Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
Home View All Jobs (2,300,525)

Job Information

NASCO Manager, Enrollment, Maintenance & Billing and Services in Montgomery, Alabama

Overview

The Business Process Services (BPS) Manager is focused on the Enrollment, Membership, and Billing (EM&B) domain and responsible for overseeing department activities ensuring efficient, accurate, and compliant operational processing. They will provide direction and guidance to members of the team, partners, and vendor resources. The BPS Manager will lead by example, working complex scenarios and issues while supporting team activities. The BPS Manager will work with vendor resources to plan and execute day to day work activities and ensure adherence to training and guidelines. They will work with the vendor to ensure all service level agreements (SLAs) and metrics are met. The BPS Manager will generate and provide metrics and reporting to demonstrate the performance of the BPS work. The BPS Manager will report to the Director, communicating performance, risks and issues. When necessary this person will work with the Director to develop contingency plans and corrective action plans.

Note: We do not hire in the following states: AK, AR, DE, HI, ID, LA, ME, MN, MS, NV, NH, NM, ND, OR, RI, SD, VT, VA, WV, WY, D.C.

Responsibilities

  • Performs oversight of the enrollment, billing, and membership operations ensuring efficient and accurate processing enrollment, maintenance and billing according to CMS requirements and regulations

  • Liaison to Services team coordinating efficient and accurate member ad provider servicing as well as Grievance and Appeals processing according to CMS requirements and regulations.

  • Serves as the internal expert on CMS EM&B processing guidelines and regulations

  • Serves as the internal expert on CMS and BlueCross BlueShield Service processing guidelines and regulations

  • Establishes regular cadence to review and analyze vendor metrics to ensure requirements are met

  • Drives corrective action to address when any measures fall out of tolerance and metrics

  • Serves as a point of escalation for business process execution

  • Coordinates with vendors and customers to resolve issues

  • Coordinates reporting and communications within the organization’s compliance team or external compliance counterparts

  • Leads by example, works escalations and issues, as needed

  • Produces weekly snapshot of activities and adherence to compliance and raise awareness of anomalies with leadership

  • Leads and supports audit activities as necessary

  • Leads, influences and manages a team of resources to include conducting talent acquisition activities, coaching and/or mentoring, and identifying training requirements for associates

  • Conducts performance management activities, including performance reviews, goals, development, and continuous feedback

  • Creates, manages, and administers a departmental budget

Qualifications

Required Knowledge, Skills, and Abilities:

  • Knowledge of health insurance/health care/managed care environment preferred

  • Ability to build productive, collaborative relationships

  • Ability to manage vendors and partners

  • Excellent communications skills, both verbal and written, with the ability to communicate across all levels of the organization

  • Ability to escalate issues in a timely manner and provide leadership with appropriate recommendations for resolution

  • Ability to plan, organize, assign and report on work to meet commitments

  • Ability to develop, foster, and maintain customer and vendor relationships at all levels of an organization

  • Ability to handle self professionally and with decorum

Experience:

  • 1 year of experience in a leadership role managing resources, as a team lead or manager

  • 3 years EM&B operational experience

  • 1 year call center experience

  • 5 years managing operational metrics for timeliness and quality

Required Education:

  • Bachelor’s degree or equivalent from a four-year college or university

Benefits and Perks:

  • Work/Life Balance – NASCO helps you find success at the workplace, and at home

  • Matching 401(k)

  • Employee Recognition and Bonus Programs – When NASCO is successful so are our employees!

  • Tuition Assistance – Learn, develop, and grow… on our dime!

  • E-Learning – Comprehensive and current library of e-learning and performance support assets, available on demand and at no cost

  • Choice of Blue Cross Blue Shield Medical, Dental and Vision Plans

  • Company-funded spending/reimbursement accounts to help with out-of-pocket medical expenses

  • Wellness Program

  • 17 Days of Paid Time Off (PTO) per year – not including major holidays. That’s just starting out

  • Company discount plans on mobile, technology services, etc., to help you save money

NASCO is an Equal Opportunity Employer/veterans/disability/race/color/religion/sex/sexual orientation/gender identity/national origin. Must have legal authority to work in the US.

Location US-GA-Atlanta | US-Home Office/ Remote

# Positions 1

Category Management - Other Management

Travel Requirements 0-20%

DirectEmployers