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Supervisor, Membership Services

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Brooklyn, United States Medical Mutual Full time

Job Description - Supervisor, Membership Services (2400328) The Supervisor, Membership Services position is only considering candidates that reside no more than 50 miles from the Brooklyn, OH Medical Mutual office. This role requires you to be on-site at the corporate office at least once per week. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Supervises operations and staff engaged in group and/or individual health insurance enrollment, premium billing and reconciliation-related activities. Responsibilities Provides day to day supervision of operations and staff to meet production standards and regulatory requirements. Provides technical expertise and guidance and resolves complex or escalated issues. Participates in the selection and retention of staff, provides and/or supports training, mentors, and conducts performance reviews and disciplinary actions. Identifies problem areas and implements improvements in systems, training, business processes, and policies. Creates, updates and/or implements operational changes, quality controls, system modifications and documentation (including desk procedures, forms, templates, reports and training content) in response to regulatory changes, process improvements, and annual changes to product offerings. Maintains subject matter expertise in health and life insurance programs and enrollment rules. Reviews and interprets relevant regulatory memos, seasonal file changes, and compliance guidance to support management in identifying impacts to operations and systems. Performs other duties as assigned. Qualifications Education and Experience: Bachelor's degree in Health Informatics, Healthcare or Business Administration or related field or the equivalent combination of training/education and experience. 7 years progressive health insurance operations experience, primarily in enrollment/billing, and preferably in a leadership capacity. Technical Skills and Knowledge: Advanced knowledge of health insurance enrollment, payment reconciliation and premium billing processes, regulations and standard accounting procedures. Intermediate to advanced Microsoft Office and database reporting skills. Ability to write policies, procedures, forms, templates and other documents that are compliant with Federal laws. About Medical Mutual: Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us. At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status. We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

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