Manager, Benefits Implementation
The Judge Group Inc.

Job Info

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Location: Irving, TX
Description: Judge Group is currently seeking a Manager, Benefits Implementation to manage and supervise benefit administration and service team while improving quality and efficiency for client specifications.

This is a direct hire opportunity offering competitive compensation and benefits!

This job will have the following responsibilities:

• Effectively leads, supervise, and tracks all functions related to benefits implementations
  
• Provide complete reports for internal or external clients.
• Accurately validate benefit rules set, contracted networks, copayment rules set, & DUR rules set
• Ensures that all rejected and paid claims are adjudicated/rejected as specified by the client
• Prepare and share key details with Client Services Manager
• Work with Client Services to identify and document system deficiencies and recommend possible solutions.
• Participate as required on client's implementation meetings.
• Provides proactive and strategic support for achieving business goals
• Proactively monitor benefits administration team to identify and address service issues and escalate concerns appropriately and provide regular feedback of plan performance and outcomes to leadership.
• Manages and develops teams' skills, evaluates performance, provides feedback, and works with Client Services Supervisor on team member evaluations.

Qualifications & Requirements:

• Bachelor Degree in Business or related field required
• Four years' experience in the health insurance industry, PBM or professional job-related experience
• Four years client services or account management, preferred.
• Five years of supervision experience.

All interested candidates should email their resume to Tim (Tarnold@judge.com) or apply directly!

Contact: tarnold@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.