied reporting mediums • Experience building and leading high-performing teams through recruitment, training, and motivation • Strong professional relationship-building and assertive, respectful communication skills • Strong technical sourcing abilities and fast-growing start-up experience are a plus • Demonstrated ability to solve complex, multifaceted problems • Ability to engage in abstract thought • Keen sense of urgency, exceptional organization, and prioritization in a fast-paced environment • Strong analytical, numerical, and reasoning abilities • Participative management style and team-oriented approach • Exceptional judgment and ability to identify optimal business-aligned solutions • Ability to train, mentor, motivate, and collaborate with team members • Effective verbal and written communication with administrators, coworkers, and other personnel • Ability to establish an efficient and effective team-oriented work environment • Responsible for performance management reviews for all direct reports • Ability to recommend practice changes to improve Utilization Management efforts • Ability to represent Utilization Management on organizational committees • Excellent relationship management skills • Ability to establish credibility and make decisive decisions • Ability to support organizational preferences and priorities • Results-oriented ability to balance business considerations • Knowledge of multistate workers’ compensation systems • Computer literacy in Microsoft Office products and database programs • Ability to construct grammatically correct reports using standard medical terminology • Bachelor’s Degree or equivalent work experience • Minimum of 3 years as a Director in a Utilization Management or Utilization Review organization • No license or certification required • Driving is not essential • Ability to sit, bend, and stoop for up to 8 hours per day in an office setting • Ability to lift and move objects weighing up to 10 lbs. • Ability to learn technical material • Ability to operate a computer, calculator, copy machine, printer, and other office productivity machinery • Ability to frequently communicate and exchange accurate information with guests, team members, and vendors

🏖️ Benefits

• Equal Employment Opportunities to all Team Members and applicants • Inclusive environment for all Team Members and applicants • Veterans are encouraged to apply