Government Programs Administrator - Health Alliance Plan - Troy
Education 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
Preferred:
- Completion of Advanced Access, Excel, Cognos training preferred
Experience Required:
- Minimum of five (5) years of progressive experience in a healthcare or insurance environment.
- 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.
- Minimum of two (2) years progressive analytical experience in a healthcare or managed care/insurance environment
Skills and Abilities:
- 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
- Ability to adapt quickly to ever-changing organizational needs
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
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan’s largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more at henryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Ford Health has a new approach for its employee benefits program - My Choice
Rewards. My Choice Rewards is a program as diverse as the people it serves. There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's 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.