Manager Billing and Funding - HNAS

Highmark Health

97d • $67,500 - $126,000

About The Position

This job is responsible for the strategic implementation of new or transitioned accounts while managing a team of professionals. The scope of responsibility may include; Administrative Services Only (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements across the entire HNAS Business Support and Group Implementation operation, the incumbent actively participates in projects and activities that impact the Sales and Operations and claims finance business unit functions. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. This role is looking for someone who has leadership experience along with experience with TPA, Stop loss, and self-funded clients.

Requirements

• 5 years of relevant work experience in the health insurance industry.
• 3 years in a management or leadership role.
• Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Nice To Haves

• Experience in a range of operational settings in the health insurance industry (e.g., customer service, claims, business support).
• Project Management Certification.
• Six Sigma Certification.

Responsibilities

• Perform management responsibilities including hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Manage the performance of dedicated Implementation Coordinators charged with managing and implementing key accounts including new groups and key renewals.
• Act as a liaison for group changes between Information Technology, Account Operations, Billing & Enrollment, Group Configuration, Vendor areas, QA, and Account Management.
• Coordinate internal Group Implementation meetings, develop project plans and status reports, oversee New Sale and Renewal tasks and identify potential issues.
• Participate in process improvement initiatives aimed at improving the group/broker customer experience initiative.
• Support and roll out technology initiatives aimed at improving the group/broker customer experience initiative.
• Manage claim funding billing process and collection, clearly identifying management status of accounts.
• Coordinate and develop IT requirements, validate data and output, and interact with Communications and Fulfillment for timely and accurate mailings.
• Support Management and staff by resolving group/broker questions and escalated issues.
• Lead and conduct staff meetings, and attend cross-functional business unit and corporate team meetings.
• Perform other duties as assigned or requested.

Benefits

• Base pay range: $67,500.00 - $126,000.00.
• Flexible work environment.
• Opportunities for professional development.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees