At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
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Job Summary
This Position Is Responsible For Managing One Or More Areas In Subscriber Services.PLAN OPERATIONS
JOB PURPOSE: This position is responsible for managing one or more operational areas in Plan. This role is responsible for managing production teams that enter data, determine eligibility, and interact with state regulator systems related to provider independent disputes. This role is responsible for ensuring the end-to-end operations are compliant with the state laws and regulations including timelines and accuracy. Additionally, establishing processes, improving processes, and providing reports to senior leaders and specific clients will be key for this role.
PLAN OPERATIONS:
JOB REQUIREMENTS:
- Bachelor’s degree OR 4 years of business experience.
- 4 years of leadership or supervisory experience.
- Clear and concise verbal and written communication skills.
- Analytical and organizational skills.
- PC proficiency to include Word, Excel, PowerPoint, and Lotus Notes.
PREFERRED JOB REQUIREMENTS:
- Production management control experience, and knowledge of automated and manual systems.
- Supervisory experience in a call center environment.
- Knowledge of the health care industry.
- Knowledge of contract benefits, claim processing, and inquiry procedures, system logic or the processing system.
- Knowledge of federal and state regulations.
- Claims experience
- Medicaid knowledge & experience
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
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