Team Coordinator, Operations -Commercial/Group Health Insurance

City / State

Norfolk, VA

Overview

Work Shift

First (Days) (United States of America)

Sentara Healthcare is hiring a Team Coordinator, Operations- Commercial / Group Health Insurance- Remote!

This is a Full Time position with day shift hours and great benefits!

Remote opportunities available in the following states : Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming!

Job responsibilities :

The Business & Systems Operations, Team Coordinator will perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in key platforms and any interfacing applications.

The person will play a key role in the benefits configuration and implementation of the Commercial / Group Insurance Lines of Business.

He / She will be responsible for claims, system admin, and other system analysis, configuration design, testing and documentation.

The person will work with management in the department to establish realistic project scope, project plans, timelines & escalate barriers and consider interdepartmental impact when recommending, implementing and testing solutions.

Possess a high degree of expertise in the business requirements that support governmental & commercial reimbursement policies and methodologies of the organization

Coordinate configuration, testing, QA & maintenance of assigned systems and the associated platform functionality for the program

Manage configuration / testing projects

Train and coach analysts

Manage team workload, provide guidance, instruction and leadership to analysts to achieve desired performance, ensure that the individual benchmarks are met

Perform complex testing, data analysis and draw business conclusions for decision making

Manage 5 Direct Reports

Required qualifications

BLD - Bachelor's Level Degree required

3 years experience in Analytics

3+ years MS SQL server experience including writing SQL queries, SQL Server Analysis Services, SQL Server Reporting Services, SQL Server Integration Services (advanced SQL)

Preferred qualifications :

3 years experience in Commercial / Group Health Insurance and Project Management highly preferred

3 years in a leadership / people management role highly preferred

QNXT experience preferred

Benefits : Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, Loan Forgiveness, a 401k / 403B, 401a, Performance Plus Bonus, Loan Forgiveness Program, Career Advancement Opportunities, Work Perks and more.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

For more information about our employee benefits click : Benefits - Sentara (sentaracareers.com)

Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind.

Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave.

Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

For applicants within Washington State, the following hiring range will be applied : $70,630.56 to $101,708.88 / annually with up to 10% Management Bonus.

Sentara Health Plans is the health insurance division of Sentara Healthcare.

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services all to help our members improve their health.

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity.

Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your Keyword Search : JR-40046 .

Indeed

Monster

Talroo Leadership

Managed Care, Health Plan, Healthcare, MCO, Commercial, Group Health, Benefits configuration, QNXT, Claims, MS SQL, SQL queries, SQL Server Analysis Services, SQL Server Reporting Services, SQL Server Integration Services (advanced SQL), Analytics, #LI-AR2

Job Summary

The Business & Systems Operations, Team Coordinator will perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in key platforms and any interfacing applications.

The person will play a key role in the configuration and implementation of new markets & products. He / She will be responsible for claims, system admin, and other system analysis, configuration design, testing and documentation.

The person will work with management in the department to establish realistic project scope, project plans, timelines & escalate barriers and consider interdepartmental impact when recommending, implementing and testing solutions.

• Possess a high degree of expertise in the business requirements that support governmental & commercial reimbursement policies and methodologies of the organization
• Coordinate configuration, testing, QA & maintenance of assigned systems and the associated platform functionality for the program
• Manage configuration / testing projects
• Train and coach analysts
• Manage team workload, provide guidance, instruction and leadership to analysts to achieve desired performance, ensure that the individual benchmarks are met
• Perform complex testing, data analysis and draw business conclusions for decision making
• 3+ years MS SQL server experience including writing SQL queries, SQL Server Analysis Services, SQL Server Reporting Services, SQL Server Integration Services

sound judgement and leadership skills

• Strong organizational skills
• Strong verbal and written communication skills with demonstrated ability to research, problem solve, trouble shoot, influence, present and partner across the organization
• Proven ability to analyze data, processes and initiate root cause analysis to influence correction actions with leadership
• Ability to retrieve and analyze complex data using Microsoft Access, Excel and SQL
• Proficient knowledge of flow charting / process mapping
• Proven ability to work independently while managing multiple tasks and priorities
• Demonstrated ability to independently lead multi-functional projects and serve as a resource for other members of the team
• Strong knowledge of software implementation / development life cycle
• Managed Care; Medicaid or Medicare Insurance

Qualifications :

BLD - Bachelor's Level Degree (Required)Analytics, Medicaid, Medicare, Project Management

Skills

Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Marketing, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Word, Monitoring, Negotiation, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation + 7 more

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.

gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission to improve health every day, this is a tobacco-free environment.