Centene Corporation Manager, Membership & Accounting in Rancho Cordova, California
ProfessionalPosition Purpose: The Manager Membership and Accounting plans and organizes the activities of staff to maintain group and member level eligibility, premium rates and benefit information, as well as payment allocations, reconciliations, collections, and other membership records as assigned. This position is also responsible for driving departmental and interdepartmental process improvements, system enhancements, designs and implements control points, and actively participates in large scale cross-functional initiatives. The Manager Membership and Accounting is also responsible for SOX and regulatory compliance.Manages and prioritizes staff workload and allocates resources to new work assignments and ensures critical dates, service level agreements, and performance guarantees are met. Leads large scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance.Performs detailed analysis of data, workflows, policies, and procedures, organization of staff, skills and other potential solutions in order to execute initiatives; oversees the preparation of data and documents and related analyses and provides analyses to management, committees, auditors, or requesting entities.Leads technical projects and utilizes knowledge and experience to leverage IT solutions and partners with Health Net ITG, Project Management Office (PMO), and Third Party Entities to complete project or technical related activities.Understands the project/system development life cycle and oversees support staff in completing each phase of life cycle including the following tasks: initiating a project, project planning, requirements gathering, reviewing design, user acceptance testing, training, and implementation activities.Oversees departmental projects which include dashboard reporting, status reporting, resource allocation, and department communications. Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.Interacts and partners with Employer Groups, Third Party Administrators, and Government Agencies to implement, monitor, and maintain a data exchange with Health Net. Facilitates the optimization of business unit performance by enhancing alignment of policy, process and technology, and designing/implementing for future business needs.Ensures compliance with company policies and government rules and regulations; develops and implements policies and procedures to provide control over and minimize areas of financial risk.Assists with associate development, evaluation, motivation, counseling and discipline of direct reports and trains new associates as needed on enterprise and department procedures/tools.
TITLE: Manager, Membership & Accounting
LOCATION: Rancho Cordova, California
COMPANY: Health Insurance Operations
POSITION TYPE: Professional