Manager Billing and Funding - HNAS

Job Opportunity at Highmark Inc.

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.
• Participate in process improvement 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.

Licenses or Certifications

Required : None.

Preferred : Project Management Certification, Six Sigma Certification.

Skills

Strategic thinking / planning skills, excellent time management & organizational skills, strong attention to detail, excellent verbal and communication skills, strong analytical skills, demonstrated coaching and staff development skills, project management skills, ability to work in a fast-paced environment, high energy level, persuasive communication style, ability to understand all customer needs, proficiency in Microsoft Word, Excel, PowerPoint, Access.

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).

Physical work site required : Yes.

Lifting : up to 10 pounds Constantly Lifting : 10 to 25 pounds Occasionally Lifting : 25 to 50 pounds Rarely.

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.