Job details
Job type full-time
Full job description
Job details
Level
Experienced
Job location
Corporate headquarters - tampa, fl
Remote type
Fully remote
Position type
Full time
Travel percentage
Negligible
Job category
Information technology
Purpose and scope:
The configurations team lead coordinates and assists with managing day to day operations of the configuration department, including ensuring timely and accurate processing in compliance with organizational/client contractual standardsThis position supports the configuration manager and department leadership with assessing the department`s training and staffing needs by evaluating associate performance as it relates to department metrics and measures, providing solutions that enhance understanding, and giving practical skills and motivation to carry out specific work-related tasks.
Principal responsibilities and duties:
Assists configuration management with coordinating and managing the daily work of the department, including but not limited to the following responsibilities:
Monitors and helps manage department work inventory and tickets in accordance with contractual obligations and department policies/turn-around times.
Assists with the distribution of work assignments and ensures timeliness of completion.
Serves as point of contact for associates for issue resolution related to configuration.
Reviews and responds to questions or escalated issues from external and internal departments and clients.
When needed, provides coaching and coordinates training for team members to improve configuration quality.
Supports department management in fostering an atmosphere of teamwork and process improvement.
Works with department leadership to develop, execute, document, and maintain new/updated processes and controls for improving configuration.
Works closely with department leadership to ensure company objectives are met.
Maintains departmental and company production and quality standards.
Ensures all hr, hipaa, cms and ahca rules and regulations are followed in the department and meet the compliance standards.
Schedules and conducts department meetings.
Communicates with department leadership on department operations through written updates, reports or metrics and verbal discussions.
Customer service:
Responsible for driving the healthops culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal contacts.
Develops and maintains positive relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
Experience and required skills:
Knowledge of configuration procedures and in planning system configuration changes (i.e., use of rigorous documentation, testing / qa protocols prior to deployment of changes into production).
Demonstrated strong people, analytical, planning and organizational skills.
Excellent oral and written communication skills.
Knowledge of managed care health insurance programs.
Understanding of cms guidelines for medicare advantage and managed care organizations a must, pffs, medicaid, commercial, and aso products preferred.
Strong facilitation and conflict resolution skills.
Strong interpersonal and coordination skills, with ability to interact with various clients and departments.
Fluent in ms office products (word, excel, powerpoint, access).
Working knowledge of sql report writing a plus (position will require learning basic working knowledge of sql report writing to meet department needs)
Dependable, enthusiastic, self-starting and self-motivated.
Ability to work in a fast paced and changing environment and react professionally under pressure.
Education:
High school diploma required
Minimum 1 to 3 years’ experience with pricing, contractual, benefits, or provider data configuration required
Minimum 1 to 3 years’ experience working with healthaxis, ika, facets, diamond or similar payer system required
Medicare managed care and hmo experience required
Experience in medicaid, commercial / aso managed care or in the design, planning, and implementation of a managed care enterprise-wide information system preferred
An equivalent combination of education, training and experience
Physical demands and working conditions:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this jobReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this position, the employee is frequently required to sit, either in an office environment, or in the context of operating a vehicleThe position is also required to: talk, hear, taste, smell, stand, walk; use hands and fingers to handle (or operate) objects, tools, or controls; reach with hands and arms; and occasionally climb and/or balance their body; and stoop, kneel, crouch, crawlThe employee must intermittently lift and/or move objects that weigh approximately 10-25 pounds, and on rare occasions lift and/or move objects that weigh approximately 50 poundsDuties are performed in environments that are primarily environmentally controlled in an office environment but may range to vehicles, employee’s home office, or outdoor settings in all weather conditions.
Review and comply with the all relevant company policies and procedures, local, state, and federal laws and regulationsEnsure that employees understand and comply with all-relevant company policies and procedures, and local, state, and federal laws and regulations, and establish effective internal systems and controls to promote such compliance.
The duties listed in this job description are intended only as illustrations of the various types of work that may be performedThe omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
Healthaxis group is an equal opportunity employerAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, disability status, or membership in any other group protected by federal, state or local law
