Director of Operation
4 days ago
Sterling Heights
Job Description We are hiring a Director of Operations & Growth to oversee daily operations, work with staff, manage compliance, and assist with credentialing with new insurance plans. This person will ensure our service lines run smoothly and help launch new payor-approved services as they come in. This position is ideal for someone with strong healthcare operations experience who can take initiative and follow projects from A to Z. Key Responsibilities 1. Agency Operations & Workflow Management • Oversee daily operations for all service departments (Home Help, Respite/CLS, Social Services, SSA claims, etc.)., • Improve existing processes, create new workflows, and ensure all staff follow established SOPs., • Maintain compliance with DHHS, Medicaid, Medicare, EVV, HIPAA, and insurer guidelines., • Coordinate with billing, payroll, case management, intake, and HR to ensure accurate and timely workflows., • Track case statuses, interruptions, hospitalizations, client changes, and caregiver updates., • Manage documentation, logs, schedules, client files, and required forms. 2. Credentialing & New Service Launch • Research credentialing requirements for new programs, insurers, or services., • Prepare and submit complete applications (NPI, CAQH, W9, COI, business license, etc.)., • Track the status of submissions and follow up with payors until approval., • Review billing manuals and payor policies; translate them into clear internal procedures., • Train staff on new services, billing rules, and compliance requirements., • Ensure each new revenue stream is launched with A→Z readiness: policies, billing codes, forms, workflows, marketing. 3. Case Management Support • Support intake, eligibility verification, required forms, care plans, caregiver matching, and onboarding., • Ensure all client and caregiver changes are updated in EVV systems and MVM logs., • Follow up with caseworkers, care managers, and clients regularly., • Monitor quality of care and ensure client satisfaction. 4. Sales, Marketing & Community Outreach • Support marketing activities: creating flyers, tri-fold brochures, and promotional materials (Canva/Word)., • Assist with updating Google Business, social media, and website content., • Help organize resource fairs, community events, and outreach initiatives., • Request and track online Google reviews from clients and caregivers. 5. Leadership & Organizational Support • Provide guidance to staff and help train new hires., • Identify problems before they grow and implement practical solutions., • Coordinate cross-department communication to ensure smooth work across MVM., • Prioritize tasks, manage deadlines, and follow through until completion. Required Qualifications Education & Experience • Minimum 3+ years experience in healthcare administration, social services operations, or agency management., • Strong familiarity with Michigan Medicaid, DHHS, Respite/CLS, Home Help, and healthcare billing., • Experience with credentialing, payor enrollment, and compliance., • Advanced Microsoft Office skills, especially Excel (required)., • Proficiency in Word, Outlook, Google Workspace, and digital document management., • Ability to learn EVV systems, POS/CRM platforms, and compliance software quickly., • English (required)., • Strong organizational and time-management abilities., • Proactive, self-motivated, and solution- oriented., • Excellent communication and interpersonal skills., • Ability to handle multiple projects simultaneously., • High professionalism, confidentiality, and attention to de