Manager Billing and Funding - HNAS

Job Title

Company : Highmark Inc.

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. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.

This role is looking for someone who has leadership experience along with experience with TPA, Stop loss, and self-funded clients.

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 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 :

Education :

Licenses or Certifications :

Skills :

Language (Other than English) : None

Travel Requirement : 0% - 25%

Physical, Mental Demands and Working Conditions :

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. 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 : $126,000.00 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.

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 any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID : J270493