Healthcare Operations Leader
4 weeks ago
MVP Health Care is seeking a skilled Healthcare Operations Leader to join our team. As a key member of our operations team, you will be responsible for developing and maintaining accurate staffing models to ensure optimal team performance and resource allocation. You will also participate in and occasionally coordinate audit-related activities with Internal Audit, Internal Compliance, or representatives from State and Federal Governments or Commercial Groups.
Key Responsibilities
- Develop and maintain accurate staffing models to ensure optimal team performance and resource allocation.
- Participate in and occasionally coordinate audit-related activities with Internal Audit, Internal Compliance, or representatives from State and Federal Governments or Commercial Groups.
- Reconcile enrollment data with State-Based entities, ensuring accuracy and compliance with regulatory standards.
- Draft and update policies and procedures in response to new or evolving requirements and circumstances.
- Collaborate with Premium Billing resources to ensure seamless premium billing, termination, and reinstatement practices.
Requirements
- Bachelor's degree in Business Administration, Finance, Healthcare Administration, or a related field.
- Minimum of 5 years of experience in enrollment operations, healthcare administration, or a related area within the healthcare sector.
- At least 3 years in a leadership or management role, preferably within a health insurance environment.
- Experience in managing enrollment operations within a healthcare or health plan setting.
- Demonstrated success in enhancing enrollment processes and embracing technological advancements.
- Expertise with Medicare, Medicaid, and ACA marketplace enrollment procedures and regulations.
What We Offer
- Growth opportunities to uplevel your career.
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team.
- Competitive compensation and comprehensive benefits focused on well-being.
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York.
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