Benefit Management Operations Manager

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. 

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company's mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers unparalleled opportunities. You have all you need to take charge of your career and accelerate better outcomes, making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. 

This is an onsite position based out of our Cheyanne WA office

Acentra is seeking a Benefit Management Operations Manager to join our growing team.

Job Summary:

The Benefit Management Operations Manager is the main point of contact for operational issues associated with the services provided for WY-BMS.  Manages the day-to-day operations for the WY-BMS program, assuring quality customer service and support for clients and staff, including developing and enforcing operational policies and procedures, managing staff, monitoring, and managing correspondence between external stakeholders and the company, and operational status reporting to leadership. The Benefit Management Operations Manager shall understand and ensure compliance with Agency, State, and CMS guidance related to benefit and claims processing services including claims intake, pricing, processing, reference data, and business operations, and shall ensure that the operational staff providing services for WY-BMS are sufficiently trained and knowledgeable.   This position is located in the Cheyenne, WY office and reports to the WY-BMS Program Director. 

Job Responsibilities:

• Coordinates, directs and/or manages program operations for WY-BMS and directly supervises the Claims Manager, the Call Center and Relations Manager, and the Technical Services Delivery Manager.
• Develops and maintains procedures and practices for accomplishing program goals and objectives.
• Develops and monitors business and financial metrics related to the day-to-day operational success of the program; reports and measures progress toward operational goals through periodic reviews.
• Coordinates all aspects of the program operations including program coordination, scheduling, work plan management, status reporting, issue resolution tracking, change management, and responding to customer inquiries and issues.
• Assumes responsibilities for the Program Director in his/her absence.
• Resolves program or department operations issues or delegates to the appropriate personnel or staff members for prompt resolution.
• Demonstrated leadership skills and ability to be a team player.
• Must be able to tolerate frequent work interruptions, organize work and reset priorities in order to complete work assignments in a timely manner.
• Work efficiently both individually and within a team to accomplish required tasks.
• Ensure all contractual SLAs for WY-BMS are in place, reported on timely, and met.
• Monitor staffing goals to ensure fiscal responsibilities.
• Work closely with development team to ensure system enhancements supports WY-BMS.
• Identifies trends in issues and data and makes recommendations related to improving client, provider, and member satisfaction and internal efficiencies.

Requirements

Required Qualifications/Experience:

•  Requires a bachelor’s degree and 3 years of experience in a healthcare related industry or an equivalent combination of education and experience.
• Requires minimum of 3 recent years of management experience.
• Requires public or private sector healthcare experience and/or has been involved in providing services to government or commercial programs.
• Must be able to Work onsite at our Cheyanne WA Office
• Must have the ability to work within the company’s decision-making and organizational structure.
• Requires skills in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of U.S. healthcare industry.
• Expertise in employee development and performance management skills.
• Ability to analyze resources and environment appropriate to the scope of responsibility and design a course of action consistent with the company’s mission and strategic plan.
• Demonstrated achievement in P&L management, operational process engineering, remote operations management and new business development support.
• Ability to successfully manage change and growth.
• Kno