Job Information
Highmark Health Manager Group Implementation and Funding Management Business Support in Hartford, Connecticut
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
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.
ESSENTIAL RESPONSIBILITIES
Perform management responsibilities to include, but are not limited to: involved in 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 (as specified in the summary section) between Information Technology, Account Operations, Billing & Enrollment, Group Configuration, Vendor areas, QA, and Account Management by directing, coordinating, and completing key tasks to ensure timely and accurate results. Tasks may include coordination of internal Group Implementation meetings, development of project plans and status reports, oversight of New Sale and Renewal tasks and identification of potential issues.
Participate in process improvement initiatives aimed at improving the group/broker customer experience initiative. Actively 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.
Responsible for coordination and development of IT requirements, validation of data and output, and regular interaction with Communications and Fulfillment to ensure 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.
EXPERIENCE
Required
5 years of relevant work experience in the health insurance industry
3 years in a management or leadership role
Preferred
- Experience in a range of operational settings in the health insurance industry (e.g., customer service, claims, business support)
EDUCATION
Required
- Bachelor's degree or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- None
Preferred
Project Management Certification
Six Sigma Certification
SKILLS
Strategic thinking/planning skills
Excellent time management & organizational skills with a strong attention to detail
Excellent verbal and communication skills
Strong analytical skills with the ability to implement effective solutions with a short term and long term focus
Demonstrated coaching and staff development skills
Project management skills
Must be able to work in a fast-paced environment and be able to multi task with daily work processing deadlines
High energy level and ability to project enthusiasm
Persuasive communication style
Ability to understand all customer needs (group, broker, provider, etc..) and the interconnection of all core and ancillary systems
Microsoft Word, Excel, PowerPoint, Access – Intermediate
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$67,500.00
Pay Range Maximum:
$124,800.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
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Req ID: J247086