Member Operations Supervisor

MJHS; New York (NY); On-site; USD 54,000 - 66,000; Full time

Job summary

An established industry player in healthcare is seeking a Member Operations Supervisor to lead the operations team. This role is crucial for managing day-to-day activities, analyzing procedures, and ensuring compliance with regulatory standards. The successful candidate will be detail-oriented, possess strong analytical skills, and have a background in managed care organizations. Join a dynamic team that values efficiency and innovation in improving member services. If you thrive in a fast-paced environment and are ready to make a significant impact, this opportunity is for you.

Qualifications

• Bachelor's degree required; Master's degree preferred.
• Two years of supervisory experience preferred.

Responsibilities

• Manage day-to-day activities of the Member Operations staff.
• Analyze existing procedures and develop workflows based on regulatory changes.

Skills

MS Office (Access, Excel, PowerPoint, Word)

AMISYS

Market Prominence

Crystal Reports

Knowledge of managed care organizations

Ability to multitask

Analytical skills

Education

Bachelor's degree

Master's degree

Tools

AMISYS

Crystal Reports

Job description

Join to apply for the Member Operations Supervisor role at MJHS.

Job Details

Location: New York, NY

Salary Range: $54,878.00/yr - $65,853.00/yr

Responsible for managing the day-to-day activities of the Member Operations staff. Analyzes existing procedures, develops workflows and processes based on analysis and regulatory changes, and communicates these changes to staff. Manages internal audit processes and recommends appropriate actions. Generates, maintains, and distributes member eligibility files to vendors securely and according to the schedule. Prepares for and participates in external regulatory audits (e.g., DOH, DOI, CMS). Assists the Director with the production of monthly board reports.

Minimum Qualifications

• Bachelor's degree required; Master's degree preferred
• Two years of supervisory experience preferred
• Proficiency in MS Office (Access, Excel, PowerPoint, Word); experience with AMISYS, Market Prominence, Crystal Reports preferred
• Knowledge of managed care organizations, CMS, and Federal regulations
• Ability to multitask, think and act independently, delegate appropriately
• Detail-oriented and analytical

Additional Information

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Management and Manufacturing
• Industry: Hospitals and Healthcare

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