Membership Director jobs in Portland, OR

Let’s do great things, together!

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

1. Direct and lead the membership accounting personnel in accurate and timely business operation functions including enrollment, eligibility maintenance, premium billing, and reconciliation.
2. Perform hiring, coaching and staff development for manager and supervisors within Membership Accounting.
3. Direct and lead BHS membership accounting personnel including enrollment and premium reconciliation, carrier communications and oversight. 
4. Coach and motivate staff to provide excellent service to all customers; external and internal.
5. Direct and lead the business implementation unit in the set up and maintenance of new business and renewals working closely with Sales and Account Services.
6. Work with various department stakeholders in the development and implementation of key strategies to enhance overall operations of Moda and Membership Accounting.
7. Oversees budget and expenditures relating to running the Membership Accounting department.
8. Communicate effectively with clients, vendors, and internal staff to meet the goals and objectives of the department.
9. Develops departmental strategic plans focused on improving overall operations and exceeding Moda goals.
10. Other duties as assigned

1. Bachelor’s degree or equivalent specializing in Business Administration. Master’s degree or equivalent is strongly preferred.
2. At least eight years of work experience in health care insurance or relative business experience is required.
3. Must have the ability to establish and maintain relationships with a variety of business and healthcare executives.
4. Experience in facilitating change, including collaboration with key business stakeholders and executives.
5. Proven internal and external influencing skills at senior and executive management levels.
6. Solid analytical, problem solving, decision making and organizational skills.
7. Ability to provide leadership in change management and continuous process improvement.
8. Strong verbal, written and interpersonal communication skills.
9. Ability to deliver results consistently by getting things done on time, successfully planning and organizing goals, and is very bottom-line oriented ensuring service level agreements are met.
10. Ability to work well under pressure with frequent interruptions and shifting priorities.
11. Ability to accurately prioritize and organize short-term and long-term responsibilities in response to changing demands.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our humanresources@modahealth.com email.