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Health Net, Inc.

Healthcare Claims Manager, Encounter Business Operations - Military veterans preferred

Health Net, Inc. - Austin, TX

Position Purpose: Conduct business and strategic analyses, including the identification of solution alternatives and determining best case recommendations for encounters and encounter reporting. Establish guiding principles and standards for encounters. Manage the overall performance of encounter business operations staff.Drive process decisions and strategic vision in support of encounter initiatives
Provide oversight for the annual operating plan (AOP) and new business initiatives
Develop and grow a team with the right skills and tools for the growing needs of the department
Manage and mentor team in methods and technology
Create and maintain re usable policies, procedures, and formats suitable to the new business development and maintenance activities of the organization
Develop successful partnerships with necessary departments, health plans, and specialty companies to help communicate encounter needs.
Outline and achieve departmental goals in support of organizational goals
Identify, assess, and communicate risks for the business unit in a timely mannerEducation/Experience: Bachelor\u2019s degree in Health Care Administration, IT, related field or equivalent experience. 5 years of healthcare claims and operations experience with IS/IT and/or business analyst experience preferably in managed care or Medicaid. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Knowledge of, Microsoft Office applications and EDI 837 transactions preferred. Familiarity with reading queries and query tools preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

8 days 11 hours ago

Health Net, Inc.


Healthcare Claims Manager, Encounter Business Operations - Military veterans preferred Health Net, Inc. - Austin, TX, United States


Location: Austin, TX

Company Profile:
Health Net's mission is to help people be healthy, secure and comfortable.