Supervisor, Membership Accounting (Woodland Hills)

Health Net, Inc. (NYSE: HNT) is among the nation’s largest publicly traded managed health care companies. Health Net’s mission is to help people be healthy, secure and comfortable. The company’s POS, HMO, insured PPO, behavioral health and government contracts subsidiaries provide health benefits to more than 7 million individuals. For more information on Health Net, Inc., please visit the company’s Web site at www.healthnet.com

 

JOB SUMMARY:

 

The Supervisor of Membership Accounting is responsible to plan, organize, coordinate and monitor the activities of a multi-disciplinary team charged with maintaining an accurate and current eligibility and group database in accordance with departmental guidelines and goals.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews, evaluates, interprets and analyzes data and trends relating to premium revenue, account receivables and/or eligibility. Develops recommendations and alternative for management review and presentations. Directs and conducts training of new associates, provides guidance on benefits, eligibility, processing and auditing policies and procedures. Oversees the development of reports and documentation concerning departmental activities and provides analytical support when reporting results to management. Provides and/or interprets information and data across units and departments. Responsible for data integrity among various internal groups and/or between internal and external sources. Participates in the establishment of department goals and/or strategic plans including identification of objectives, goals, action plans and budgets. Responds to inquiries for technical issues and concerns of employer groups, underwriting, sales and other Health Net departments. Handles associate development, evaluation, motivation, counseling and discipline of direct reports. Perform other related duties as required.

REQUIREMENTS:

 

Education:

High school diploma or equivalent work experience required; Bachelor’s degree preferred.

 

Certification/License:

 

Experience:

Two to three years experience in membership eligibility and/or customer service within the health care and HMO industry preferred.  1 year Supervisory experience required.  Billing background preferred.

 

Knowledge, Skills & Abilities: Ability to operate PC based office software programs including Word, Excel and Access. Excellent written and oral communication skills, as well as interpersonal skills, and the ability to effectively communicate with staff members and management. Demonstrates ability to interact with clients using accepted business behaviors . Strong organizational, analytical, problem solving, and people skills. Demonstrates exemplary customer service and supervisory skills. Strong mathematical aptitude skills. Ability to manage a staff of 28-30 associates.

OR
Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.

 

Health Net, Inc. supports a drug-free work environment and requires pre-employment background and drug screening.

 

Health Net and its subsidiaries are an Equal opportunity/Affirmative Action Employer M/F/V/D.