mgr asst ent benef it AdminLegato Health Technologies

Assists with managing cross-functional and complex activities within the Commercial Benefits Solutions area. Primary duties may include, but are not limited to: . Provides change leadership in support of rollout of new and/or improved benefit support and/or quality processes. Collects and analyzes data about business needs, assists in determining specific business application software requirements, and ensures requirements are incorporated into system designs and testing. Builds and enters standard benefit plans with the appropriate plan provisions and state mandates for various medical products. Researches and responds to standard inquiries from various departments. Provides support with a focus on customer satisfaction. Continually improves the services provided to the enterprise.Implements policies, practices, standards and procedures of EBA organization Demonstrates and applies an understanding of state mandates and the plan provisions contained in the certificate of insurance. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires a BA/BS degree in related field; 4+ years experience or demonstrated aptitude in leading or managing a single application or demonstrated understanding and knowledge of one or more health care functions or domains; or any combination of education and experience which would provide an equivalent background. Advanced knowledge of Computer, Internet and Microsoft Office products. Excellent communication skills in English (written & Verbal). Critical analysis and logical skills. Proven experience and ability to meet quality standards (timeliness and accuracy). Prior team lead experience. Previous US health insurance experience preferably in Claims Ops. Prior Benefit Coding or Benefit Systems Analyst/IT experience, a plus. Deploys appropriate quality controls and procedures and/or ensures alignment of process with corporate or EBA deployed standards/guidelines preferred. Master's degree preferred.
Legato Health Technologies

Philippines
Permanent
Full-time