WellPoint is one of the nation's leading health benefits companies and a Fortune Top 50 company. At WellPoint, we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. The hours are Monday - Friday 11am - 8pm EST.
Responsible for planning and directing the implementation and administration of health care programs. Primary duties may include, but are not limited to: Prepares and communicates information to appropriate parties regarding health care programs, procedures, changes and government mandated disclosures. Recommends benefit plan changes to management. Supervises workflow and performance of Health Services staff. Ensures compliance with departmental policies and procedures. Performs audits to monitor efficiency and compliance with policies. Develops and implements associate training. Prepares reports. Plans and executes financial objectives, and forecasts staffing needs. May be assigned to special project work consistent with the role and dictated by the needs of the business. Serves as mentor to lower leveled managers and as subject matter expert for other areas of the company and within the department. Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability. Develops and manages annual operating budget. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a BA; 5 years of related experience and/or training; or any combination of education and experience, which would provide an equivalent background. 2 years of Call Center management experience is required. Strong background in data analysis preferred. Masters Degree preferred. Experience with Medicaid, HEDIS, NCQA is preferred. Must have excellent communication skills (verbal and written), interpersonal skills, and PC skills (Word, Excel, Access).
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE. M/F/D/V.
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