Healthcare Operations Manager

3 days ago

Bellevue, Washington, United States Hma INC Full time
About Hma INC

Hma INC is the premier third-party health plan administrator across the PNW and beyond. We deliver customized health plans for medium to large-size employers, offering high-quality, affordable healthcare options with best-in-class customer service.

We're proud to be chosen as a 'Washington's Best Workplaces' by our staff and PSBJ for three years running. Our vision, 'Proving What's Possible in Healthcare,' guides our culture, decisions, and results. We value People First, Be Extraordinary, Work Courageously, Own It, and Win Together.

We seek unique individuals who care deeply about others, thrive in evolving environments, gain satisfaction from team collaboration, are motivated by complex challenges, courageous enough to share ideas, action-oriented, resilient, and results-driven.

At Hma INC, you can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, time off package, and personal development opportunities. If you desire meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, explore more at: https://www.accesshma.com/

Role Summary

The Care Navigator Manager will lead and support a dynamic team of Care Navigators, providing service to members with access to Care Navigator programs and collaborating with internal stakeholders to promote efficiency and value.

Key Responsibilities
  • Provides leadership and guidance to support daily activities of the care navigator team and program(s)
  • Identifies and communicates trends, changes, and potential impacts to the Care Navigator team, members, and clients using internal and external sources
  • Performs regular audits of calls and casework to maintain a high level of member experience and adherence to Care Navigator team standards and guidelines
  • Regularly audits PWIs, Standard Work, and other Care Navigator documents for use by internal HMA teams
  • Trains, educates, and mentors Care Navigator team members; takes ownership of onboarding for new team members
  • Handles complex and escalated cases for Care Navigators
  • Collaborates with internal stakeholders to resolve member issues, advocate for program needs, and support operations and development of the Care Navigator product
Requirements
  • Bachelor's degree or equivalent work experience required
  • 3-5+ years of experience in a healthcare payor environment; experience working directly with members preferred; experience working with a TPA strongly preferred
  • Prior leadership experience in a lead or managerial role required
  • Deep understanding of insurance, medical/clinical terminology, and healthcare administrative processes required
  • Ability to develop collaborative relationships and communicate effectively with various stakeholders
  • Ability to lead with empathy, develop and motivate teams, and hold others accountable
  • Excellent interpersonal and communication skills
  • Strong written and verbal skills
  • High level of comfort using data to drive decisions
  • Passion for excellence
  • Proficiency with Microsoft Office applications (Outlook, Word, Teams, PowerBI)
Compensation

The estimated salary range for this position in the greater Seattle area is $102,000 - $130,000, varying based on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonuses are available. In addition, we provide a generous total rewards package, including 17 paid days off, 11 holidays, one paid personal and one paid volunteer day, company-subsidized medical, dental, and vision insurance, disability, life, and AD&D insurances, and more.

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