Government Programs Administrator
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor’s Degree in Business Administration, Healthcare or related field.
- Related and relevant experience may be considered in lieu of academic requirements. Related experience is defined as six (6) years’ experience in a managed health care business environment.
- Completion of Advanced Access, Excel, Cognos training preferred
- Minimum of five (5) years of progressive experience in a healthcare or insurance environment required.
- Minimum of three (3) years of experience in project development, management and/or implementation with a strong emphasis on management in a Pharmacy and/or Medicare operations required.
- Minimum of two (2) years progressive analytical experience in a healthcare or managed care/insurance environment required.
- Ability to research, analyze, interpret, trend, and implement process improvement initiatives
- Strong leadership abilities across multi-disciplinary teams
- Strong interpersonal skills
- Proven managerial/supervisory skills from previous work experience.
- Excellent communication, analytical, and decision-making skills.
- Advanced analytical and statistical skills required
- Knowledge of GQL, SQL, Cognos, IKA and FACETS.
- Knowledge of EDI & SFTP file exchanges
- Advanced knowledge of Medicare processes & procedures
- Ability to adapt quickly to ever-changing organizational needs
- Ability to comprehend and suggest modification to technical computerized systems.
- Exceptional commitment to Service Excellence.
- Ability to meet with clients and vendors as needed to explain procedures, requirements, and handle problem resolution.
- Basic understanding of accounting principles.
- Basic understanding of database oriented computer systems.
- IKASystems CRM/Gateway/Commission and/or FACETS preferred· Knowledge of Cognos and FACETS system architecture for creating databases and reports.
- Knowledge of Microsoft excel and access, project management tools, query tools to develop
- Knowledge of HAP policies, procedures and benefits.
- Have a good understanding of CMS, Healthcare operations, Pharmacy and Part D.
- Strong data and analytical skills – Attention to detail and follow through
- The ability to work effectively with all levels within the organization
- Well defined problem solving and decision making skills
- Excellent written and verbal communication skills
- Advanced knowledge of Medicare processes & procedures
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.