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Find our Physician, Nurse Practitioner, Physician Assistant, Medical Director and other advanced practice openings on psdconnect.org.
Find our Physician, Nurse Practitioner, Physician Assistant, Medical Director and other advanced practice openings on psdconnect.org.
Description
Providence is calling a Supervisor Membership Accounting-Medicaid who will:
Be responsible for the daily management of enrollment and account reconciliation for the Health Plans Medicaid products and services
Coordinate with quality improvement initiatives, regulatory requirements, and ongoing day-to-day production needs
Support meeting member and group service needs and the Medicaid regulating body, The Oregon Health Authority's (OHA) which is specific to accurate and timely member enrollment, materials distribution, member status changes, the coordination of benefits with other payers and necessary coordination with claims and vendors for appropriate recovery
We welcome 100% remote work for residents who live in the State of Oregon.
Primary Responsibilities:
Supervises the Medicaid Membership Accounting Team in one or more areas of enrollment, reconciliation, member mail generation, TPL and compliance
Achieve organizations performance standards for the following work processes:Medicaid and Indigent Enrollment functions, Member mail generation, Third Party Liability functions & Implementation work
Supervises coordination of all work, quality improvement activities, projects, objectives, and staffing of the department by working with their Manager, Director or the Director of Membership Accounting
Provides a supportive, team-based environment that facilitates group decision making and employee empowerment
Evaluates performance and initiates personnel actions such as hiring, merit increases, probationary and periodic reviews, promotions, transfers between teams, and disciplinary actions
Collaborate with the available Training Teams and resources to develop training curriculums for new staff and existing staff to stay current, to increase knowledge, and to become cross-functionally proficient
Fosters professional relationships with peers in Operations, Medicare Membership Accounting, Communications, Information Services, Regulatory, Account Managers, Plan staff, Provider Relations, and Pharmacy
Additional Responsibilities:
Works with peers on new products, benefit changes, and new lines of business in order to establish Membership Accounting procedures as well as the necessary system changes
Assists with regulatory audits and other regulatory issues and incident response
Required qualifications for this position include:
Bachelor's Degree in Business Management, Health Care Administration, Accounting, or a related field of study plus 4 years management/industry experience -OR- Associate's Degree plus 6 years related management/industry experience -OR- a combination of equivalent education and experience
2 years relevant leadership/supervisory experience in health care or related field serving Medicaid Membership
Experience in project management
Experience using on-line interfaces including PHP Intranet and the Internet
Preferred qualifications for this position include:
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.
We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.
We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.
Requsition ID: 153201
Company: Providence Jobs
Job Category: Financial Transactions
Job Function: Health Plans Services
Job Schedule: Full time
Job Shift: Day
Career Track: Leadership
Department: 5018 OPS PHT ENROLLMENT OR REGION
Address: OR Salem 3993 Fairview Industrial Dr SE
Pay Range: $27.02 - $42.98
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.