Job description
Description:
Responsible for collaborating and assisting the Health Plan President in the smooth and efficient operation of BayCare Health Plans. In this capacity, the Director shares responsibility for integrating the strategic plan of the organization with the operations while providing oversight for the development of high-quality, cost effective, compassionate care. Provides oversight and departmental responsibility for all areas of operation, provider engagement, provider contracting, vendor management, claims, data/analytics and administrative function oversight and program management. Expected to act in the absence of the President and exercise management responsibility over the health plan ensuring efficient services that are designed to meet the needs of members. This will either be done directly, or through delegation of responsibility to team members. Additional skills required include budget development and understanding of claims and health plan operations; program adherence to CMS / ACA guidelines and compliance; and vendor integration / vendor management skills. Ability to analyze and act on data to contribute to increased membership and consumer satisfaction. Must have demonstrated experience working in or providing oversight of health plan claims. Required experience is 5 years, Health Plan industry and 3 years, Health Plan Claims. Must have experience within Medicare Advantage or Medicaid.
Qualifications:
Certifications and Licensures
Education
Experience
Specific Skills
colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.