Member Services Project Specialist | Brookfield, WI

Detailed Information

  • Location: Brookfield, WI

  • Company: Common Ground Healthcare Cooperative

by a Board of Directors made up of members who purchase our health insurance. Any earnings are returned to our members in the form of lower prices and better services. Our Culture We are here because we can make a difference in the lives of others. We believe that serving our community is meaningful work and we hold it in the highest regard.

We are vibrant, dynamic, and value-focused individuals who welcome different points of view, perspectives, and thoughtful solutions to challenges. We encourage teamwork, integrity, mutual respect, honesty and doing the right thing. We know the importance of showing appreciation for a job well done, celebrate our achievements, and make room for fun

and laughter in the workplace. Our Job We are continuously improving our efforts to serve our members and lower their overall healthcare cost through our three key pillars: Advocacy - Partnership - Innovation.

Does this sound like a culture you'd like to be a part of? Come join a fun team of committed professionals! How You'll Make a Difference Under general supervision, the Member Services Project Specialist is responsible for working closely with Member Services Leaders on assigned initiatives that will lead to superior project management, workforce administration and documentation. This includes scheduling / facilitating meetings, preparing agendas, creating / updating project plans,

managing project documentation, monitoring daily activities of the member services department and reporting.

This position serves as a Project Lead for smaller-scale departmental projects and is responsible for managing the development, coordination, and implementation of assigned projects. This position is also responsible for organizing and leading project teams, working collaboratively with workgroup members and all departments. This position is responsible for adhering to HIPAA and Confidentiality Guidelines. Formulates and defines scope and objectives through research and fact-finding combined with an understanding of applicable business systems and industry requirements.

Utilize Your Skills By: Maintains and reports data related to departmental and individual performance. Analyzes department trends and recommends improvements to optimize the efficiency of the department. Maintain the project schedule by working with team members to ensure tasks are completed by the due date shown on the project plan. Publish reports to project stakeholders and prepare a high-level presentation of project updates for the project team and leadership. Coordinate meetings, including agenda preparation and documentation of meeting discussions, decisions issues, and follow up items for future reference or for audit requirements.

Escalate any major risks or issues to the project sponsor immediately so that a resolution plan can be formed through documentation, communication, and tracking. Develop project documents (i. e. charters, milestones plans, risk management plans, etc. ) after discussing desired project deliverables with the Project Sponsor. Creates detailed comprehensive project plans. Builds relationships between Member Services and other business units. Creates and maintains reports and provides updates to Member Services leaders. Assigns work and action items to the team to ensure implementation of projects are within the agreed upon timeline and budget.

Has a working knowledge of the business capabilities and processes for member services, claims processing, enrollment, and billing, and operations training and quality departments. Remains current on project management methodologies and stays current on the suite of project management tools. Any other task or duty as assigned or required. Additional Duties Over and Above Base Position For the Member Services Dept, facilitate the tracking and annual updating of desk level reference documents.

Monitor tickets to bring attention to any tickets that are outside the SLA. Maintain the Member Services KPI (Key Process Indicators) reports including gathering and reporting the information. What You'll Need to Bring: High school diploma required. Associate degree (or higher) preferred. 3+ years of experience in analytical role. Proficient in use of Microsoft suite of products (Project, Word, Power Point, Visio, and Excel). Experience preferred in healthcare and health insurance domains. Ability to build relationships within the business units. Understanding of project management.

Outstanding communication skills (written and verbal). Ability to understand business requirements and designs related to system and business processes and procedures. Strong organizational skills. General Requirements: Maintains attendance according to Company standards Adheres to Company policies and procedures Ability to treat others with dignity, respect, and courtesy Ability to maintain patient, employee, and proprietary confidentiality Ability to communicate effectively in-person and in all forms of communication Ability to provide professional image and act professionally Ability to work independently and collaboratively Ability to think critically Ability to be flexible and adapt to changing situations Ability to handle multiple priorities simultaneously We've Got You Covered CGHC offers a comprehensive benefit package and broad range of programs to meet the needs of our employees to help protect your health, wealth, and future.

Qualified applicants should send their cover letter, resume and salary requirements to: Job Posted by Applicant Pro

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