Manager, Business Monitoring - Virtual available

Spectrum Health   Grand Rapids, MI   Full-time
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Job Description


Job Summary
Responsible for developing and maintaining operational productivity of high performing teams that ensures that accurate and timely configuration and health plan administration for the Premium Billing and Enrollment functional areas. This includes coding and processing groups and leading the configuration of member materials.

Essential Functions
  • Support consumer experience strategy of brilliant at the basics in terms of time, cost, quality and experience.
  • Create business values in a production environment by engineering scalability in operations, improved productions workflow and backlog, and data management structural and quality procedures.
  • Decision support as requested by senior management or staff regarding workflow and process improvement opportunities.
  • Facilitate continuing improvement of processes to maximize system capability and process workflows in order to support customer requirements.
  • Leads staff to be a highly engaged team focused on innovations, service experience and critical thinking for problem solving.
  • Monitor Affordable Care Act and Health Care Reform and support business rules and capability gap analysis.
Qualifications
  • Required Bachelor's Degree (or equivalent education and experience) in Business Administration or related field
  • 3 years of experience typically gained through skills/knowledge/abilities in a leadership role. Required
  • 2 years of experience typically gained through skills/knowledge/abilities in Enrollment and/or group administration and/or premium billing and/or fulfillment or operations in healthcare insurance environment Required

Primary Location

SITE - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Grievance And Appeals Medicare

Employment Type

Full time

Shift

Weekly Scheduled Hours

40

Hours of Work

8 hours

Days Worked

Monday-Friday

Weekend Frequency

N/A

Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here.

This job is no longer available.

Spectrum Health

Grand Rapids, MI