Description
Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.
Job Summary Job SummaryThe Senior Manager of HCM Operations is responsible for management, and execution of a wide scope of operational processes and workflows, to include support and leadership for all HCM administrative services, customer service/triage of authorization, including HCM system administration. Collaborate with all HCM functional areas to review, revise and implement current/potential new business processes and provide recommendations for new or enhanced solutions, including but not limited to hardware and software, that support current and future HCM operations demand. This role will require active participation in developing and managing project plans, creation and/or updating of Standard Operating Procedures (SOP), outlining tasks to be completed, timeframes, and dedicated resources needed to complete daily/weekly/monthly/quarterly/annual duties. This position requires sound operational management ability.
Required Job Qualifications:
- Bachelor's degree and 5 years of relevant experience OR 9 years of relevant experience.
- Minimum of 3 years' experience in call center environment
- Minimum of 2 years' experience in leadership/management
- Read and comprehend documents, criteria, instructions, and policy and procedure manuals.
- Speaks effectively with clients, physicians, providers, and members.
- Evaluate and solution problems, develop alternative models and identify trends and patterns.
- Ability to prioritize efforts when faced with tight deadlines and multiple, complex projects.
- Ability to travel to regional field offices and Home Office
- A demonstrated ability to think/work/prioritize independently.
- Effective verbal and written communication skills, including the ability to translate technical language to non-technical listeners.
- Proven management experience with the ability to motivate, organize, direct and evaluate other professionals and support diverse staff while fostering creativity and innovation in the workplace.
- A demonstrated ability to adapt, quickly learn new skills and serve as a sponsor of change
Preferred Job Qualifications:
- Medical Coding Certification
- Previous experience in a healthcare or insurance environment
- Three years of TPA (Third Party Administration) management experience.
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EEO Statement:All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability.
Pay Transparency Statement:
At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.
The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.
Min to Max Range:
$55,300.00 - $103,800.00Apply on company website
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