Process Manager Enrollment and Billing
Greenwood, IN - USA
Job Summary
This position requires three days per week in office (Tues/Wed/Thurs) at either: 100 Church Street NYC or 1101 Greenwood Lake Mary FL.
Duties & Responsibilities:
Ensuring successful execution of assigned business processes
Forecasting tracking trending and reporting out operational KPIs
Ensure process compliance with regulatory requirements
Developing and managing a continuous improvement agenda for E&B core operational processes
Collaborating with delivery teams as part of the E&B Software Delivery Lifecycle to represent and plan for process impacts resulting from new capabilities
Representing E&B processes as a subject matter expert across associated metrics systems and people
Identifying implementing and managing critical data measures metrics and control points within processes
Collecting analyzing and communicating insights to a variety of stakeholders to provide visibility on the quality of process execution
Using a data-driven approach to articulate the throughput of value through a process and ensuring that resources and systems are optimized for delivery
Connecting the throughput of a given process to customer experience
Identifying understanding and managing impacts that are upstream and downstream to a given process
Developing and maintaining all documentation to support process execution
Ensuring the learning of all users within a given process and partnering on the development planning and delivery of supporting communication and training
Communicating via channel and approach that is efficient engaging and appropriate for respective stakeholders
Leading by example while developing teammates through coaching and learning plans
Managing all key stakeholder expectations and relationships in a proactive manner
Building people and teams through collaboration actively seeking input and perspective from others being an active listener and celebrating success and failures as opportunities for improvement
Additional duties as necessary or assigned
Minimum Qualifications:
Bachelors degree from an accredited institution or equivalent experience
HS Diploma or GED from an Accredited Institution
Demonstrable understanding and proficiency of process management Demonstrable proficiency with the Microsoft Office suite of applications
Experience leveraging basic project management skills and tools
Demonstrable proficiency of complex problem-solving skills Experience in an operational department within the healthcare industry (which can include commercial insurance plan hospital nursing home third party administrators or other related area).
Preferred Qualifications:
Experience managing processes through business process management LEAN or Six Sigma methodologies and tools
Project management certification
Two (2) plus years experience in process management
Experience with process mapping tools
Healthcare experience a plus - industry work experience in healthcare such as hospital managed or long-term care insurance government or other healthcare agency
Experience with enrollment billing and payment processing processes
Compliance & Regulatory Responsibilities: Noted above
License/Certification: NA
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race color creed religion sex national origin sexual orientation pregnancy age disability genetic information domestic violence victim status gender and/or gender identity or expression military status veteran status citizenship or immigration status height and weight familial status marital status or unemployment status as well as any other legally protected basis. HF Management Services LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment please contact us by sending an email to or your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services LLC.
All hiring and recruitment at Healthfirst is transacted with a valid @ email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @ or not one of our recruitment partners please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY NJ CT residents): $103400 - $149430
All Other Locations (within approved locations): $88700 - $131920
As a candidate for this position your salary and related elements of compensation will be contingent upon your work experience education licenses and certifications and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary Healthfirst offers employees a full range of benefits such as medical dental and vision coverage incentive and recognition programs life insurance and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in good faith would pay to a new hire or for a job promotion or transfer into this role.
Required Experience:
Manager
About Company
Healthfirst offers no- and low-cost Medicare Advantage, Medicaid, and Long-Term Care plans in NYC, Long Island, Rockland, Sullivan, and Westchester counties.