San Francisco Health Plan

Reporting to the Chief Information Officer, the Senior Director, Information Technology Services (ITS) is responsible for overseeing the execution, performance, and day-to-day operations of the ITS function, including Infrastructure, Applications, Data/Analytics, IT Operations, and Security. This role partners with the CIO and executive leadership to translate enterprise technology strategy into operational execution. The Senior Director ensures that systems, infrastructure, and services are reliable, secure, and aligned with organizational priorities, while improving ITS function. You will lead multiple ITS areas through a team of directors and managers and delivers scalable, high-quality technology solutions that support business operations, regulatory compliance, and organizational growth. The Senior Director identifies, develops, and retains a high-performing ITS team. This team ensures staff have the technical skills, training, and accountability needed to implement,...

Reporting to Director, Claims, the Manager, Claims Operations is responsible for the performance of the San Francisco Health Plan (SFHP) Claims Department. You will ensure compliance with all regulatory and contractual requirements related to claims processing. Main duties include managing Claims staff performance, morale, training, and skill development. Additionally, you will provide metrics, overseeing workforce allocation and analysis, and participating in audits to ensure resolution of all corrective action plan (CAP) items. Furthermore, you will create, distributing, and enforcing policies, procedures, and desk guidelines. Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office. Salary: $140,000 - $150,000 per year WHAT YOU WILL DO: Lead and manage claim operations, including first pass claims processing,...