Health Navigation Operations Manager - Virtual

Amazing Opportunity and Great Place to Work!

Are you looking for an exciting opportunity? Join our team!

Our story

At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”

Our Values:

Champion People – be empathetic and help create a place where everyone belongs.

Grow with purpose – Be inspired by our higher calling of improving lives.

Be Alight – act with integrity, be real and empower others.

It’s why we’re so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation.

With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work.

Join our team if you Champion People, want to Grow with Purpose through acting with integrity and if you embody the meaning of Be Alight.

Learn more at careers.alight.com. 

About the Role

This role provides leadership and guidance to a team of Claims Specialist who work to resolve billing inquiries & discrepancies . Oversee daily planning, problem-solving, process improvement to meet production & quality targets. Enhance operational routines, improve claims resolution methods. Support product delivery while meeting business metrics.

Responsibilities

• Leading daily operations to ensure KPIs and SLAs are met. Monitor activities to meet deadlines, review claims cases for quality,
• Collaborating with the Quality team to close gaps. Serve as an escalation point for the Claims Specialists, and adjust workloads as needed.
• Creating and manage short-term and long-term career goals for Claims Specialists.
• Using subject matter expertise to refine and enhance claims review processes for better customer experience.
• Mentoring and track development of Claims Specialist team through performance metrics and feedback sessions.
• Instilling trust, provide direction, and vision to the Claims Specialist team.
• Communicating Effectively operational strategies. Conduct training on client-specific topics and contribute to ongoing training improvements.
• Delivering performance management processes. Provide project management support for business-impacting initiatives.
• Offering process improvement ideas to enhance customer experience and delivery efficiency.

Requirements

• Possess a Bachelor’s or Associate’s in a related field or equivalent work experience required.
• 3 years' of manager level experience, in a healthcare setting
• 2 years’ experience working with billing cycle in a healthcare provider or insurance carrier setting
• Able to work effectively in a team environment Possess excellent oral, written, and interpersonal communication skills
• Desire to learn continually in a changing environment
• Possess exceptional analytical, problem-solving, and organizational skills
• Able to efficiently organize work activities to meet deadlines
• Able to effectively manage a team.

Alight requires all virtual interviews to be conducted on video.

Flexible Working

So that you can be your best at work and home, we consider flexible working arrangements wherever possible.  Alight has been a leader in the flexible workspace and “Top 100 Company for Remote Jobs” 5 years in a row.

Benefits

We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as several voluntary benefit options. 

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