Project Coordinator (MEMBERSHIP & BILLING) HAP - Full Time - Troy/Days

📁
Business (Non-Clinical)
📅
199838 Requisition #

General Summary:


Responsible for the development, analysis, and trending of membership and billing information.  Act as a liaison between information systems, finance, marketing and other operational departments. Coordinate departmental projects, formulate needed enhancements for M & B processes, and work with internal and external customers to maintain the integrity of HAP’s membership, and financial data.  Analyze and develop department reports– identify data integrity issues, system and programming problems, and work with management to develop and implement improvement solutions.  Additionally, this position is responsible for activities related to project management/administration of cross-functional activities/initiatives that support Membership & Billings commitment to improve processes.


Principal Duties and Responsibilities:

  • Work in concert with division leadership, to determine the appropriate focus and direction of major corporate initiative and projects.

  • Responsible for the design, development, and processing of GQL/Cognos queries used to assist in formulating trends and enrollment/premium reporting.   

  • Development of electronic and automated membership and billing solutions and auto-reconciliation improvements.

  • Responsible for leading and serving on cross-functional teams across the organization focused around system reporting, cost savings, government mandates, strategy development and new product implementation.

  • Project management/coordination activities to ensure all process workflows are being handled within the established time parameters by both internal departments and outside vendors.

  • Perform administrative follow-up by keeping track of major projects and tasks assigned by Departmental Leadership.

  • Responsible for facilitating all M & B “FEHB” reporting, auditing and eligibility functions requirements in the Membership & Billing department.

  • Participate and/or facilitate continuous improvement workshops with the staff, inter- departmental staff meetings, and other forums aligned with the improvement of departmental/corporate processes.

  • Work in concert with M & B leadership on all operational open enrollment initiatives and planning.

  • Develop and maintain strong professional relationships across operational departments and with both Internal and External Business Partners.

  • Assist in monitoring of the numerous internal Membership/Billing system interfaces, error report completions, employees quality and quantity measures and work with the appropriate internal contacts or teams that can help resolve them

  • Perform other related duties as assigned.

 

Education Required:

  • High school diploma or equivalent

Preferred:

  • Associate’s degree in Business, Accounting, Finance or a related field

Experience Required:


  • Two (2) years of Managed health care business related experience.
  • One (1) year experience developing, analyzing, interpreting & trending data.
  • One (1) year project management/coordination and/or system implementation experience.

 

Skills and Abilities:

  • Completion of Microsoft Word, Access, Excel, and GQL testing required.

  • Ability to research, analyze, interpret, trend, and implement process improvement initiatives.
  • Demonstrated leadership and presentation skills
  • Ability to collect and prepare data for written/oral presentation – report creation and generation
  • Ability to work effectively with all levels within the organization
  • Well defined problem solving and decision making skills
  • Excellent written and verbal communication skills

  • Knowledge of business principles and functions

  • Detailed Knowledge of Xcelys and Support Module functionality

  • Proficient knowledge of Windows – Excel and Access

  • Knowledge of EDI processes

  • Proficient at using various data sources to develop relevant reporting tools, and to use those tools to enhance processes and procedures.

 

 


    Overview

       Under the leadership of President and CEO Wright L. Lassiter, III, Henry Ford Health System is a

       $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

       including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

       other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

       now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

       of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

       health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s  

       major academic medical centers, receiving between $90-$100 million in annual research funding and

       remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

       education and training, the health system has trained nearly 40% of physicians currently practicing

       in the state and also provides education and training for other health professionals including nurses,

       pharmacists, radiology and respiratory technicians. visit 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 System 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 System 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.

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