Senior Manager Medicare Operations

Job ID: JL-1019811 Description:

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.

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BASIC FUNCTION:

This position will be responsible for setting the strategy and managing operational oversight of one or more HCSC Medicare core operation functions (e.g. billing, claims, enrollment, and customer service), delegated vendors and key business partners. The incumbent will serve as a liaison supporting key functional areas in the development and implementation of the Medicare program at HCSC.

JOB REQUIREMENTS:

  • Bachelor Degree and 6 years operations experience OR 10 years experience working in health insurance operations
  • 4 years project management experience
  • 4 years experience leading and managing teams
  • 3 years experience managing operations for Group or Individual Medicare Advantage, Medicare Part D and/or Medicare Supplement
  • Experience owning and maintaining vendor relationships for a respective operations area, applying consultative, negotiations, analytic and problem solving skills to drive projects and initiatives
  • Experience in business planning, time management, project management and organization skills with ability to multi-task and manage multiple, concurrent projects and priorities
  • Experience planning and driving business initiatives through implementation
  • Experience in leadership, communication skills (oral and written) and exercise strong interpersonal skills in varying, cross-functional situations
  • PC proficiency to include Word, Excel, PowerPoint and Lotus Notes

PREFERRED JOB REQUIREMENTS:

  • Background in administration of contracts for State and Federal Government.
  • Facet knowledge preferred
  • Blue Chip knowledge preferred
  • Knowledge of call center management and performance monitoring

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 Claims & Customer Service Job Type Full-Time Regular Location TX - Abilene, IL - Chicago, TX - Richardson, TX - San Angelo, IL - Quincy, IL - Springfield, IL - Rockford, NM - Albuquerque, IL - Mattoon, IL - Naperville, IL - Danville, IL - Marion, IL - Jacksonville, OK - Tulsa, TX - Wichita Falls


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