Director of Health Benefits Operations and Strategy

Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.

As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.

POSITION SUMMARY:

This role leads our benefits marketing and implementation efforts within the healthcare sector. This role is also responsible for managing contracts, ensuring timely renewals, and maintaining strong relationships with external vendors and clients. This role requires a strong background in healthcare clinical operations and specialty care management, along with exceptional leadership skills to oversee our business operations staff.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Benefits Marketing and Implementation:

o Develop and execute marketing strategies for healthcare benefits to enhance client engagement and satisfaction.

o Oversee the implementation of benefit plan design changes, ensuring all impacted areas are effectively integrated.

• Contract Management:

o Maintain and index contracts, ensuring accurate records and documentation.

o Monitor contract renewal dates and proactively manage renewals with external vendors to ensure continuity of services.

• Vendor and Client Relationship Management:

o Foster and maintain relationships with external vendors, ensuring communication regarding contract renewals and service expectations.

o Collaborate with clients and their assigned account managers to address any changes in benefit plan design and ensure seamless implementation.

• Team Leadership and Management:

o Lead and manage the business operations staff responsible for reporting, auditing services, claims inquiries, claims processing, and medical records collection.

o Provide guidance and support to team members, fostering a collaborative and efficient work environment.

• Reporting and Auditing:

o Oversee the reporting and auditing processes to ensure compliance with healthcare regulations and organizational standards.

o Conduct regular reviews of claims processing and medical records management to identify areas for improvement.

GENERAL EXPECTATIONS:

• Present a positive image of Consociate Health at all times.
• Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer or co-worker.
• Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
• Identify and perform work that has not been specifically assigned, as needed.
• Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
• Demonstrate a teamwork philosophy by working cooperatively with others.
• Attend required in-service and staff meetings.
• Seek other educational opportunities directly related to this position.
• Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees and applicants.
• Adhere to established safety standards and utilizes proper techniques to avoid work-related injuries.

SERVICE EXPECTATIONS:

• Greet all people in a prompt and courteous manner. Communicate in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.
• Ask customers what they need and strive to exceed their expectations. Offer and provide assistance whether or not the request falls within your specific job duties.
• Respond to customer requests in a timely manner consistent with Consociate Health’s standards and best practices, return calls promptly and keep them informed of delays before they ask.
• Make decisions based on customer needs, opinions, complaints or suggestions.
• Take appropriate steps to resolve problems to the customer's satisfaction.
• Ask customers for their opinions, accepting criticism as an opportunity to improve service.
• Seek opportunities, provide value-added services, and eliminate tasks that do not serve our customer.
• Remain aware of products and services provided by Consociate Health.
• Project a positive, professional image when working.

KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:

• Health Information Management degree required.
• Minimum of 4 years of healthcare clinical experience.
• At least 2 years of experience in specialty care management.
• Strong organizational and project management skills.
• Excellent communication and interpersonal skills.
• Proficient in contract management and vendor relations.
• Ability to lead and motivate a team effectively.

BENEFITS:

• Paid time off
• Paid Holidays
• Medical, Dental and Vision Insurance
• Basic Group Life, Short Term and Long Term Disability
• Voluntary Life, Critical Illness and Accident Coverage
• 401K Plan: Employees are immediately eligible with a 2% automatic enrollment. Consociate matches up to 4% of an employees' annual salary.