Operations Officer Unclassified

***THIS RECRUITMENT MAY CLOSE WITHOUT FURTHER NOTICE DEPENDING ON THE NUMBER OF APPLICATIONS RECEIVED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE***

Job Summary

The Nevada Health Authority is seeking an Operations Officer in Carson City. This position provides strategic and operational leadership across the plans core administrative activities. This position oversees daily operations supports policy implementation ensures regulatory compliance and collaborates closely with executive leadership vendors state agencies and internal teams to deliver efficient and customer-focused services.

Essential Qualifications

Minimum Qualifications:

• Education and/or experience in business administration public administration health administration or a related field.
• Demonstrated experience in benefits administration health plan operations public sector risk management or similar fields.
• Strong leadership analytical and problem-solving skills.
• Proven ability to manage cross-functional teams and complex operational processes.
• Excellent communication and stakeholder engagement skills.

Preferred Qualifications:

• Bachelors degree in business administration public administration health administration or a related field; or 5 years or more combined experience and education in the above areas.
• Experience with self-insured or public employee benefit programs.
• Knowledge of state and federal regulations governing health benefits and insurance operations.
• Familiarity with eligibility systems claims platforms and vendor management.

Job Duties

• Lead and manage operational workflows that support eligibility enrollment claims administration customer service and vendor coordination.
• Develop and implement operational policies and procedures to enhance consistency efficiency and compliance.
• Monitor performance metrics operational reporting and service level agreements to ensure high-quality plan administration.
• Partner with actuarial finance and compliance staff to support budgeting forecasting audits and regulatory filings.
• Coordinate with third-party administrators technology vendors and partner agencies to optimize processes and resolve issues.
• Identify opportunities for operational improvement risk mitigation and modernization of plan administration systems.
• Support executive leadership in planning communications and strategic initiatives.

Knowledge Skills and Abilities

Knowledge of:

• Contract administration vendor performance oversight and service level monitoring.
• Budget development financial reporting actuarial concepts and cost-containment strategies.
• Operational planning workflow design and best practices for process improvement.
• Principles and practices of health benefits administration self-insured plan operations and risk management.
• State and federal regulations governing public employee benefit programs including privacy reporting and compliance requirements.

Skills in:

• Managing and improving operational systems procedures and performance measures.
• Interpreting complex data analyzing trends and preparing clear and actionable reports.
• Project management including setting timelines coordinating cross-functional teams and ensuring deliverables are met.
• Using technology platforms related to eligibility claims management data reporting and records administration.
• Communicating clearly and professionally with diverse internal and external stakeholders inclusive of board members and lawmakers.

Ability to:

• Support the goals and objectives of the Nevada Health Authority and Public Employees Benefit Program and ensure both entities are in alignment as we move forward.

• Demonstrate a growth mindset and support and assist staff in navigating different phases of change as we move toward our NVHA/PEBP goals.

• Exercise sound judgment and make data-informed decisions in a fast-moving operational environment.

• Establish and maintain effective working relationships with staff vendors agency partners and members.

• Provide clear concise consistent accurate and timely communication.

• Maintain a professional and collaborative tone and provide constructive feedback to partners.

• Identify operational risks and develop practical effective solutions.

• Lead organizational change build team capacity and foster a culture of service and accountability.

• Translate policy directives into operational practices that improve consistency and efficiency.

Recruiter Contact Information: Jenn Trachet -

The State of Nevada is an equal opportunity employer dedicated to building diverse inclusive and innovative work environments with employees who reflect our communities and enthusiastically serve them. All applicants are considered without regard to race color national origin religion or belief age disability sex sexual orientation gender identity or expression pregnancy domestic partnership genetic information (GINA) or compensation and/or wages.

Please send direct Inquiries or correspondence to the recruiter listed on this announcement.

Required Experience:

Unclear Seniority