Operations Service Specialist

2 days ago

Salt Lake, Utah, United States Intermountain Health Full time
Job Summary

The Operations Service Specialist plays a pivotal role in cultivating a culture of superior service and high-performing teams within operational areas of SelectHealth Member Services, Claims, Pharmacy Services, Appeals and Grievances, and Sales. This position is responsible for the success of frontline employees and contractors through training, mentoring, problem resolution, and effective functioning of operational processes and workflows.

Key Responsibilities
  • Function as a subject matter expert to answer questions and provide tools, resources, and continued education to caregivers, enabling them to meet company goals, key performance indicators, and performance guarantees for SelectHealth customers.
  • Collaborate with internal and external stakeholders to resolve issues by coordinating interdepartmentally.
  • Represent operational areas on committees and work groups to create, implement, and operationalize best practices and processes.
Requirements
  • Demonstrated experience and proficiency in advanced operational positions in SelectHealth, such as Sr. Health Benefits Specialist (HBS), Pharmacy Benefits Specialist (PBS) II, AR/Enrollment Specialist II, HBS Claims Processor, Appeals Analyst II.
  • Demonstrated ability to collaborate effectively while building relationships.
  • Demonstrated growth mindset and a change leader.
  • Demonstrated ability to effectively problem solve and propose effective solutions.
  • Demonstrated ability to help others grow and be successful.
  • Demonstrated ability to facilitate an effective and engaging learning experience.
  • Demonstrated project management skills.
  • Demonstrated ability to communicate effectively, both verbally and in writing.
  • Demonstrated ability to manage multiple tasks and organize them according to business need and time constraints.
  • Demonstrated ability to identify problems and implement appropriate solutions.
  • Demonstrated ability to be an effective presenter.
Preferred Qualifications
  • Participation in job shadowing programs.
  • Certification in all department trainings.
  • Intermediate skills in presentation programs.
Work Environment

This position functions in a fast-paced environment with a focus on delivering exceptional service and results. The ideal candidate will be able to work effectively in a team environment and communicate effectively with stakeholders at all levels.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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