Claims processor Jobs in Toledo, OH

Director Of Human Resources

The Director of Human Resources serves as a thought leader providing strategic direction, vision and guidance to managers and leaders in order to achieve the highest efficiency from talent and create an Employer of Choice culture. Responsible for the overall legal theory, policy implementation and risk management of employee related issues to minimize risk to the organization. This role must be a steward of NHA by setting the standards of excellence, demonstrating integrity and leadership, and building human capital capabilities to ensure NHA's long-term viability and success.

Key Responsibilities

• Responsible for developing and executing human resource strategy in support of the overall business plan and strategic direction of the organization, specifically in the areas of talent acquisition, succession planning, training and development, performance management and total compensation.
• Provides strategic direction, vision and guidance to the organization's human resources structure and function by building, motivating and retaining a high-performing, results-oriented and respected HR team that embraces the vision, mission and core values of NHA.
• Primary responsibility for the management, processing of claims and all related activities for the Federal Torts Claims Act (FTCA), including any potential or actual health or health-related claims and medical malpractice claims, which may be eligible for FTCA coverage. Serves as the claims point of contact in all activities and correspondence related to FTCA.
• Acts as the primary contact for the organization in all employee matters involving EEOC complaints and litigation and represents the organization at personnel-related hearings and investigations and consults with legal counsel as appropriate on personnel matters.
• Stays informed and communicates to executive leadership the complex issues and trends facing the organization in the context of rapid changing government regulations and public policy and their subsequent impact on organizational objectives and operational resources.
• Responsible for setting, enforcing, and evaluating legally compliant human resources policies and procedures, and making recommendations for best practices to executive leadership and sets the direction for the communication strategy for all workforce and human resource related initiatives.
• Thinks and acts from an objective, decentralized and systems perspective completing an in-depth analysis of problems, consequences and alternative solutions in the decision-making process to understand system-wide impact and assure organizational effectiveness.
• Develops and manages the HR annual budget and performs periodic cost and productivity analyses; maintains awareness of position salary grades and budget of all positions.
• Sets strategic direction for designing, developing, implementing and administering comprehensive total rumeneration systems that ensures market competitiveness, internal equity, cost effectiveness, effective performance management, and appropriate reward systems.
• Champion an organizational culture characterized by a strong sense of mission, vision and values, a commitment to customer service, positivity, mutual accountability, collaboration, and commitment to promote an environment of diversity, inclusiveness and equity.
• Provides direction and oversight in the development and implementation of employee relations strategies that drive higher levels of team member engagement, reduce variation in the team member experience and to foster a positive and productive work environment.
• Identifies and implements a comprehensive and multi-dimensional learning management platform to grow and change NHA into a culture of learning and development resulting in accelerated exceptional performance. Develops a comprehensive interdisciplinary training model, and conducts employee training sessions for employee professional development, including career ladders and identified outside resources.
• Oversees the Ohio Association of Community Health Centers (OACHC) Ohio Primary Care Workforce Initiative for student externship and mentorship.
• Drive higher levels of manager performance and reduce variation in supervisory abilities by designing and implementing leadership training programs with established goals to accelerate development through proactive coaching, mentorship and training.
• Identify and implement structured training programs to increase our staff awareness of the needs of our patient population & barriers to healthy outcomes including but not limited to Bridges Out of Poverty, Social Determinants of Health, and Cultural Diversity.
• Maintain a focus on continuous quality improvement with the ongoing evaluation of departmental procedures to streamline and/or automate processes, improve customer service, reduce paper-flow, and improve human resources data management through HRIS and technology platforms.
• Network and establish working relationships with other FQHC HR leaders and other community HR professionals to share creative concepts and resources to address our common challenges.

Skills/Qualifications:

• Bachelor's degree in Human Resources, Business Administration, or related field preferred. Related work experience in lieu of education.
• At least four (4) years of human resource management experience required, preferably in a healthcare setting. Community health experience a plus.
• HR Certification SHRM-CP or SHRM-SCP a plus.
• Experience administering employee benefits plans for small and mid-size employers.
• Experienced in managing employee FMLA, Workers Compensation and unemployment claims.
• Experience working with HRIS systems including payroll and applicant tracking systems.
• Proficient in computer applications (Microsoft Windows, Word, Excel, Outlook and PowerPoint).
• Knowledge of industry personnel practices and federal and state employment laws.
• Strong leadership and planning skills with complex problem-solving ability and critical thinking skills.
• Excellent communication and interpersonal skills with a desire to provide excellent customer service to internal and external customers.
• Must be sensitive to cultural, religious, and ethnic diversity.
• Ability to work independently toward predetermined outcomes.
• Ability to organize and prioritize workload in order to meet established schedules, timelines, or deadlines.
• Ability to maintain employee confidentiality.
• Possesses a neat and professional appearance.

Full-time, exempt salary position. Monday through Friday no weekends or holidays. To be considered for this position, you must provide your salary requirements.

Neighborhood Health Association (NHA) is Northwest Ohio's largest community health center system. Since 1969, we've grown to 13+ clinics offering medical, dental, pediatric, women's, senior, and homeless careplus a full-service pharmacy and lab. We focus on prevention and helping people take charge of their health.

Through our exceptional health care services, we empower and educate, aggressively working to eliminate health care inequities, while supporting personal responsibility for one's own health regardless of the ability to pay.

We are a drug free workplace, and an Equal Opportunity Employer