Claims System Project Coordinator

HealthPartners•Bloomington, MN

About The Position

HealthPartners is hiring a Claims System Project Coordinator. This position serves as project leader in the development, revision, or maintenance of Claims systems, coordinating the activities of all affected departments. Responsible for effective systems design and maintenance, with scope including operational and administrative areas. Provides CQI facilitation, consulting and technical assistance regarding systems to Group Division, Contracting and Finance staff. Liaison with staff from Information Services, Finance, Patient Accounting, Membership Accounting, Network Management, Sales Marketing and Electronic Commerce. ACCOUNTABILITIES : Team Leader. Serves as project team leader with responsibility for analyzing, organizing, scheduling and directing projects as assigned. Responsible for project completion within expected time. Responsible for design, testing, and maintenance of systems. Prepare final documentation of methodology, findings, and recommendations of project team for management. Facilitates smooth transition of project to affected departments/units upon completion. CQI Facilitator/Team Member. Receives formal training as a CQI facilitator. Identifies opportunities for quality improvement of processes. Facilitates CQI projects as appropriate when business process re-engineering is required prior to software changes. Serves as facilitator for claims CQI projects upon request, as availability permits. Represents department as a team member or consultant on CQI projects. System design. On approved projects, works directly with information Systems supervisors and staff in development, maintenance or adaptation of program design. Claim department liaison with IS staff on software and hardware design issues. Needs assessment. Through needs assessment and other processes, identifies potential enhancements in claims automated or manual system/processes. Evaluates systems enhancements for technical impact. Recommends system enhancements and implementation to supervisor/manager. System expert. Assesses inter-dependencies among administrative systems, including membership, authorizations, and patient accounting, etc. Is a specialist in knowledge of claims systems and its software. Customer Service Representative. Serves as key Claim Department representative to assigned areas. Manages service relationships and consults with other departments as needed on systems related issues. Performs all functions with priority given to user friendliness and responsiveness. Training and documentation coordination. Participates in the development of user documentation, processing and procedures. Implementation and evaluation coordinator. Develops implementation plan and provides implementation tools to affected units/departments. Works with IS and Claims training to evaluate system design and implementation via-post-implementation review. Initiator. Position requires a high degree of initiative, to manage priorities and identify opportunities for system improvement and innovation. Responsible for continued professional development. Support. Supports departmental and divisional team through participation in appropriate meetings and projects. Other duties. Performs other duties and assumes projects as assigned by supervisor, manager, or director.

Requirements

Bachelor’s degree in health care management, training and organization development, industrial engineering, business administration, computer science or related field, or equivalent experience.
One-year professional level experience with mainframe computer systems may be substituted for college level computer science or data processing course work.
Four to seven years general business experience or experience in medical insurance or health care setting, including significant project planning and management experience with medium to complex level projects.
Familiarity with continuous improvement concepts and methodologies.
Demonstrated analytical, facilitation, presentation and communication skills.
Ability to deal with ambiguity and changing priorities.
Strong customer/client service orientation.
Able to take responsibility for one’s own performance and attitude on the job.
High degree of initiative.