Director of Benefits
3 weeks ago
MASC Medical Recruitment Firm provided pay range
This range is provided by MASC Medical Recruitment Firm. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
$180,000.00/yr - $185,000.00/yr
Direct message the job poster from MASC Medical Recruitment Firm
Physician Recruiter - I provide clinicians more career opportunities and negotiate better compensation terms.
Director of Benefits Administration
Position Summary:
- The Director of Benefits Administration is a key member of the Executive Leadership team, reporting to the Fund's Executive Director.
-
Bonus:
Bonus structure based on compensation with annual evaluations increase
- Insurance:
Health, Dental, and Vision
- Retirement:
401K with 3% contribution w/o match
- Vacation:
3 weeks paid time off
Key Responsibilities:
- Claims Processing:
Oversee claims processing, manage turnaround times per labor and health guidelines, and attend bi-weekly meetings with health partners to address issues.
- Quality Assurance:
Work with auditors to identify training needs and implement new policies.
- Call Center (Member Services):
Collaborate with the Manager to achieve department goals such as reducing wait times and ensuring member satisfaction.
- Appeals:
Manage the Appeals Administrator, ensuring timely management and thorough research of appeals.
- Utilization Review:
Ensure timely reviews and decisions on coverage with the Medical Director.
- System Administration:
Coordinate with IT to maintain system efficiency, attend system update meetings, and ensure correct plan setups.
- Account Services:
Oversee account management including eligibility, contributions, COBRA rules, and document handling.
Additional Duties:
- Attend monthly Board meetings and act as a liaison between Operations and IT.
- Handle high-dollar claims and oversee financial communications related to claims.
Skills and Experience:
- Strong background in benefits coordination and claims processing.
- Familiarity with healthcare systems and compliance requirements.
- Proven leadership and management skills.
- Experience with Blue Cross Blue Shield is highly desired
Organizational Impact:
- Directly leads and manages multiple teams across different operational areas within the Fund.
Seniority level
Seniority level
Director
Employment type
Employment type
Full-time
Job function
Job function
Administrative, Management, and Human Resources
Industries
Insurance and Employee Benefit Funds
Referrals increase your chances of interviewing at MASC Medical Recruitment Firm by 2x
Inferred from the description for this job
Medical insurance
401(k)
Pension plan
Vision insurance
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