Operations Manager- HMO Account

Key Responsibilities

Operational Management

• Oversee daily operations of HMO account support teams to ensure timely, accurate, and compliant service delivery
• Develop, implement, and optimize operational processes, workflows, and standard operating procedures (SOPs)
• Monitor service-level agreements (SLAs), turnaround times, and performance metrics

Account & Client Support

• Act as the primary escalation point for HMO clients, corporate accounts, and internal stakeholders
• Ensure effective coordination between providers, claims, enrollment, billing, and customer service teams
• Maintain strong working relationships with HMO partners, healthcare providers, and vendors.

Team Leadership

• Lead, coach, and develop account support staff and supervisors
• Conduct performance reviews, training, and capacity planning
• Foster a customer-focused, compliant, and high-perfo...

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