Job Summary

Manage, maintain, and continuously improve daily operations in Premium Management and Fulfillment including member and client support, contract administration, system support, report management, premium invoicing, health benefit documents, and member ID cards. Manage and resolve complex member issues and provide clear status communication to appropriate parties. Monitor and manage performance of team members. Ensure that team/department milestones and goals are met.

Essential Functions

• Oversee the daily operations for Premium Management and Fulfillment activities by planning, organizing, and staffing assignments appropriately. Manage premium management and fulfillment activities to ensure tasks are completed timely and accurately. Establish team controls. Implement, manage, and ensure the team meets quality standards.
• Decision support as requested by senior management or staff regarding workflow and process improvement opportunities. Participate in strategic and budget planning with senior management.
• Facilitate continuing improvement of processes to maximize system capability and process workflows to support customer requirements.
• Leads staff to be a highly engaged team focused on innovations, service experience and critical thinking for problem solving.
• Address issues timely, collaborate with other teams, provide status updates appropriately. Ensure timely communication and responses to customers, both internal and external.
• Support consumer experience strategy of brilliant at the basics in terms of time, cost, quality, and experience.
• Responsible for interviewing and hiring personnel; developing a high performing team; and managing performance of all team members, taking corrective action as needed.
• Develop and maintain adequate business acumen, both specific to the organization and to the industry. Provide timely and adequate reporting to management.

Qualifications

Required

• Bachelor's Degree (or equivalent education and experience) in Business Administration or related field
• 3 years of relevant experience in a leadership role
• 2 years of relevant experience in group administration and/or premium billing and/or fulfillment or operations in healthcare insurance environment
• Experience working with Vendor Management
• Experience working with Facets and/or Epic
• Able to come on site up to 3 days per week to our Grand Rapids location

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1241 E Beltline - Grand Rapids

Department Name

PH - Revenue Cycle Administration

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.