Head of Insurance Operations
Core
Lead the licensed agency function to guide members through health insurance coverage transitions, ICHRA enrollment, and Medicare decisions via a blended workforce of internal agents, partners, and contractors.
Role type
Head of Insurance Operations (Agency Leadership)
Builds
A scalable, compliant member support infrastructure for health insurance decisions
Domain
Health Insurance / Employee Benefits / Regulatory Compliance
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Licensed insurance service operations leadership, team management, capacity planning, partner/contractor management, regulatory compliance, KPI framework design, hiring strategy, cross-functional partnership
Preferred skills
FMO/BGA/carrier background, Medicare/COBRA/ACA expertise, Zendesk/HubSpot familiarity
Technologies
NIPR, Sircon, Zendesk, HubSpot, BI tools
Responsibilities
Manage full-time licensed agents and quality assurance; build hiring strategy for agency function; own partner and contractor capacity planning; maintain 50-state licensure and carrier appointments; define and report on agency KPIs; partner with Product, Tech, and Finance on workflows and data.
Seniority
Senior, hands-on IC with strategic oversight
