The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors, reports, and plans for improvement across a set of core operational processes. The process manager oversees and optimizes the daily execution of process tasks and procedures owned by line of business (LOB) leaders, manages the throughput of value through each process, and reports on process health. He/she is accountable for the development and management of all supporting process documentation, including reports, process maps, data measurements, user support content, and continuous improvement plans.
Duties & Responsibilities:
- Ensuring successful execution of assigned business processes
- Forecasting, tracking, trending and reporting out operational KPIs
- Ensure process compliance with regulatory requirements
- Developing and managing a continuous improvement agenda for E&B core operational processes
- Collaborating with delivery teams as part of the E&B Software Delivery Lifecycle to represent and plan for process impacts resulting from new capabilities
- Representing E&B processes as a subject matter expert across associated metrics, systems, and people
- Identifying, implementing, and managing critical data measures, metrics, and control points within processes
- Collecting, analyzing, and communicating insights to a variety of stakeholders to provide visibility on the quality of process execution
- Using a data-driven approach to articulate the throughput of value through a process and ensuring that resources and systems are optimized for delivery
- Connecting the throughput of a given process to customer experience
- Identifying, understanding, and managing impacts that are upstream and downstream to a given process
- Developing and maintaining all documentation to support process execution
- Ensuring the learning of all users within a given process and partnering on the development, planning, and delivery of supporting communication and training
- Communicating via channel and approach that is efficient, engaging, and appropriate for respective stakeholders
- Leading by example while developing teammates through coaching and learning plans
- Managing all key stakeholder expectations and relationships in a proactive manner
- Building people and teams through collaboration, actively seeking input and perspective from others, being an active listener, and celebrating success and failures as opportunities for improvement
Minimum Qualifications:
- Bachelor’s degree from an accredited institution or equivalent experience
- HS Diploma or GED from an Accredited Institution
- Demonstrable understanding and proficiency of process management Demonstrable proficiency with the Microsoft Office suite of applications
- Experience leveraging basic project management skills and tools
- Demonstrable proficiency of complex problem-solving skills Experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area).
Preferred Qualifications:
- Experience managing processes through business process management, LEAN or Six Sigma methodologies and tools
- Project management certification
- Two (2) plus years’ experience in process management
- Experience with process mapping tools
- Healthcare experience a plus - industry work experience in healthcare such as hospital, managed or long-term care, insurance, government or other healthcare agency
- Experience with enrollment, billing, and payment processing processes
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
Know Your Rights
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430
All Other Locations (within approved locations): $88,700 - $131,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
