Offer summary

Qualifications:

Bachelor's Degree is required., At least three years of experience in the health insurance industry., Healthcare experience of three years is necessary., Knowledge of system benefit development and implementation..

Key responsibilities:

Manage activities related to system benefit development and implementation.

Oversee contract administration, coding compliance, and fee schedule implementation.

Conduct quality assurance, internal and external audits of key processes.

Identify and implement process improvements to increase operational effectiveness.

Job description

City/State

Richmond, VA

Work Shift

First (Days)

Overview:

Overview

The Ops Support/Systems Administration manager manages all activities involving system benefit development and implementation, contract administration, coding compliance, fee schedule implementation, provider network database management and quality assurance, internal and external auditing of the key processes, system compliance and acceptance testing, and process improvements designed to increase operational effectiveness.

Education

Bachelor's Degree (Required)

Certification/Licensure

No specific certification or licensure requirements

Experience

Required to have three years of experience in the health insurance industry.
Required to have three years of healthcare experience.

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission “to improve health every day,” this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Required profile