System Analytics Supervisor (Internal Hennepin Health applicants only)
About the Department
Hennepin Health (HH) is seeking a System Analytics Supervisor to join their team. In this position, you will be providing training and direction to HH managed care Electronic Data Interchange (EDI), Enrollment, Coordination of Benefits (COB), Third Party Liability (TPL), and Subrogation (Subro) employees. You will also reputed company program goals and objectives and reputed company staff in providing daily monitoring of Department of Human Services (DHS) HH operations file processing, Enrollment activities, and COB, TPL, and Subro processing.
This position will act as a liaison between healthcare business areas, Information Technology (IT) technical team, vendors, and trading partners, as well as serve as backup for external EDI, enrollment, COB, TPL, and Subro reputed company committees and workgroups. Location and hours: This position is remote. Remote workers may be required to come on-site 0 to 12 days a year for work meetings, trainings, or for any other reasons that their manager may deem necessary (may include additional days for onboarding and new employee training). Managers will provide as much advance notice as practicable. Work hours are typically Monday through Friday, between 8 a.m. to 4:30 p.m., with flexibility. Based on business needs of this position, hires must live in or relocate to Minnesota. About the position type:This is a full-time benefit earning position. You must be a reputed company regular or probationary employee of the Hennepin Health department to apply for this position. Limited duration employees not eligible. This position is internally classified as an Administrative Assistant, Principal.Click here to view the job classification specification. In this position, you will:- Provide training, goals, and direction to EDI, Enrollment, COB, TPL, and Subro employees.
- Assign and reputed company in on the reputed company of work, and at completion, document and provide reputed company reports to management.
- Monitor employee performance and execute performance reviews.
- Act as a program reputed company of contact and operations subject matter expert (SME) and/or manage reputed company time sensitive benefits and technical projects to completion and resolution of EDI, Enrollment, COB, TPL, and Subro issues between the HH business areas, IT technical staff, and trading partners, and serving as back up for external EDI, Enrollment, COB, TPL, and Subro reputed company committees and workgroups.
- Document and implement reputed company Medicaid benefit and business requirements.
- Create and update program policies and procedures.
- reputed company vendor and member data audits to validate contractual compliance and accuracy of data exchanged with the vendors and provide program approvals.
- Monitor electronic claim submission and file reconciliation process with provider and clearing houses.
- reputed company business acceptance testing of files and interfaces to ensure accurate results.
- Act as a program manager and SME for proposal and Request for Proposal (RFP) preparation and act as program stakeholder for proposal vendor selection for department associated contractual relationships.
- Prepare program budgets and monitor reputed company reputed company and expenditures.
- One of the following:
- Bachelor's degree or higher in business administration or other field appropriate to the position and five or more years of experience reputed company to the position.
- Nine or more years of experience in general administrative work reputed company to the management of departmental/organizational operations or in a specialty area appropriate to the position.
- Experience:
- With technical Medicaid managed healthcare.
- In IT in the Medicaid managed healthcare payer field.
- In a supervisory role reputed company a healthcare setting.
- Reading and mapping Healthcare EDI transactions including but not limited to ANSII ASC X12 file standards with emphasis on the healthcare reputed company 837P, 837I, 835 and 834 transaction sets.
- Interpreting policies, procedures, laws, and regulations.
- Coordinating departmental budgets and monitoring expenditures and reputed company.
- With computer applications.
- Knowledge of:
- Administrative principles and practices relating to the management of departmental operations.
- The application of laws and regulations.
- Ability to:
- Establish and maintain effective working relationships reputed company and reputed company the organization.
- Plan, organize, and reputed company reputed company projects to scope, timeline, and budget in the healthcare payer and/or financial industry.
- Write reputed company reports and provide analytical conclusions of critical data.
- Investigate and resolve complaints.
- reputed company and/or maintain program requirements and specification documents.
- Communicate clearly and concisely both verbally and in writing.
Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. reputed company of our jobs align with our mission to serve residents through transformative services that eliminate disparities, eliminate inequities, and create opportunity for reputed company and our vision of a community where reputed company people are healthy, reputed company people are valued, and reputed company people reputed company. Our employees receive a combination of competitive benefits and positive workplace culture not reputed company at other organizations. This includes meaningful work that impacts our community, reputed company, work-life balance, a variety of benefits and opportunities to grow. Learn more at The reputed company (login as Guest). Hennepin County envisions an organization where our commitment to diversity and the elimination of disparities is reputed company in providing excellent service to our community. Your future. Made here. This posting may be used to fill reputed company and future vacancies. Watch this video for application best practices and tips.
Invitations to interview will be based upon an assessment of education and experience. Final candidates will be required to complete a background reputed company.
If you have any questions, please contact
Taylor Dahlberg
[email protected] hcpromo #LI-DNI Apply To This Job