Process Manager E&B

HealthFirst; Florida; On-site; USD 89,000 - 132,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401k

Job summary

Healthfirst is seeking a Process Manager for Enrollment and Billing (E&B) to lead and optimize core operational processes. You will monitor, report, and drive improvements across process tasks owned by LOB leaders, ensuring regulatory compliance and high-quality documentation.

You will collaborate with delivery teams within the E&B SDLC to assess impacts from new capabilities, develop metrics, and coach teams toward data-driven improvements, strengthening the connection to customer experience.

Qualifications

• Bachelor’s degree or equivalent experience.
• HS Diploma or GED from an accredited institution.
• Demonstrable understanding and proficiency of process management and Microsoft Office tools.
• Experience leveraging basic project management skills and tools.
• Experience in an operational healthcare department or related area.

Responsibilities

• Ensure successful execution of assigned business processes.
• Forecast, track, trend and report key KPIs.
• Ensure process compliance with regulatory requirements.
• Develop and manage a continuous improvement agenda for E&B processes.
• Collaborate with delivery teams to plan process impacts from new capabilities.
• Represent E&B processes as SME across metrics, systems, and people.
• Identify, implement and manage data measures and control points.
• Collect and communicate insights to stakeholders for process quality visibility.
• Use data-driven approach to optimize resource and system delivery.
• Link process throughput to customer experience.
• Develop and maintain process documentation and user support content.
• Lead and coach teams, developing learning plans.
• Manage stakeholder expectations and relationships proactively.

Skills

Process management

Microsoft Office

Project management basics

Healthcare operations

Education

Bachelor's degree

HS Diploma or GED

Tools

Microsoft Office Suite

Job description

The Process Manager for Enrollment and Billing (E&B) leads the execution of processes that support the delivery of critical health services for Healthfirst customers. The incumbent monitors, reports, and plans for improvement across a set of core operational processes. The process manager oversees and optimizes the daily execution of process tasks and procedures owned by line of business (LOB) leaders, manages the throughput of value through each process, and reports on process health. He/she is accountable for the development and management of all supporting process documentation, including reports, process maps, data measurements, user support content, and continuous improvement plans.

Duties & Responsibilities:

• Ensuring successful execution of assigned business processes
• Forecasting, tracking, trending and reporting out operational KPIs
• Ensure process compliance with regulatory requirements
• Developing and managing a continuous improvement agenda for E&B core operational processes
• Collaborating with delivery teams as part of the E&B Software Delivery Lifecycle to represent and plan for process impacts resulting from new capabilities
• Representing E&B processes as a subject matter expert across associated metrics, systems, and people
• Identifying, implementing, and managing critical data measures, metrics, and control points within processes
• Collecting, analyzing, and communicating insights to a variety of stakeholders to provide visibility on the quality of process execution
• Using a data-driven approach to articulate the throughput of value through a process and ensuring that resources and systems are optimized for delivery
• Connecting the throughput of a given process to customer experience
• Identifying, understanding, and managing impacts that are upstream and downstream to a given process
• Developing and maintaining all documentation to support process execution
• Ensuring the learning of all users within a given process and partnering on the development, planning, and delivery of supporting communication and training
• Communicating via channel and approach that is efficient, engaging, and appropriate for respective stakeholders
• Leading by example while developing teammates through coaching and learning plans
• Managing all key stakeholder expectations and relationships in a proactive manner
• Building people and teams through collaboration, actively seeking input and perspective from others, being an active listener, and celebrating success and failures as opportunities for improvement

Minimum Qualifications:

• Bachelor’s degree from an accredited institution or equivalent experience
• HS Diploma or GED from an Accredited Institution
• Demonstrable understanding and proficiency of process management Demonstrable proficiency with the Microsoft Office suite of applications
• Experience leveraging basic project management skills and tools
• Demonstrable proficiency of complex problem-solving skills Experience in an operational department within the healthcare industry (which can include commercial insurance plan, hospital, nursing home, third party administrators, or other related area).

Preferred Qualifications:

• Experience managing processes through business process management, LEAN or Six Sigma methodologies and tools
• Project management certification
• Two (2) plus years' experience in process management
• Experience with process mapping tools
• Healthcare experience a plus - industry work experience in healthcare such as hospital, managed or long-term care, insurance, government or other healthcare agency
• Experience with enrollment, billing, and payment processing processes

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $103,400 - $149,430
• All Other Locations (within approved locations): $88,700 - $131,920

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.