Senior Manager, Service Operations
New
C
CloverHealth Insurance
Remote-first culture, enabling collaboration with global teamsFull-TimeManager
Salary$129,200 — $168,000 USD
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Job Details
- Experience
- 3+ years of vendor/BPaas management and oversight experience; 5+ years of Medicare mailroom or enrollment and billing experience.
- Required Skills
- ComplianceReporting
Requirements
- 5+ years of Medicare mailroom or enrollment and billing experience.
- 3+ years of vendor/BPaas management and oversight experience.
- Strong communication skills with experience developing and maintaining professional relationships.
- Proven ability to effectively multitask.
- Proficiency in deciphering reports and dashboards.
- Experience producing professional presentations and diagrams.
Responsibilities
- Manage all Enrollment and Billing operations effectively, efficiently and compliantly.
- Ensure members are billed accurately and timely for monthly premiums and Late Enrollment Penalties.
- Direct and oversee incoming mailroom activities including the scanning, sorting and routing of incoming mail.
- Serve as the point of contact for regulatory requirements, including Medicare Program Audits and CMS Attestations.
- Develop relationships, own communications, and manage day-to-day interactions with BPaas vendors.
- Hold BPaas and internal resources accountable to deadlines, deliverables, and remediation plans.
- Review vendor performance against SLAs and CMS requirements.
- Develop and track work plans to establish operational objectives.
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