Health Insurance Operations Manager jobs in Norfolk, VA

City/State

Overview

Work Shift

This is aFull Timeposition with day shift hours and great benefits!

Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming!

Job responsibilities:

• The Business & Systems Operations, Team Coordinator will perform activities that provide business solutions to complex organizational initiatives and should demonstrate an extensive expertise in key platforms and any interfacing applications. The person will play a key role in the benefits configuration and implementation of the Commercial/Group Insurance Lines of Business. He/She will be responsible for claims, system admin, and other system analysis, configuration design, testing and documentation. The person will work with management in the department to establish realistic project scope, project plans, timelines & escalate barriers and consider interdepartmental impact when recommending, implementing and testing solutions.

• Possess a high degree of expertise in the business requirements that support governmental & commercial reimbursement policies and methodologies of the organization

• Coordinate configuration, testing, QA & maintenance of assigned systems and the associated platform functionality for the program

• Manage configuration/testing projects

• Train and coach analysts

• Manage team workload, provide guidance, instruction and leadership to analysts to achieve desired performance, ensure that the individual benchmarks are met

• Perform complex testing, data analysis and draw business conclusions for decision making

• Manage 5 Direct Reports

Required qualifications

• - BLD - Bachelor's Level Degree required

• 3 years experience in Analytics

• 3 years MS SQL server experience including writing SQL queries, SQL Server Analysis Services, SQL Server Reporting Services, SQL Server Integration Services (advanced SQL)

Preferred qualifications:

• 3 years experience in Commercial/Group Health Insurance and Project Management highly preferred

• 3 years in a leadership/people management role highly preferred

• QNXT experience preferred

Job Summary

Qualifications:

Skills

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.