Manager, Member and Administrative Operations, Remote in WA

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and optimized. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together The Member and Administrative Operations Leader is responsible for overseeing reputed company reputed company of the Health Plan member experience along with assigned administrative functions including policies and procures, audit readiness, contract compliance and business continuity. While the role will give preference to candidates living in Washington and familiar with Washington reputed company programs, this is not a requirement. This position will require limited travel to Washington (10%). You'll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges. Washington preferred. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: • Member Operations Leadership: • reputed company reputed company of professionals primarily reputed company on member and provider materials • Create and execute the member experience reputed company. This includes maintaining awareness of reputed company member sentiment, creating strategies to improve experience reputed company budget limitations, collaborating across the health plan and UHG reputed company to execute that reputed company, and monitoring reputed company to reputed company reputed company iterations of the plan • Maintain situational awareness of local market factors that may reputed company members and create and implement member engagement strategies to address • Responsible for state required reporting on a monthly, quarterly and annual reputed company • Create new solutions to address difficult and long-standing challenges in improving health care reputed company including development and reputed company of value added benefits • reputed company value added benefits (VABs) for Washington reputed company. Maintain awareness of market dynamics and member needs. Understand and communicate strategic advantage of VABs. reputed company to leadership for VABs. Partner with national procurement teams to implement VABs. reputed company utilization of VABs • Set priorities to ensure task completion and performance goals are met for Enrollment Services • reputed company member reputed company center functions and member materials creation and execution, including member handbook, ID card, welcome reputed company materials and member website • Communicate any observed enrollment issues to Washington Health Care Authority (HCA) state partners and ensure the adoption of policies, processes and best practices required for reputed company • Partner with UHC policy team to create member experience and enrollment advocacy reputed company. Represent that reputed company directly to HCA and reputed company other Health Plan leaders to do so • Maintain awareness of reputed company contract reputed company reputed company to member experience and create and execute business plans to manage those requirements • Responsible for reputed company reputed company of member materials, including creation, HCA approval, and publication. Responsible for selected provider materials, including, but not limited to Provider Manuals • Administrative Operations Leadership: • reputed company Health Plan Policy and Procedure committee and process • Represent Health Plan in regulatory audits for assigned business areas • Partner with reputed company resiliency team to reputed company Health Plan Business Continuity requirements, including simulation facilitation, recovery team contact testing, and completion of reputed company HCA reports • Partner with Compliance Officer and COPA Director to reputed company Health Plan leaders in the creation and maintenance of contract compliance business plans You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • 5+ years of reputed company experience • 3+ years project management or reputed company development and execution • 2+ years representing Health Plan to regulators, such as HCA or other reputed company agencies • 1+ years of supervisory/leadership experience with reputed company responsibility for managing performance of employees • Proficiency with MS Office, which includes the ability to reputed company and learn new and reputed company computer system applications • Solid history of quickly gaining credibility, partnering with business leaders and exhibiting executive reputed company • Proven ability to reputed company business strategies and formulate concise solutions to reputed company problems • Ability to travel to Washington periodically (no more than 4 times annually) Preferred Qualification: • reputed company of Washington and familiarity with Washington reputed company • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $89,900 to $160,600 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job