Maintain thorough knowledge of HMSA's provider network and the business with focus on provider contracts and reimbursement methodologies while working collaboratively across departments and our vendor partners to identify, document and maintain business requirements necessary for successful implementation. Researches the current state of HMSA's systems to include QNXT & C

Promote leadership, engagement, accountability, and innovation by mentoring staff and managing all personnel related tasks fairly and consistently, including but not limited to auditing employee performance, administering training, developing and monitoring personalized Performance Management Programs, implementing employee improvement plans, addressing workplace personne

General Administrative Support Relieves the CEO/assigned Executive(s) of majority of administrative functions and tasks, ensuring the most effective/efficient use of the Executive's attention and focus. Drafts routine and specialized correspondences on behalf of the CEO/assigned Executive(s). Receives, reviews and determines the appropriate parties to channel/direct sensi

Conduct timely face to face health functional/risk assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination. Coordinate a multi disciplinary team to develop a person centered health action plan/care plan to include but not limited to member's PCP,

Assist the Director to implement Credit Union policies, procedures and practices which include the organization's financial goals, objectives, and budgets. Make business improvement recommendations and coordinate with the Director to seek approval from the Board of Directors. Facilitate, organize, and plan all board meetings, credit union annual dinners and annual busines

Cross Functional Project Team Participation Assist project staff and subject matter experts with the planning and implementation of project and sub project work efforts. Work with stakeholders in the initial project planning stage to help set project objectives and success measures. Provide expertise to project managers for business or data requirements as well as ongoing

Develops and implements the risk management program in a manner that fulfils the mission and strategic goals of the organization. Complies with organizational policies, state and federal laws and accreditation standards related to corporate compliance, safety, security and risk management. Develops and implements systems, policies and procedures for the identification, co

Collect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation Management Office (TMO). Compile reports about incidents, events, and updates regarding claims

Customer Experience Manage customer traffic levels and associate resources to ensure that the center is adequately staffed and operating efficiently. Ensure customers are being greeted and serviced appropriately while visiting the HMSA Center. The Lead Associate is required to extend and supplement the job duties expected of a Neighborhood Center Associate whenever necess

Customer Experience Provide all customers with an exceptional customer focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence. Build enduring relationships with HMSA's customers/members and other consumers by becomin

Create and design training material, online content and storyboards that simulate problem solving and on the job best practices. Work closely with and support the Staff Development team to create Internal Operations specific curriculum. Ensure the instructional integrity and educational effectiveness of all training materials produced. Demonstrate understanding of adult l

Responsible to prepare and coordinate the accounting and reporting for requirements of the ACA Prepares Statutory Health Care Exhibit (SHCE) report for the Association. Obtains information from various departments, documents processes and procedures, interprets and summarizes data, and completes report in accordance with Federal guidelines. Applies systematic, logical ana

Project Team Leadership Lead cross functional project staff, subject matter experts and vendor partners with the initiation, strategy setting, planning, and implementation of various business critical projects. Develop and analyze requirements, reports, policies and procedures and other formal documentation to meet regulatory compliance operations and oversight. Create an

Performance Meet established marketing plan goals, and achieve annual sales revenue and membership growth objectives by effectively promoting and closing prospective sales opportunities. Perform quick and efficient transaction fulfillment of telephone calls or email from prospective or current HMSA employer groups and members. Proactively promote HMSA and USAble product o

Responsibilities include, but are not limited to the following Influence information strategy By partnering with business unit leadership, and through the rationalization of the information value chain, the information architect will provide strategic recommendations to maximize the value of information assets via their creation, access and use. Maximize value derived fro