Director of Operations

S&S Health

Director of Operations leading healthcare administration operations at Reflect Health. Responsible for driving operational performance, partnering with teams, and ensuring service excellence.

Posted 7/10/2026full-timeRemote • Ohio • 🇺🇸 United StatesLead💰 $120,000 - $160,000 per yearWebsite

About the role

Key responsibilities & impact

Own day-to-day operational execution across ASO, Fully Insured, ACA, and Stop-Loss lines of business.
Ensure operational teams deliver accurate, timely, compliant, and high-quality services.
Establish accountability across teams for service levels, productivity, quality, turnaround times, and client commitments.
Manage operational priorities, workload capacity, resource allocation, and business performance.
Ensure operational consistency across lines of business while managing the unique requirements of self-funded ASO administration, Fully Insured plan operations, ACA workflows, and stop-loss administration.
Identify operational risks and opportunities while implementing solutions to improve performance, reliability, and client experience.
Oversee execution of claims administration, eligibility coordination, billing support, stop-loss administration, carrier collaboration, recoveries, and operational controls.
Ensure claims and operational processes meet quality, compliance, financial, and service expectations.
Monitor claims and stop-loss performance, identify challenges, and implement corrective actions.
Partner with internal teams and external stakeholders to resolve operational issues and improve outcomes.
Recruit, develop, coach, and retain high-performing operational teams and leaders.
Establish clear performance expectations, leadership capabilities, and professional development opportunities.
Build a culture of accountability, collaboration, continuous improvement, and customer-focused execution.
Develop organizational capacity to support business growth and evolving operational needs.
Lead managers and teams through operational changes while ensuring engagement and adoption.
Establish and manage operational KPIs, SLAs, quality standards, productivity measures, and service performance goals.
Monitor operational results and implement improvement plans when performance expectations are not met.
Maintain visibility into operational trends, risks, opportunities, and business outcomes.
Provide leadership with insights and recommendations to improve operational effectiveness.
Help identify opportunities to improve operational efficiency, reduce complexity, and enhance service delivery.
Ensure operational teams successfully adopt and sustain new processes, technologies, and operating practices.
Support continuous improvement efforts by identifying root causes, improving workflows, and strengthening operational discipline.
Ensure compliance with applicable federal and state regulations, contractual obligations, internal policies, and healthcare industry requirements.
Support audit readiness, quality assurance programs, and operational governance activities.
Maintain appropriate operational controls and risk management practices.
Ensure teams operate within established compliance and quality standards.
Partner with Technology, Finance, Compliance, Client Success, Implementation, Transformation, and Executive Leadership to resolve operational issues and support business objectives, and work on initiatives involving process improvement, automation, technology enablement, and organizational change.
Communicate operational performance, priorities, risks, and recommendations to executive leadership.
Translate business strategy into effective operational execution.

