Manager, FEP Service & Operations

MANAGER, FEP SERVICE & OPERATIONS (HEALTHCARE/INSURANCE)
Tele-Flex Option - Must reside in ID, OR, UT or WA
WHO WE NEED
The Manager FEP Service and Operations plans, directs, and manages the activities of the FEP Services and Operations. This role oversees staff directly or through subordinate supervisor(s). The position provides leadership to set performance standards and ensure effective and efficient execution of customer service, claims processing, marketing, sales, training, quality assurance, appeals and/or project management. The Manager FEP Service and Operations represents the department in interactions with all levels of management, vendor partners, clients, providers, government officials, and outside consultants.
Preferred Key Experience:

• Strong leadership experience / people mgmt.
  
• Operations background in a Call Center
  
• Familiar with Gov't programs or FEP preferred
  
• Healthcare / Insurance experience preferred
  

Normally to be proficient in the competencies listed below
The Manager FEP Service and Operation would have

• Bachelor's degree in business administration or a related field
  
• 7 years of experience in healthcare operations
  
• 4 years of leadership experience
  
• Or an equivalent combination of education and experience.
  

YOUR ROLE:

• Responsible for the activities performed by division staff to assure performance goals are met including productivity, accuracy, timeliness and quality of service to groups, members and business partners.
  
• Responsible for developing and implementing internal quality audits and training programs to ensure quality service levels are met or exceeded.
  
• Represents FEP sales and marketing lines of business externally at Federal agencies, sets market strategies for the year, including quarterly updates to the FEP Director's Office.
  
• Handles all management level responsibilities for staff, including performance reviews, employee development, hiring, firing, coaching, counseling, and retention.
  
• Develops supervisors and participates in talent management activities.
  
• Regularly communicates organizational objectives and team goals.
  
• Monitors results and metrics to ensure deliverables are met and compliance with department and regulatory standards.
  
• Collaborates with other leaders and across departments to resolve issues.
  
• Manages financial targets and department budget, authorizes expenditures, monitors workforce allocation and resources, and oversees project plans.
  
• In conjunction with division leadership, establishes long-term goals for department and adapts operational plans as changes occur.
  
• Creates visibility and support for FEP programs.
  
• Develops resource materials and provides education and communication about programs to employees, providers and community stakeholders.
  
• Mgr FEP Services & Ops may have responsibility for Claims, Customer Service, Appeals, Training, Quality Assurance, and/or Marketing and Sales.
  

WHAT YOU BRING:

• Demonstrated experience managing people, projects and processes within a service and operational environment.
  
• Solid understanding of member service functions and claims , including experience in managing high volume production environment.
  
• Knowledge of generally accepted auditing procedures and practices.
  
• Ability to identify issues, opportunities, and effective solutions and collaborate with other departments to improve processes and/or results.
  
• Demonstrated competency in resource and project management: budgeting, organizing work, providing leadership to staff, establishing measures for success and managing to deliverables.
  
• Ability to develop and lead a team including: hiring, goal setting, coaching and development (including supervisors and/or employees who may be in multiple locations or work remotely).
  
• Demonstrated knowledge of system enhancement/upgrades with the ability to participate in their development, coordination, testing and implementation.
  
• Ability to communicate effectively, verbally and in writing, including meeting facilitation and presentations with employer or provider groups.
  

The expected target hiring range for this position is $95k - $103k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this position is $91.5k Low Range/ 114.5k MRP / $149k High Range.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:

• medical, dental, and vision coverage for employees and their eligible family members
  
• annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
  
• paid time off varying by role and tenure in addition to 10 company holidays
  
• up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
  
• up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
  
• one-time furniture and equipment allowance for employees working from home
  
• up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
  

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.