Manager, Benefits Implementation
The Judge Group Inc.

Irving, Texas

Posted in IT


This job has expired.

Job Info


Location: Irving, TX
Description: Judge Group is currently seeking a Manager, Benefits Implementation to manage and supervise benefit administration and service team while improving quality and efficiency for client specifications.

This is a direct hire opportunity offering competitive compensation and benefits!

This job will have the following responsibilities:

  • Effectively leads, supervise, and tracks all functions related to benefits implementations
  • Provide complete reports for internal or external clients.
  • Accurately validate benefit rules set, contracted networks, copayment rules set, & DUR rules set
  • Ensures that all rejected and paid claims are adjudicated/rejected as specified by the client
  • Prepare and share key details with Client Services Manager
  • Work with Client Services to identify and document system deficiencies and recommend possible solutions.
  • Participate as required on client's implementation meetings.
  • Provides proactive and strategic support for achieving business goals
  • Proactively monitor benefits administration team to identify and address service issues and escalate concerns appropriately and provide regular feedback of plan performance and outcomes to leadership.
  • Manages and develops teams' skills, evaluates performance, provides feedback, and works with Client Services Supervisor on team member evaluations.
Qualifications & Requirements:
  • Bachelor Degree in Business or related field required
  • Four years' experience in the health insurance industry, PBM or professional job-related experience
  • Four years client services or account management, preferred.
  • Five years of supervision experience.
All interested candidates should email their resume to Tim (Tarnold@judge.com) or apply directly!

Contact: tarnold@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com


This job has expired.

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