Director - Benefits & Claims Accolade
THIS JOB HAS EXPIRED Overview:
Job Mission Summary:
Accolade is a rapidly growing company with a goal to create simplicity out of the complex array of health care and health benefit services that large fortune 500 corporations offer to their employees. By helping individual employees and their families through the many decisions concerning health care and health benefits, and by simplifying their ability to access needed services at the needed time, we help get employees and their families better care, save them time and money, and reduce the cost of medical benefits for their employers.
Many opportunities to assist clients with healthcare decisions originate when they contact us with claims, benefits, eligibility, or disability questions. Since we neither process nor approve/deny claims, we are in a position to work on behalf of the employee to help resolve issues or questions. In this unique, hands on, customer-centric position, The Director, Claims and Benefit Services will serve as a subject matter expert for programs and processes related to Accolade?s work with customers on benefit/claim-related services. This innovative, strategic thinker will work across the organization, supporting its Health Assistants to partner with Product Development, Sales, and Client Services, as well as collaborate with Accolade?s customers and vendor partners. The Director will serve as a valuable resource in the operations of the organization as well as in the growth of the business through its enhanced products and services.
Operational site director - activities include:
Provides day-to-day support and subject matter expertise in the Health Assistant Operations Center.
Interfaces with our health plans and vendor partners to establish collaborative and effective process integration solutions that best support our client?s claims and benefit needs.
Assesses claims and benefit operational performance of our Health Assistants and identify and prioritize opportunities for improvement, including developing and mapping business processes and data flows.
New hire and remedial training supporting of our Claims and Benefit Coverage business solutions.
Develop, maintain and improve the usability of operational tools and process to support our Health Assistants.
Identify and develop metrics that demonstrate Accolade?s impact in supporting our client?s claims and benefit needs as well as our model.
Ensuring alignment between Operations, IT, and 3rd parties (i.e., health plans, PBMs, behavioral health, Employers, etc.) in operating and improving claim and benefit processes
Driving data-rich analysis resulting in continuous improvement of processes and continuous development of people using the processes
Supporting the growth of our business by implementing our claim and benefit processes for new customers and integrating with new 3rd party health plans, PBMs, etc.
Minimum five-plus years of progressive experience in a health insurance company.
Strong understanding of all claim and benefit plan options and administration.
Demonstrated success in program development and process flow design, implementation and management.
Ability to work effectively within a matrix environment and achieve results through influence and leadership.
Hands-on, action-oriented style complemented by solid strategic thinking and creative problem solving skills.
Excellent written and verbal communication skills; proven ability to communicate with a wide range of individuals across Accolade as well as externally with customers and other key stakeholders.
Able to successfully work within a fast-paced, dynamic, and evolving corporate environment.
Passionate and energetic.
Personal and Professional Attributes
The successful candidate will possess a wide range of needed personality traits, work habits, and social skills necessary to perform effectively within the organization. This individual will possess both personal and professional integrity, strong communication skills, and a professional
appearance and presentation.
Specifically, the following knowledge, skills, and abilities will
be required to be successful in this position:
Data-driven and fact-based; focused on getting the best answer for clients and shareholders.
Detail-oriented, inquisitive, problem-solving in nature.
Proven ability to ?roll up your sleeves? and make a contribution quickly.
A team player capable of working effectively with individuals throughout the organization.
Initiative, self-confidence, good judgment, and the ability to make decisions in a timely fashion.
Highly engaged, energetic, passionate, focused, and execution-oriented.
Strategic vision and thinking. Ability to position the organization for the future, looking beyond the present situation to conceptualize key trends and identify changing market demands. Operates from a perspective of truly caring about clients and creating value for them.
Strong work ethic; achievement-oriented; motivated beyond personal interests.
Problem-solves and approaches work from a ?return on investment? perspective.
Equivalent of a Bachelors degree and/or 5+ years progressive
experience in related industry ? preferably health care claims administration/operations.
||Plymouth Meeting, PA |
THIS JOB HAS EXPIRED