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Senior Benefits Specialist

University Clinical Health


Location:
Memphis , Tennessee 38104
Date:
09/07/2017
2017-09-072017-10-07
Job Code:
ADS0323
Job Type:
Employee
Job Status:
Full Time
Categories:
  • Benefits
University Clinical Health
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Job Details

SUMMARY

Senior Benefits Manager administers benefit programs and responds to employee inquiries. Develops, evaluates, recommends, and implements approved, new or modified plans and employee benefit policies, and supervises administration of existing plans. Proposes cost and time efficient changes to benefits programs, manage the annual benefit costs and budgets.Ensures compliance of all plans and programs with governmental regulatory agencies for both Benefits and HR. 

Requirements

KEY RESULT AREAS (KRAs)

¨      Credentialing process effectiveness

¨      Payer enrollment effectiveness

¨      Hospital privileging effectiveness

¨      Managed care contract effectiveness

¨      Provider relations

¨      Credentialing Committee support

¨      Regulatory compliance

¨      Employee development

¨      Employee effectiveness

 

 

KNOWLEDGE, SKILLS & ABILITIES, EDUCATION, and/or EXPERIENCE

¨      Bachelor’s degree in business, healthcare related field, or minimum of 7 years of relevant payer contract support, credentialing and/or enrollment experience, or an equivalent combination of education and relevant work experience.

¨      Managed care contract review and management experience strongly preferred

¨      3 years managerial experience strongly preferred

¨      Strong detail orientation and high work quality standards

¨      Knowledge of NCQA standards 

¨      Knowledge of Medicare/Medicaid/TennCare regulations, PPO, and HMO arrangements, third party payer protocols, and medical terminology

¨      Strong organizational skills and detail-oriented with the ability to multi-task

¨      High level critical thinking and problem-solving skills 

¨      Strong Excel and database management skills

¨      Demonstrated high levels of initiative, innovation, and collaboration.

¨      Desire for process improvement.

¨      Analytical and goal oriented

¨      Strong customer service orientation

¨      Strong time management and priorities management skills

¨      Excellent interpersonal, written and verbal communication skills

¨      Position can expect to spend 25% of time in meetings

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