Medicare Advantage Premium Billing Manager

UCLA HEALTH

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Description

As the Premium Billing Manager of our UCLA Health Medicare
Advantage Plan, you will lead a team to drive operational efficiency and
strategic goals.

Key Responsibilities

• Lead
  and manage the Premium Billing team, including Billing Analysts,
  supervisors, and support staff.
• Develop
  and execute strategies to achieve operational efficiencies and support
  organizational goals.
• Drive
  technological advancements and process improvements to enhance premium
  billing operations.
• Ensure
  regulatory compliance within the premium billing department.
• Oversee
  premium billing, reconciliation, audits, and collections with a focus on
  accuracy and efficiency.
• Promote
  a service-oriented culture to deliver positive experiences for internal
  and external customers.
• Resolve
  complex premium billing issues and develop standard operating procedures.
• Foster
  collaborative relationships with peers, staff, and stakeholders.
• Monitor
  and manage departmental human and financial resources in alignment with
  company objectives.
• Identify
  workflow enhancements to improve productivity and quality.
• Utilize
  data analysis and project management tools to support continuous
  improvement efforts.

Salary Range: $70,900 – $145,200/annually Qualifications

We’re seeking a detail-oriented individual with:

Required:

*     
5 or more years of experience in a Medicare or
Managed Care environment managing Enrollment and Billing staff and processes

*     
3-4 years of managing projects or program in a
healthcare or ACO environment

*     
Experience in project management, health plan
operations, and data analysis

*     
Strong organizational, communication, and
leadership skills

*     
Experience in leading a team, including managing
performance and driving results

*     
Experience in leading, facilitating, and
implementing new programs and/or projects

Preferred:

*     
A Bachelor’s degree in Business Administration,
Health Care or related field or equivalent experience

*     
Experience in Premium Billing

*     
Advanced skills and experience using Microsoft
Office, SQL, Jira, and Agile methodology

*     
Strong analytical and critical thinking skills
to develop solutions

*     
Ability to manage multiple tasks to ensure that
assignments are completed in a timely and productive manner