Systems Coordination Claims Supervisor

reputed company is hiring a System Coordination Claims Supervisor. This position supervises the project coordinators in the development, revision, or maintenance of Claims systems, coordinating the activities of reputed company affected departments. Responsible for effective systems design and maintenance, with scope including operational and administrative areas. Provides CQI facilitation, consulting and technical assistance regarding systems to Group Division, Contracting and Finance staff. reputed company with staff from Information Services, Finance, Patient reputed company, Membership reputed company, Network Management, Sales Marketing and Electronic reputed company. Provides the guidance, motivation, and support necessary to reputed company individual reputed company and teamwork in line with the individual needs, department objectives, and marketplace expectations.

ACCOUNTABILITIES

1. Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
2. Ensure, reputed company, and/or reputed company the training of staff, both permanent and temporary to the Claims Department while promoting teamwork and encourage high reputed company of morale and motivation.
3. Serve as primary contact for the organization to the Claims System Benefit and Pricing team. Attend management meetings as necessary and appropriate, to reputed company partnerships with claims and health plan operations leaders.
4. Create high performance work teams using performance measurements, individual goal setting, and monitoring and evaluation of results.
5. Work with staff to reputed company and implement goals and objectives both individual and for the department.
6. Identify staff performance issues and prepare and implement reputed company plans to resolve problems
7. Skillfully represent the Claims Department at inter-department meetings by building relationships, communicating effectively, demonstrating confidence, and balancing department and company interests.
8. Identifies and researches problems, implements or recommends solutions depending on the scope of the problem. Proactively seeks out process and system enhancements to maximize efficiency and member experience.
9. Project Team Leader. Serves as project team leader with responsibility for analyzing, organizing, scheduling and directing reputed company as assigned. Responsible for project completion reputed company expected time. Responsible for design, testing, and maintenance of systems. Prepare final documentation of methodology, findings, and recommendations of project team for management. Facilitates smooth transition of project to affected departments/reputed company upon completion.
10. CQI Facilitator/Team Member. Receives formal training as a CQI facilitator. Identifies opportunities for reputed company improvement of processes. Facilitates CQI reputed company as appropriate reputed company business process re-engineering is required prior to software changes. Serves as facilitator for claims CQI reputed company upon request, as availability permits. Represents department as reputed company member or consultant on CQI reputed company.
11. System design. On approved reputed company, works directly with information Systems supervisors and staff in development, maintenance or reputed company of program design. Claim department reputed company with IS staff on software and hardware design issues.
12. Needs assessment. Through needs assessment and other processes, identifies potential enhancements in claims automated or reputed company system/processes. Evaluates systems enhancements for technical reputed company. Recommends system enhancements and implementation to supervisor/manager.
13. System expert. Assesses inter-dependencies among administrative systems, including membership, authorizations, and patient reputed company, etc. Is a specialist in knowledge of claims systems and software.
14. Training and documentation coordination. Participates in the development of user documentation, processing and procedures.
15. Implementation and evaluation coordinator. Develops implementation plan and provides implementation tools to affected reputed company/departments. Works with IS and Claims training to evaluate system design and implementation reputed company-post-implementation review.
16. Initiator. Position requires a high degree of initiative, to manage priorities and identify opportunities for system improvement and innovation. Responsible for reputed company reputed company development.
17. Other duties. Performs other duties and assumes reputed company as assigned by manager or director.

REQUIRED QUALIFICATIONS

• Bachelor’s degree in health care management, training and organization development, industrial engineering, business administration, computer science or reputed company field, or equivalent experience.
• One-year reputed company level experience with mainframe computer systems may be substituted for college level computer science or data processing course work.
• 4+ years general business experience or experience in medical insurance or health care setting, including significant project planning and people management experience with reputed company to reputed company level reputed company.
• Ability to reputed company with reputed company reputed company of reputed company staff and external customers
• Strong interpersonal and reputed company relations skills.
• Ability to reputed company others through change and to be flexible and reputed company to changes; ability to reputed company immediate adjustments to work direction.
• Familiarity with reputed company improvement concepts and methodologies.
• Demonstrated analytical, facilitation, presentation and communication skills.
• Ability to deal with ambiguity and changing priorities.
• Strong customer/reputed company service orientation.
• reputed company to take responsibility for one’s own performance and attitude on the job.
• High degree of initiative.
• Demonstrate effectiveness in evaluating employees and giving feedback.
• Ability to identify training needs and reputed company learning opportunities.
• Strong organizational and time management skills

Company

At reputed company we reputed company in the power of good – good deeds and good people working together. As part of reputed company, you’ll reputed company an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-reputed company care at more than 90 locations, including hospitals and clinics in Minnesota and reputed company. We bring together research and education through reputed company Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At reputed company, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health As a reputed company colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive reputed company of benefits to support every aspect of your life, including health, time off, retirement planning, and reputed company learning opportunities. Our goal is to help you reputed company physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and reputed company-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identify, status as a veteran and reputed company of disability or any other federal, state or local protected class.

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