Jobs for People with MS: National MS Society

Job Description:

The Business Operations Coordinator or Stop Loss Auditor works closely with a leadership team, department, or service line on business operations strategy and task management, coordination of local or system-wide strategic initiatives, and serves as a liaison with internal and external stakeholders. Primary responsibilities include tactical and operational support including project planning, coordination of resources, and performance tracking.

Essential Functions

• Work is broad in scope and may involve system-level coordination with multiple markets or regions, facilities, sites, service lines, and departments. Caregiver understands the business strategy and works as a competent member of the team actively creating and supporting team goals and priorities, and developing procedures and processes to ensure successful execution of team strategy.

• Caregiver will assist team members with business case and business proposal development for simple to complex projects. Works in tandem with project sponsor, lead, and/or manager to ensure that requirements are being met on assigned projects and in determining impacts on existing processes.

• The Business Operations Coordinator will conduct analyses and help define efficient, cost-effective solutions that support business and functional requirements.

• The caregiver will document project deliverables, scope and content for assigned projects and assist in report preparation and deliverable completion. As needed, prepares presentations on findings to inform and suggests recommendations.

• The Business Operations Coordinator may supervise other administrative caregivers.

Responsibilities

• Analyzing claims to ensure all necessary documentation has been received and criteria are met for reimbursement, including evaluation of appropriate billing, member eligibility, contracts and plan specifications.

• Coordinating with various departments to ensure that all cost containment initiatives are executed, and appropriate case management is engaged.

• Initiating claim reimbursement to self-funded clients

Skills

• Operations Management

• Departmental Leadership

• Process Improvements

• Coordinating Resources

• Health Insurance

• Strategic Planning

• Customer Service

• Time Management

• Business

• Business Case Development

• Business Operations

#SelectHealth

Required Qualifications

• Demonstrated project coordination experience managing complex, multi-scope projects

• Demonstrated advanced level experience with computer system applications including spreadsheet, word processing and database applications and demonstrated analytical, organizational and communication skills.

• Demonstrated experience supporting a leadership or department team

• Demonstrated excellent interpersonal skills with internal and external senior-level leaders

• Demonstrated proficient time management, ability to prioritize and flex work to align with business operational priorities

• Demonstrated ability to exercise sound judgement and professional behavior while acting decisively

• Demonstrated organizational and problem-solving skills with high attention to detail

• Demonstrated ability to work efficiently and effectively in an independent manner

• Demonstrated verbal and written communication skills including discernment, spelling, punctuation, and grammar

• Demonstrated experience managing remote and in-person meetings

Preferred Qualifications

• Bachelor's degree. Degree must be obtained through an accredited institution, which will be verified.

• Experience working in a matrixed healthcare or health insurance setting

Physical Requirements:

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$26.84 - $42.28

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.