Requirements

What you’ll need

Significant leadership experience within a third-party administrator (TPA), self-funded health plan, managed care, or health insurance environment.
Deep knowledge of claims administration, stop-loss operations, healthcare operations, and employer-sponsored health plans.
Demonstrated success leading complex healthcare operations with responsibility for service delivery, team performance, operational metrics, and organizational growth.
Experience managing operational teams, workforce planning, and performance improvement initiatives.
Proven ability to establish accountability, improve service delivery, and scale operational capabilities.
Strong understanding of claims adjudication, eligibility, enrollment, billing operations, EDI transactions, stop-loss administration, and self-funded health plan processes.
Experience supporting ACA, Fully Insured, ASO, and stop-loss operations.
Working knowledge of stop-loss administration, including specific and aggregate recovery processes.
Experience using claims administration platforms, workflow tools, operational reporting, dashboards, and analytics to improve operational outcomes.
Ability to partner effectively with Technology and Transformation teams to implement operational improvements.
Experience using data and performance metrics to identify opportunities and drive accountability.
Strong leadership, communication, and stakeholder management skills.
Ability to develop teams, influence partners, solve complex operational challenges, and communicate effectively with executive leadership.
Ability to translate operational strategy into execution while collaborating across functions.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account S&S Health Website LinkedIn All Job Openings 51 - 200 employees Founded 1994 ⚕️ Healthcare Insurance 🤝 B2B ☁️ SaaS Healthcare Insurance
B2B
SaaS S&S Health is a modern health administration provider dedicated to offering affordable healthcare solutions for employers and their employees. By focusing on cost management, S&S Health helps businesses reduce healthcare expenses while maintaining high-quality care. With end-to-end support, they provide tools and resources to ensure that employees have access to the right medical care at competitive prices, ultimately aiming to improve both health outcomes and financial wellbeing. Director of Operations Job not on LinkedIn 🔥 0 minutes ago 🏈 Ohio – Remote 💵 $120k - $160k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Own day-to-day operational execution across ASO, Fully Insured, ACA, and Stop-Loss lines of business.
Ensure operational teams deliver accurate, timely, compliant, and high-quality services.
Establish accountability across teams for service levels, productivity, quality, turnaround times, and client commitments.
Manage operational priorities, workload capacity, resource allocation, and business performance.
Ensure operational consistency across lines of business while managing the unique requirements of self-funded ASO administration, Fully Insured plan operations, ACA workflows, and stop-loss administration.
Identify operational risks and opportunities while implementing solutions to improve performance, reliability, and client experience.
Oversee execution of claims administration, eligibility coordination, billing support, stop-loss administration, carrier collaboration, recoveries, and operational controls.
Ensure claims and operational processes meet quality, compliance, financial, and service expectations.
Monitor claims and stop-loss performance, identify challenges, and implement corrective actions.
Partner with internal teams and external stakeholders to resolve operational issues and improve outcomes.
Recruit, develop, coach, and retain high-performing operational teams and leaders.
Establish clear performance expectations, leadership capabilities, and professional development opportunities.
Build a culture of accountability, collaboration, continuous improvement, and customer-focused execution.
Develop organizational capacity to support business growth and evolving operational needs.
Lead managers and teams through operational changes while ensuring engagement and adoption.
Establish and manage operational KPIs, SLAs, quality standards, productivity measures, and service performance goals.
Monitor operational results and implement improvement plans when performance expectations are not met.
Maintain visibility into operational trends, risks, opportunities, and business outcomes.
Provide leadership with insights and recommendations to improve operational effectiveness.
Help identify opportunities to improve operational efficiency, reduce complexity, and enhance service delivery.
Ensure operational teams successfully adopt and sustain new processes, technologies, and operating practices.
Support continuous improvement efforts by identifying root causes, improving workflows, and strengthening operational discipline.
Ensure compliance with applicable federal and state regulations, contractual obligations, internal policies, and healthcare industry requirements.
Support audit readiness, quality assurance programs, and operational governance activities.
Maintain appropriate operational controls and risk management practices.
Ensure teams operate within established compliance and quality standards.
Partner with Technology, Finance, Compliance, Client Success, Implementation, Transformation, and Executive Leadership to resolve operational issues and support business objectives, and work on initiatives involving process improvement, automation, technology enablement, and organizational change.
Communicate operational performance, priorities, risks, and recommendations to executive leadership.
Translate business strategy into effective operational execution. 🎯 Requirements
Significant leadership experience within a third-party administrator (TPA), self-funded health plan, managed care, or health insurance environment.
Deep knowledge of claims administration, stop-loss operations, healthcare operations, and employer-sponsored health plans.
Demonstrated success leading complex healthcare operations with responsibility for service delivery, team performance, operational metrics, and organizational growth.
Experience managing operational teams, workforce planning, and performance improvement initiatives.
Proven ability to establish accountability, improve service delivery, and scale operational capabilities.
Strong understanding of claims adjudication, eligibility, enrollment, billing operations, EDI transactions, stop-loss administration, and self-funded health plan processes.
Experience supporting ACA, Fully Insured, ASO, and stop-loss operations.
Working knowledge of stop-loss administration, including specific and aggregate recovery processes.
Experience using claims administration platforms, workflow tools, operational reporting, dashboards, and analytics to improve operational outcomes.
Ability to partner effectively with Technology and Transformation teams to implement operational improvements.
Experience using data and performance metrics to identify opportunities and drive accountability.
Strong leadership, communication, and stakeholder management skills.
Ability to develop teams, influence partners, solve complex operational challenges, and communicate effectively with executive leadership.
Ability to translate operational strategy into execution while collaborating across functions. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Vice President of Coding Operations 🔥 5 hours ago IKS Health 10,000+ employees ☁️ SaaS 🤝 B2B 🤖 Artificial Intelligence Website LinkedIn All Job Openings Vice President of Coding Operations at IKS Health leading global coding operations and implementing process improvements for efficiency. Collaborates with teams to meet operational performance and client satisfaction goals. 🇺🇸 United States – Remote 💵 $225k - $240k / year 💰 Seed on 2006-12 ⏰ Full Time 🔴 Lead ⚙️ Operations Vice President of Coding Operations 🔥 6 hours ago IKS Health 10,000+ employees ☁️ SaaS 🤖 Artificial Intelligence 🤝 B2B Website LinkedIn All Job Openings Vice President of Coding Operations at IKS Health; overseeing the development of business processes for coding efficiency and financial performance. Responsible for client implementation and operational performance in coding. 🇺🇸 United States – Remote 💵 $225k - $240k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Deputy Director – Subaward Operations, EMR Modernization 🔥 7 hours ago MCD Global Health 501 - 1000 ⚕️ Healthcare Insurance 🔬 Science 🤝 Non-profit Website LinkedIn All Job Openings Deputy Director managing a statewide EMR Modernization Subaward Program supporting rural healthcare organizations in Maine. Overseeing grants administration and operational procedures for healthcare innovation. 🇺🇸 United States – Remote 💵 $107k - $124k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Platform Operations Expert 🔥 9 hours ago OutSystems 1001 - 5000 🏢 Enterprise ⚡ Productivity ☁️ SaaS Website LinkedIn All Job Openings Lead Platform Operations Expert at OutSystems, shaping the future of enterprise software and AI. Oversee global technical strategy and transition to Autonomous Platform Engineering. 🇺🇸 United States – Remote 💵 $131.8k - $160.4k / year ⏰ Full Time 🟠 Senior 🔴 Lead ⚙️ Operations 🦅 H1B Visa Sponsor Director of Operations 🔥 11 hours ago ARMRA® 51 - 200 🧘 Wellness 🛍️ eCommerce 👥 B2C Website LinkedIn All Job Openings Director of Operations at ARMRA Colostrum focusing on operational excellence and strategic execution across supply chain and logistics. Leading vendor management and cross-functional project initiatives. 🇺🇸 United States – Remote 💰 Series A on 2022-07 ⏰ Full Time 🔴 Lead ⚙️ Operations View More Operations Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Find jobs using your resume Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

Claims AdministrationStop-Loss OperationsHealthcare OperationsPerformance MetricsWorkforce PlanningOperational ReportingEDI TransactionsBilling OperationsService Delivery ManagementQuality Assurance

Soft Skills

Communication SkillsStakeholder ManagementProblem-SolvingCollaborationAccountability