Process Manager E&B

Healthfirst; Kansas; On-site; USD 89,000 - 132,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k contributions

Life insurance

Job summary

Healthfirst is seeking a Process Manager for Enrollment and Billing to lead critical operational processes and improve performance. You will monitor, report, and plan enhancements, collaborate with delivery teams, and maintain process documentation to support a data-driven, compliant operation.

The role emphasizes coaching, stakeholder management, and continuous improvement in a healthcare environment, with a focus on throughput, quality, and customer experience.

Qualifications

• Bachelor’s degree or equivalent experience in a relevant field.
• Strong understanding of process management and MS Office.
• Experience with project management basics and continuous improvement.

Responsibilities

• Leading execution of Enrollment & Billing processes.
• Forecasting, tracking, and reporting operational KPIs.
• Ensuring regulatory compliance and process documentation.
• Collaborating with delivery teams to plan process changes.
• Maintaining process maps, data measures, and training materials.
• Communicating insights to stakeholders to show process health.

Skills

Process management

Data analysis

Communication

Cross-functional collaboration

Problem solving

Education

Bachelor’s degree or equivalent experience

HS Diploma or GED

Tools

Microsoft Office

Process mapping tools

Project management tools

Job description

The Process Manager for Enrollment and Billing (E&B)

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.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [e-mail] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying.

Know Your Rights

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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
• 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.

Healthfirst is New York’s largest not-for-profit health insurer offering it’s nearly 1.7 million members access to high-quality, affordable healthcare. As part of the community for nearly 30 years, Healthfirst’s unique advantage is rooted in its belief that good health doesn’t start in a doctor’s office. The company’s mission is to put its members first by working closely with care providers and community leaders to address broader issues that can impact health and well‑being. This value-based care model is the foundation of the company’s sustained growth in one of the most dynamic markets in the country. So, if you are passionate about what you do and want to work for a company that is focused on the future and dedicated to making a difference in people’s lives, then Healthfirst is for you.