Benefits Systems Manager - Healthcare jobs in Nevada

Benefits Systems Manager - Healthcare manages the implementation and upkeep of benefits system for managed care and provider data. Monitors systems to ensure medical management needs are met. Being a Benefits Systems Manager - Healthcare ensures fee loading and coding is accurate. Requires a bachelor's degree. Additionally, Benefits Systems Manager - Healthcare typically reports to a head of a unit/department. The Benefits Systems Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Benefits Systems Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Account Manager (Employee Benefits)
  • GBS Benefits
  • Las Vegas, NV FULL_TIME
  • Overview:

    LGBS/GBS Nevada is the leader in experience, innovation and services when it comes to customizing the employee benefits offerings for our clients. GBS has created a culture of respect, trust, hard work and fun. When you love your job and the people around you, remarkable things can happen. We carry great excitement in our work, knowing that we have a tremendous positive impact on the larger scale. We partner with companies in building and protecting their dreams and visions. We invite you to investigate this job opportunity at GBS. This job description will not be all inclusive but is intended to give you a road map and an overview. Come make a difference with us!

    Description:

    GBS Account Managers collaborate with Brokers in the service of employee benefits business. This position is responsible for establishing and maintaining a proactive service plan for clients that mainly employ 20 or fewer employees, providing excellent customer service, ensuring departmental and client needs are met.

    This position establishes strong relationships with internal peers and develops an understanding of all aspects of the client who predominately employ 20 or fewer employees.. Must handle complex client issues and make recommendations by utilizing client service, administration expertise and carrier resources.

    Supports the Broker on activities required for a smooth transition and/or implementation of new business.

    Essential Duties and Responsibilities:

    • Focuses on administrative support of Brokers.
    • Manages the delivery of services and the day-to-day client needs to retain accounts, to establish strong client relationships and achieve high levels of client satisfaction.
    • Maintains files and updates Brokers regularly on issues log.
    • Manages escalated participant issues working directly with the insurance carrier/TPA regarding systemic or process issues.
    • May attend conferences, client meetings and meetings with other departments.
    • Liaison with internal staff and operations. Documents and communicates program information to various departments and understands departmental differences.
    • Mentors and provides feedback internally to other team members and departments.
    • Assesses claim and billing trends and potential risk, elevates to Broker.
    • Maintains frequent contact with clients to assist with client needs and questions.
    • May help prepare for client meetings with Brokers.
    • Performs detailed review of all client contracts, summary plan descriptions, insurance certificates, employee communications, and SBCs.
    • Coordinates and manages projects and interactions with clients to address client needs.
    • Troubleshoots all medical, dental, vision, life, LTD claim and billing issues.
    • Performs research and review of multiple resources as needed to respond to questions.
    • Manages and supports other team members with client insurance needs, provides advice and quotes, maintains client files.
    • Meets with Brokers regularly to provide updates on client issues, questions, and potential solutions.

    Skills and Knowledge:

    • Keeps clients informed of legislative developments using internal and external resources
    • Sound reasoning and judgment
    • Proven use and understanding of Microsoft Office.
    • Must be able to use Excel extensively in analysis and daily reporting of departmental goals.
    • A state insurance license is required.
    • Technically savvy and proficient with ongoing improvements in enrollment processes.
    • Able to keep data management system updated accurately and timely.

    Performance Expectations:

    • Ability to consistently attend work, meetings and required training or staff events.
    • Must work with respect, must get along with diverse personalities.
    • Must meet or exceed team and overall company expectations.

    Working Conditions / Essential Functions:

    • This position enjoys the benefits and climate control of a quiet office environment. Employees are provided with ergonomically sound workspaces. Work is accomplished at a computer terminal either sitting or standing. Employees must access, input and retrieve information from the computer system. Comfort and efficiency are considered in employee workspaces. Daily work includes computer interfacing, data entry, communications (electronic and physical), movement throughout the office, attending meetings, etc.
    • Physical demands include the ability to lift and move objects (typically 0 – 10 lbs), visually monitor information/data on a computer screen.
    • The working environment described above provides a detailed representation of what employees might encounter in the workplace while performing the essential duties of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the job.

