Team Lead, Configuration Testing (Benefits/App Support/CES)

CareSource; Brasil; Teletrabalho; BRL 538.000 - 702.000; Tempo integral

Resumo da oferta

A leading health insurance provider in Brazil is seeking a professional to oversee daily operations related to medical benefits and claims processing. The ideal candidate will have a Bachelor's degree and at least three years of experience in the health plan industry, with strong communication skills and advanced computer proficiency. This role offers a competitive salary, bonuses, and opportunities for career advancement.

Serviços

Comprehensive total rewards package

Potential for performance-based bonuses

Career advancement opportunities

Qualificações

• Minimum of three years of experience in health plan business or systems solutions.
• Strong knowledge of medical terminology and claims processing.

Responsabilidades

• Oversee daily activities related to medical benefits and claims workflow.
• Train and develop team members to ensure task completion.
• Audit system configurations for compliance and fraud risk minimization.

Conhecimentos

Advanced computer skills

Excellent written and verbal communication skills

Knowledge of medical terminology

Formação académica

Bachelor’s Degree or equivalent

Ferramentas

Facets or similar processing systems

Microsoft Suite (Word, Excel, Access)

Descrição da oferta de emprego

Employer Industry: Health Insurance

Why consider this job opportunity:

• Salary up to $130,200.00
• Potential for performance-based bonuses
• Comprehensive total rewards package focused on employee well-being
• Opportunity for career advancement and professional development
• Supportive work environment that encourages collaboration and partnership
• Involvement in critical projects impacting healthcare services and operations

What to Expect (Job Responsibilities)

• Oversee daily activities related to the testing of medical benefits, provider reimbursement, and claims workflow
• Train and develop team members, guiding them towards successful task completion
• Prioritize and elevate work requests, ensuring effective resource management
• Track issues and coordinate with business areas to provide timely solutions
• Audit system configurations to ensure compliance and minimize fraud risk

What is Required (Qualifications)

• Bachelor’s Degree or equivalent years of relevant work experience
• Minimum of three (3) years of experience in health plan business or systems solutions
• Advanced computer skills, particularly in Facets or similar processing systems
• Strong knowledge of medical terminology and claims processing
• Excellent written and verbal communication skills

How to Stand Out (Preferred Qualifications)

• Prior supervisory experience in a healthcare setting
• Certified Professional Coder (CPC) certification
• Experience with regulatory reporting and compliance requirements
• High level of programming and systems development knowledge
• Proficiency in Microsoft Suite, including Word, Excel, and Access