Spv Business Support Services

Cambia Health Solutions • Medford, OR

31d • Hybrid

About The Position

Every day, Cambia’s dedicated team of Business Support Supervisors is living our mission to make health care easier and lives better. As a member of the Business Support Services team, the supervisor oversees the Business Support Services Teams for Cambia Plans. This includes support of global configuration, incident resolution, conversion activities, enhancement design, developing general and detailed functional and business requirements, testing, project work, and support in the production environments. Responsible for the development of production deployment and processes which facilitate the administration of benefits, claims, ITS, membership processing, billing, commissions, provider/pricing and customer service activities. Serves as a liaison to vendor (TriZetto and IBM) and is responsible for the coordination of communication to appropriate teams and business users on the status and prioritization of production issues and maintenance. In addition, this position supervises Business Support Services staff in support of any Cambia-wide initiatives. This includes scoping and resources planning for any projects related to configuration and support of any Facets system, any associated extension or interface that interacts with Facets, along with all legacy membership systems. – all in service of creating a person-focused health care experience. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

Requirements

• The Supervisor of Business Support Services would have a college degree in Computer Science, Mathematics, Business Administration or a related field. A college degree may be substituted by sufficient years of experience in the health care industry.
• Five years of experience in defining and analyzing business requirements, process modeling, functional systems design or configuration and/or acceptance testing is required.
• A minimum of two years of experience as Lead Business Systems Analyst or equivalent experience is required.
• Experience with a business area that is supported by this position (i.e. claims processing, membership processing, provider relations, etc.) is required.
• Knowledge of system development, project methodology practices and deliverables
• Knowledge of existing systems and procedures
• Ability to successfully manage project teams
• Ability to manage, direct, lead and motivate staff members in task completion and problem solving
• Ability to evaluate performances of team members
• Ability to communicate effectively, both orally and in writing to ensure clear and timely communications with all levels of staff throughout the company
• Ability to demonstrate analytical skills and strengths in diagnosing complex problems and implementing corrective action
• Ability to work on multiple projects and project types simultaneously as directed
• Ability to plan, organize, and prioritize task assignments to ensure established guidelines and/or deadlines are met
• Ability to perform analysis and support the entire suite of systems in support of all Cambia affiliated plans both production and project related systems
• Comprehensive understanding of testing approaches and methodologies
• Understanding of batch schedule, environment architecture infrastructure, release management and environment coordination
• Comprehensive understanding of hosting relationship as it applies to the negotiated contract with the vendor

Nice To Haves

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• Respond to customer inquiries regarding system functionality, modification, and status of issue resolution
• Monitor and implement continuous process and system improvements
• Manages the training, motivation, and development of analysts to obtain maximum efficiency of skills and resources.
• Prepares and delivers department staff's performance reviews
• Act as backup to department Manager
• Performs job functions of the Lead BSA when the need arises to ensure timely completion of work
• Implements and maintains Service Level Agreements both from a vendor relations and a production support perspective
• Schedules, organizes, and prioritizes work to ensure timely completion of all work simultaneously assigned or in progress
• Maintain project work plan and schedules to ensure all tasks are identified and completed. Assigns tasks/workflow as necessary to Cambia assigned staff and coordinate with Lead BSA to ensure completion of work
• Identify and communicate goals, changes, organizational impacts, performance needs, maintenance issues and new processes
• Provides direction and support to other testing teams when applicable

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager