Director Of Operations
CurrentEBS provides a full range of high-value insurance and administrative services to meet our customer's needs. Together we accomplish great things and we want to Help Administer Your Success!Possess a thorough understanding of the TPA industry, services, fees and offerings. Knowledge of key cost-containment programs for self-insured employers including employer-sponsored primary care clinics, centers of excellence, referenced based pricing, dialysis carve-out, care coordination, direct primary care, surgical networks and pharmacy risk management programs.• Develop advantageous offerings for client's specific geographical market while considering network discounts and service capabilities• Negotiate uniform, best-in-class pricing• Coordinate with underwriting and stop-loss carriers on network value• Address and troubleshoot TPA service concerns• Ensure seamless integration of cost-containment initiatives and PBM offerings• Maintain a current knowledge base of cost-containment programs and initiatives and PBM options that are offered by TPA partners and identify opportunities to further reduce cost• Present brokers and employer groups with consistent and standard bundled TPA, PBM and cost-containment offerings• Formulate policies, manage daily operations and plan for the future • Ensure the following initiatives are met: customer satisfaction goals, retention of clients, contract renewals, revenue maintenance, revenue enhancement. Meet strategic planning goals and initiatives, collaborate with department managers to maintain appropriate staffing levels according to enrollment population and performance metrics • Oversee development and preparation of financial, statistical and management reports. Provide direct client feedback on special projects• Remain abreast of new technologies, processes and best practices that will assist in daily operations and top notch performance