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VP/SVP, Health Insurance Operations

VP/SVP, Health Insurance Operations job! Our Client is a highly rated and growing Texas based Life Insurance Company! Above all, our Client is a Dallas based provider of a wide range of life insurance, annuity, Medicare supplement, and supplemental health products used to build and preserve the financial security of their policyholders. Our Client manages $multi-billions in assets and has an Excellent rating by AM Best.

Ideal opportunity for an individual looking to grow their career with a growing company. The VP/SVP, Health Insurance Operations job salary range target is $125k to $160k DOE. This VP/SVP, Health Insurance Operations job requires working at the Dallas, TX headquarters. Apply now for this excellent VP/SVP, Health Insurance Operations job by following the instructions at the end of this Job description!

Summary

Reporting directly to the EVP & COO, the VP/SVP, Health Insurance Operations job assumes full accountability for all operational functions within the Health Insurance Division. This executive role oversees four primary areas: project management, logistical support, third-party administrator (TPA) oversight, and division innovation. The ideal candidate will lead with strategic insight, technological aptitude, and a commitment to operational excellence.

Essential Duties of Health Insurance Division

The VP/SVP, Health Insurance Operations will lead and manage the following critical responsibilities:

• Project Management Leadership
  • Spearhead the operations project management function to ensure successful execution of key corporate initiatives.
  • Design clear project goals and define critical success markers to align team efforts.
  • Establish and track performance metrics to measure progress and outcomes.
  • Participate actively in completing operational tasks and deliverables.
  • Motivate team members and hold them accountable for assigned responsibilities.
  • Ensure all projects are completed on time and within budget.
• Third-Party Administrator Oversight
  • Supervise TPAs performing duties across various lines of business.
  • Conduct regular audits to ensure compliance with established service level agreements.
  • Prioritize workflow and provide continuous support to TPAs to uphold service standards.
  • Evaluate performance and take corrective measures to improve efficiency and customer satisfaction.
• Strategic Operational Improvements
  • Continuously assess the administration of products and services to identify opportunities for enhanced efficiency and satisfaction.
  • Clearly communicate departmental objectives and explain how they align with company-wide goals and mission.
  • Recommend and implement cost-saving procedures and operational enhancements.
  • Analyze operating results against set objectives and take proactive steps to resolve any underperformance.
• Representation and Compliance
  • Serve as the company's representative with major customers, vendors, regulators, and external organizations.
  • Support business acquisition efforts, including operational project planning and seamless execution.
  • Maintain active involvement with insurance industry peers and regularly attend relevant industry events.
  • Coordinate division responses during market conduct exams, audits, or investigations at the request of the SVP of Compliance.
  • Ensure all operational activities fully comply with applicable local, state, and federal regulations.

Confidentiality

• Regularly handle confidential data with the highest level of integrity and discretion.

Education & Training Requirements

• Bachelor's degree in business or a related field (or equivalent work experience).
• Completion of insurance industry training programs (e.g., LOMA) strongly preferred.

Key Candidate Attributes

The successful candidate will demonstrate the following traits:

• Initiative-driven: Takes ownership and acts without needing direction.
• Organized & methodical: Plans carefully and executes efficiently.
• Technologically savvy: Understands how to leverage tools to solve problems.
• Detail-oriented: Catches errors and ensures precision.
• Collaborative: Works effectively across teams and functions.
• Eloquent: Communicates clearly and persuasively.

Required Experience

• Minimum of 5 years of operations experience within the health insurance industry, specifically with:
• Cancer
• Heart Attack
• Stroke
• Accident
• Hospital Indemnity
• Medicare Supplement products
• Strong technical proficiency in Microsoft Word, Excel, and PowerPoint.
• Ability to analyze problems and implement technology-based solutions.

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