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Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program. Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services. We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well being of our members and the community.
System Analytics Supervisor
Location
United States
Posted
53 days ago
Salary
$83.1K - $132.0K / year
Seniority
Mid Level
Job Description
System Analytics Supervisor
Hennepin County
Role Description Hennepin Health (HH) is seeking a System Analytics Supervisor to join their team. In this position, you will be providing training and direction to HH managed care Electronic Data Interchange (EDI), Enrollment, Coordination of Benefits (COB), Third Party Liability (TPL), and Subrogation (Subro) employees. You will also develop program goals and objectives and lead staff in providing daily monitoring of Department of Human Services (DHS) HH operations file processing, Enrollment activities, and COB, TPL, and Subro processing. This position will act as a liaison between healthcare business areas, Information Technology (IT) technical team, vendors, and trading partners, as well as serve as backup for external EDI, enrollment, COB, TPL, and Subro related committees and workgroups. Location and Hours - This position is remote. Remote workers may be required to come on-site 0 to 12 days a year for work meetings, trainings, or for any other reasons that their manager may deem necessary (may include additional days for onboarding and new employee training). - Work hours are typically Monday through Friday, between 8 a.m. to 4:30 p.m., with flexibility. - Based on business needs of this position, hires must live in or relocate to Minnesota. About the Position Type - This is a full-time benefit earning position. You must be a current regular or probationary employee. - This position is internally classified as an Administrative Assistant, Principal. Responsibilities - Provide training, goals, and direction to EDI, Enrollment, COB, TPL, and Subro employees. - Assign and check in on the progress of work, and at completion, document and provide progress reports to management. - Monitor employee performance and execute performance reviews. - Act as a program point of contact and operations subject matter expert (SME) and/or manage complex time sensitive benefits and technical projects to completion and resolution of EDI, Enrollment, COB, TPL, and Subro issues. - Document and implement complex Medicaid benefit and business requirements. - Create and update program policies and procedures. - Perform vendor and member data audits to validate contractual compliance and accuracy of data exchanged with the vendors and provide program approvals. - Monitor electronic claim submission and file reconciliation process with provider and clearing houses. - Lead business acceptance testing of files and interfaces to ensure accurate results. - Act as a program manager and SME for proposal and Request for Proposal (RFP) preparation. - Prepare program budgets and monitor related revenue and expenditures. Qualifications - One of the following: - Bachelor's degree or higher in business administration or other field appropriate to the position and five or more years of experience related to the position. - Nine or more years of experience in general administrative work related to the management of departmental/organizational operations or in a specialty area appropriate to the position. Nice to Have - Experience with technical Medicaid managed healthcare. - Experience in IT in the Medicaid managed healthcare payer field. - Experience in a supervisory role within a healthcare setting. - Experience reading and mapping Healthcare EDI transactions including but not limited to ANSII ASC X12 file standards with emphasis on the healthcare related 837P, 837I, 835 and 834 transaction sets. - Experience interpreting policies, procedures, laws, and regulations. - Experience coordinating departmental budgets and monitoring expenditures and revenue. - Experience with computer applications. Knowledge - Administrative principles and practices relating to the management of departmental operations. - The application of laws and regulations. Ability - Establish and maintain effective working relationships within and outside the organization. - Plan, organize, and lead complex projects to scope, timeline, and budget in the healthcare payer and/or financial industry. - Write complex reports and provide analytical conclusions of critical data. - Investigate and resolve complaints. - Develop and/or maintain program requirements and specification documents. - Communicate clearly and concisely both verbally and in writing. Company Description Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program. Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services. We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well being of our members and the community.
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