Bundled Payment Program Assoc

Job Description

What is your impact?

The Bundled Payment Program Associate is responsible for working directly with clients to ensure superior support and delivery of unique health benefit programs. Provides daily client support, as well as regular reviews of business processes, product performance metrics, identification of potential opportunities, and enhancements to the product line. Develops and maintains highly effective client / provider partner relationships while delivering high quality customer service to members participating in Bundled Payment Programs.

What Will You Be Doing :

• Serves as Care Concierge / Member Advocate to directly help members navigate the programs administered by WebTPA. Outlines the program to members who make outreach either through telephone or email, books required travel for participating members, supports them through their entire their surgical journey, and documents all relevant interactions for tracking purposes. Engages via phone and email with healthcare provider contacts as well in support of the member experience.
• Serves as initial point of contact for daily client interactions with client contacts. Develops strong relationships with client contacts to inspire trust, confidence and ongoing partnership and collaboration
• Assists with the timely preparation of client agreements, including administrative service agreements, scope of work documents, business associate agreements, and plan documents.
• Contributes to department leadership's business development efforts by assisting with presentation and proposal development, RFP questionnaire responses, and in-person participation in sales meetings.
• Prepares and assists with the presentation of client-facing documents, including process workflows, project updates, and report packages, and track deliverables resulting from these meetings
• Supports efficient and effective workflows, accurate reporting, industry best practices, and adherence to legal requirements
• Receives claims detail from client contacts, reviews for accuracy, and coordinates with internal teams, including Eligibility, Mailroom / Data Entry, and Finance, to ensure timely and accurate processing of all claims.
• Documents department processes and procedures, updating documentation on a regular basis.

Provides quality assurance support to Program Manager to ensure accuracy of reporting, communications, and process documentation

What You Must Have :

What We Prefer :

General Physical Demands

Sedentary work : Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

Physical / Environmental Activities

Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally

We are an Equal Opportunity / Protected Veteran / Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.