Contract Administrative Operations Manager
This position is responsible for managing the unit responsible for the production of customer-specific documents for new/existing business in accordance with corporate guidelines, underwriting policy, benefit specifications, and statutory requirements. Manages the performance, overall quality and resource allocation to support all product lines, including key sales support components of benefit selection through booklet delivery. Oversee the creation and maintenance of standard and custom booklets. Implements strategies, projects and initiatives.
ESSENTIAL FUNCTIONS :
•Bachelor's degree and 5 years health insurance contract operations experience OR Master degree with 2 years health insurance contact operations experience.
•Knowledge of health products and procedures, underwriting requirements, contract and funding arrangements.
•Analytical and reporting skills.
•PC proficiency to include Microsoft Office Suite.
•Project management skills.
•Customer service experience and acumen.
•Verbal and written communications skills to manage staff and operations, build relationships across the organization and with external key stakeholders, build consensus and issue resolution.
•J. D. degree or 4 years of experience in a leadership role with independent decision-making.
•Knowledge of external adjudication processes.
•Knowledge of large or national account contract specifications and processing systems.
•Knowledge of corporate marketing practices, health insurance product lines and Par Plan operations.
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements: Expertise Project Management, General Health Care, Government Programs, Regulatory & Compliance, Other Job Type Full-Time Regular Location IL - Chicago, TX - Richardson
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