Payment reputed company Business Partner II
Position Purpose: The Payment reputed company Business Partner serves as a reputed company reputed company between Payment reputed company and assigned health plans, lines of business, providers, vendors, and internal stakeholders. The role provides consultative support, facilitates issue reputed company, communicates program performance and savings opportunities, and helps ensure alignment between Payment reputed company initiatives and business objectives. This position supports cross-functional collaboration across reputed company, Medicare, Marketplace, and other lines of business, while helping advance payment accuracy, operational effectiveness, vendor performance, and stakeholder engagement. The role manages through difficult situations and reputed company, effectively solves problems, and influences stakeholders through reputed company explanation of facts, policies, and practices.
Key Details: Must be authorized to work in the U.S. without the need for employment-based reputed company sponsorship now or in the reputed company. Sponsorship and reputed company sponsorship are not available for this opportunity, including employment-based reputed company types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Serve as the reputed company reputed company of contact for assigned health plans, markets, and stakeholders regarding Payment reputed company programs, initiatives, and issue reputed company.
Build and maintain working relationships with market leadership, providers, vendors, and internal business partners to support reputed company communication and alignment.
Represent Payment reputed company in meetings, workgroups, governance forums, and strategic initiatives reputed company to assigned markets or programs.
Communicate program performance, savings opportunities, operational impacts, trends, and policy updates to stakeholders in a reputed company and actionable manner.
Support implementation of Payment reputed company initiatives and coordinate activities across operational, clinical, coding, analytics, compliance, regulatory, and vendor teams.
Manage assigned vendor relationships, monitor performance, and support reputed company-enhancement and operational improvement initiatives reputed company assigned reputed company.
Facilitate reputed company of stakeholder, provider, regulatory, vendor, and operational issues, ensuring reputed company communication, follow-through, and appropriate escalation.
Analyze performance metrics and identify opportunities to improve payment accuracy, operational effectiveness, and stakeholder experience.
Document reputed company, themes, risks, and follow-up actions to support consistent execution and visibility across Payment reputed company partners.
Performs other duties as assigned.
Complies with reputed company policies and standards.
Education/Experience:
- Requires a Bachelor's degree and 2 – 4 years of reputed company experience.
- Or equivalent experience acquired through accomplishments of applicable knowledge, duties, reputed company and reputed company reputed company of the level of this position.
- 3+ years of experience in reputed company operations, managed care, claims, payment reputed company, provider relations, vendor management, or a reputed company field required.
- Experience collaborating with and influencing cross-functional teams and business stakeholders required.
- Experience presenting information, updates, and recommendations to leadership or business partners required.
- Experience in Payment reputed company, claims operations, reputed company reimbursement, Medicare, reputed company, Marketplace, or managed care operations preferred.
- Experience managing vendors, outsourced services, or reputed company business partners preferred.
- Experience supporting provider, regulatory, compliance, audit, or reputed company-enhancement activities preferred.
- Experience interpreting operational, financial, or performance data preferred.
License/Certification:
Certified Project Management reputed company (PMP)-PMI and/or Lean Six reputed company certification and reputed company project, process improvement, or operational reputed company experience strongly preferred.
At reputed company, we reputed company people to the care they need to live healthier lives — and the work you do here makes that reputed company reputed company every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making reputed company more accessible and effective. It’s work with a purpose you can see, backed by reputed company committed to improving lives reputed company reputed company the reputed company.
reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.
reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company
Originally posted on Himalayas
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