Sentara Health-posted 4 months ago
Full-time
Richmond, VA
5,001-10,000 employees

The Ops Support/Systems Administration manager manages all activities involving system benefit development and implementation, contract administration, coding compliance, fee schedule implementation, provider network database management and quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness.

  • Manage system benefit development and implementation.
  • Oversee contract administration and coding compliance.
  • Implement fee schedules and manage provider network databases.
  • Ensure quality assurance and conduct internal and external audits.
  • Perform system compliance and acceptance testing.
  • Drive process improvements to enhance operational effectiveness.
  • Bachelor's Degree (Required).
  • Three years of experience in the health insurance industry.
  • Three years of healthcare experience.
  • Medical, Dental, Vision plans.
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000.
  • Paid Time Off and Sick Leave.
  • Paid Parental & Family Caregiver Leave.
  • Emergency Backup Care.
  • Long-Term, Short-Term Disability, and Critical Illness plans.
  • Life Insurance.
  • 401k/403B with Employer Match.
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education.
  • Student Debt Pay Down – $10,000.
  • Reimbursement for certifications and free access to complete CEUs and professional development.
  • Pet Insurance.
  • Legal Resources Plan.
  • Annual discretionary bonus opportunity.
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