POSITION SUMMARY
The Claims Process Improvement Lead is responsible for the implementation of new projects in the Claims Distribution and Repricing Department. The Claims Process Improvement Lead will coordinate and ensure delivery of project deliverables on time. The Claims Process Improvement Lead must be knowledgeable of systems and programs. The Claims Process Improvement Lead will gather information on processes used by Claims Distribution and Repricing department to find ways to improve or enhance internal processes and workflows.The Claims Process Improvement Lead will communicate recommendations to Claim Distribution and Repricing Management for Workflow and SOP improvement.
ESSENTIAL FUNCTIONS
- Lead department related projects: Including project initiation, project timelines, meetings, and on-going communications with internal and external stakeholders
- Work with department Leadership to understand current operations and procedures. Provide suggestions to optimize systems, procedures, and processes
- Acts as a primary point of contact for department project implementation and communicates project-related updates internally and externally
- Provide guidance to optimize systems, procedures, and processes
- Lead department related projects: Including project initiation, project timelines, meetings, and on-going communications with internal and external stakeholders
- Work with department Leadership to understand current operations and procedures. Provide suggestions to optimize systems, procedures, and processes
- Acts as a primary point of contact for department project implementation and communicates project-related updates internally and externally
- Provide guidance to optimize systems, procedures, and processes
- Other duties as assigned
EDUCATION
- Bachelor’s Degree or equivalent work experience required.
EXPERIENCE AND SKILLS
- Previous experience managing large amounts of data with an understanding on how to process that data
- Strong analytical skills to help improve Workflows and SOPs
- Experience Smartsheet, SharePoint and Excel required
- Advanced computer skills and knowledge of databases and software systems
- Ability to collect and analyze complex data.
- Strong spreadsheet skills
- Strong organizational and time management skills
- Effective oral and written communication skills
- Strong Business Acumen
POSITION COMPETENCIES
- Accountability
- Analytical Thinking
- Collaboration
- Communication
- Customer Focus
- Functional Expertise
- Initiative
PHYSICAL DEMANDS
- This is a standard desk role – extended periods of sitting and working on a computer are required
WORK ENVIRONMENT
- Remote
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
Skills Required
- Bachelor’s degree or equivalent work experience
- Experience managing and processing large amounts of data
- Strong analytical skills for improving workflows and standard operating procedures
- Experience with Smartsheet, SharePoint, and Excel
- Advanced computer skills and knowledge of databases and software systems
- Ability to collect and analyze complex data
- Strong spreadsheet skills
- Strong organizational and time management skills
- Effective oral and written communication skills
- Strong business acumen
What We Do
Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families. Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and social patient outcomes. Allied’s programs and benefit services are designed and structured to infuse value on every front – for employers and HR departments, for plan members and their families, for healthcare providers, and for us. We’re in this together, committed to your future.