    This job description is not designed to cover or to contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Vision insurance

    Experience level:

    • No experience needed

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: In person

  • 2 Days Ago

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Veteran's Case Manager - Assisting Veterans obtain the benefits they’ve ear
  • Veteran Benefits Guide
  • Las Vegas, NV FULL_TIME
  • The position will start on 03/27/2023Who we are:Veteran Benefits Guide (VBG) was founded by former United States Marine, Joshua Smith. Josh was employed by the Veteran Benefits Administration (VA) as ...
  • 2 Days Ago

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Case Manager (FT)
  • Veteran Benefits Guide
  • Las Vegas, NV FULL_TIME
  • Who we are: VBG (Veteran Benefits Guide) was founded by a former active-duty United States Marine with the goal of ensuring that Veterans receive the correct disability benefits in a timely manner. VB...
  • 7 Days Ago

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Veteran's Case Manager (FT)
  • Veteran Benefits Guide
  • Las Vegas, NV FULL_TIME
  • Job Details:Veteran's Case Manager - Assisting Veterans to obtain the benefits they’ve earned and deserveThe position will start on 03/27/2023Who we are:Veteran Benefits Guide (VBG) was founded by for...
  • 10 Days Ago

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Healthcare Account Executive
  • Myriad Systems
  • Las Vegas, NV FULL_TIME
  • Join Our Team of Healthcare Innovators and Entrepreneurs! Are you ready to embark on an exciting journey with Myriad Systems, a trailblazing provider of practice management consulting services? We're ...
  • 11 Days Ago

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Healthcare Networking (Outreach) Liaison
  • Nevada Behavioral Health Systems
  • Las Vegas, NV FULL_TIME
  • Position Description The Network Liaison plays a vital role in establishing and maintaining collaborative relationships between our organization and external stakeholders and partners within the commu...
  • Just Posted

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Surgical Services Clinical Nurse Specialist
  • Ascension
  • Indianapolis, IN
  • Details Department: Surgical Services Schedule: Full-time Monday-Friday Flexible start times Hospital: St. Vincent's 86t...
  • 3/28/2024 12:00:00 AM

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Women's Service line Advanced Provider
  • Ascension
  • Indianapolis, IN
  • Details Department: Women's Health Schedule: Full-time Monday-Friday, No Weekends, No Holiday and No Call Hospital: Asce...
  • 3/28/2024 12:00:00 AM

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O365 Administrator (1611424)
  • Tier4 Group
  • Marietta, GA
  • We're looking for an Office365 Administrator local to the Atlanta area or a permanent, full-time job opportunity. In thi...
  • 3/28/2024 12:00:00 AM

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Talent Acquisition Specialist
  • Next Level Recruiting, LLC
  • Northbrook, IL
  • Talent Acquisition Specialist - Northbrook, IL NLR is expanding quickly, and we’re building a team of recruiters and bus...
  • 3/28/2024 12:00:00 AM

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Security Officer Hospital
  • Allied Universal®
  • Fairfax, VA
  • Overview Allied Universal®, North America's leading security and facility services company, provides rewarding careers t...
  • 3/28/2024 12:00:00 AM

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Breast Health Screening Navigator - Southeast Missouri
  • Gateway to Hope
  • Cape Girardeau, MO
  • Breast Health Screening Navigator Southeast Missouri Position Overview GTH (GTH) is a growing 501c3 nonprofit organizati...
  • 3/28/2024 12:00:00 AM

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Senior Drupal Technical Lead
  • GSquared Group
  • Atlanta, GA
  • Job Title: Senior Drupal Technical Lead Location: Atlanta, GA Direct Hire Hybrid (2 Days In Office Per Week) Job Overvie...
  • 3/28/2024 12:00:00 AM

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Account Development Representative
  • ESA
  • Orlando, FL
  • About ESA ESA is a prominent clean energy development and decarbonization platform. Over the past decade, ESA has succes...
  • 3/28/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Systems Manager - Healthcare jobs
$97,512 to $137,843

Benefits Systems Manager - Healthcare in Santa Ana, CA
The software offers healthcare professionals the ability to identify health related trends and more thoroughly target healing efforts based upon those results.
February 03, 2020
Benefits Systems Manager - Healthcare in Charlotte, NC
As such, our survey results are not comparable to the healthcare research and analysis conducted by others such as the Congressional Budget Office, RAND and the Urban Institute.
November 28, 2019
Benefits Systems Manager - Healthcare in Amarillo, TX
One example of this in action comes from the University of Southern California’s Public Health Program, which utilizes geographic information systems in many of its different initiatives, including the Cancer Surveillance Program.
December 12, 2019