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Highmark Health

Supervisor Reporting and Analysis - HNAS

Posted Yesterday
Be an Early Applicant
In-Office or Remote
15 Locations
68K-126K Annually
Senior level
In-Office or Remote
15 Locations
68K-126K Annually
Senior level
The supervisor manages day-to-day operations related to claims processing, overseeing a team, analyzing performance metrics, and facilitating process improvements. Responsibilities include coaching staff, ensuring data integrity, and developing reports for decision-making.
The summary above was generated by AI
Company :Highmark Inc.Job Description : 

JOB SUMMARY

HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve.

This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal inquiries or inquiries received by members, providers, or account representatives across all markets.

This job administers the day-to-day activities related to collecting, analyzing and reporting on source data and key performance metrics for the purpose of supporting operational efficiency, overall tracking of business performance and management intelligence for effective decision-making.  Along with managing and coaching employees, the incumbent will also support consultation with cross-functional groups and levels to identify data and analytical needs, conduct analyses, review analyses and findings with leadership, facilitate related process/data improvement efforts, and develop executive level presentations.

ESSENTIAL RESPONSIBILITIES

  • Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.

  • Provide service support, training and performance statistics to the team in addition to initiating and implementing process improvements.

  • Ensure consistency and accuracy of information and reporting by identifying issues and fluctuations with core metrics/key performance indicators (KPIs), facilitate changes; research questions; participate and/or lead process and data improvement efforts.

  • Contribute to ensuring that all changes to reporting, processes, and procedures are reflected, appropriately documented and that consistency is maintained for team.  Ensure the correct first time /quality review processes are utilized and that changes maintain data integrity control processes.

  • Set appropriate targets, measure outcomes and establish plan to negate variances in quality, staff retention, finance and customer satisfaction.

  • Assure that all staff achieves the minimal qualification of their position through ongoing staff development, counsel and motivate employees, evaluate employees, investigate complaints or performance concerns; implement disciplinary action as needed and in consultation with appropriate authority and Employee Relations.

  • Communicate changes in processes and programs in order to enhance a shared vision and mission.

  • Participation in the development and implementation of department/division project.  This will include enhancements to report processes, harvesting data and streamlining.

  • Other duties as assigned or requested.

EDUCATION

Required

  • Bachelor's Degree in Math, Computer Science, Quantitative Business Analysis, Finance or related discipline

Substitutions

  • 6 years related and progressive experience in Reporting and Analysis in lieu of bachelor degree

Preferred

  • Master's Degree in Math, Computer Science, Quantitative Business Analysis, Finance or related discipline

EXPERIENCE

Required

  • 5 years in Reporting or Analytics

To Include

  • 1 years of People Management/Team Lead

Preferred

  • None

LICENSES or CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Experience in workforce development and resource management with excellent team building and professional development skills

  • Must demonstrate excellent leadership skills and be able to relate to all levels of management and staff as well as individuals external to the corporation

  • Ability to multi task and perform in a fast paced, and often intense environment

  • Excellent written and verbal communication skills

  • Ability to analyze data, measure outcomes and develop action plans

  • Team player that possesses strong analytical and organizational skill

  • The ability to prioritize work demands and meet deadlines

  • Strong leadership, collaboration and motivational skills

Languages (Other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL AND WORKING CONDITIONS

Position Type

Remote

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.  Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements

Pay Range Minimum:

$67,500.00

Pay Range Maximum:

$126,000.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at [email protected]

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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