Supervisor Health Plan Operations - USFHP

Pacific Medical Centers; Seattle (WA); On-site; USD 54,346 - 84,364; Full time

Benefits offered by this job

Best-in-class benefits

Focus on professional growth

Financial security support

Job summary

A healthcare organization in Seattle seeks a Supervisor for Health Plan Operations. This role involves directing workflows, ensuring compliance with guidelines, and training staff. Ideal candidates will have 4 years in health care claims and supervisory experience. Join a mission-driven team dedicated to serving the community's health needs. Competitive salary and on-site work environment are offered.

Qualifications

• 4 years of health care claims experience required.
• 2 years in a supervisory role preferred.

Responsibilities

• Organizes and directs daily activities and workflows.
• Ensures service delivery meets operational requirements.
• Prepares reports and conducts compliance audits.

Skills

Health care claims experience

Supervisory capacity

Education

Bachelor's Degree in Health Care Administration or Business Administration

Job description

Supervisor Health Plan Operations - USFHP

Join to apply for the Supervisor Health Plan Operations - USFHP role at Pacific Medical Centers

Description
Organizes and directs the daily activities and department workflows of USFHP operational departments under the supervision of the Director of USFHP Operations. Responsibilities include ensuring accurate and timely service delivery in keeping with the requirements of the operational area(s). Provides training and assures compliance with Department of Defense (DoD)/Defense Health Agency (DHA) and other government agency guidelines and contract requirements. Sets department policy and monitors compliance with same. Ensures standards are met. Prepares monthly, quarterly, annual and ad hoc reporting and conducts audits to assure continued compliance with standards. Monitors TRICARE and other pertinent regulatory guidelines and educates staff of changes. Identifies and solves issues with outside providers/vendors. Serves as the principal department contact with IT for managed care operations platforms. Manages revisions/upgrades to software as relates to the pertinent department(s). Responsible for storage and retrieval of department documentation in keeping with the Defense Health Agency (DHA) Records Management requirements. Serves as a member of the US Family Health Plan management team. Participates in managing the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team.

Required Qualifications

• 4 years Health care claims experience.
• 2 years Supervisory capacity, including Lead role; or six months supervisory experience within Pacific Medical Centers.

Preferred Qualifications

• Bachelor's Degree in Health Care Administration or Business Administration.

Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Location: WA Seattle 1226 S Judkins St. Workplace Type: On-site. Pay Range: $39.45 - $61.24.

Equal Opportunity Employer
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.