1+ months

Manager, HCS Commercial MSP Operations

Sunrise, FL 33351
Regular Full Time

The Healthcare Commercial MSP Operations Manager oversees and drives business operations for Performants Medicare Secondary Payer (MSP)-related solutions (*does not include CMS MSP)

Responsible for operational P&L for Commercial MSP line of business
Lead implementation of new accounts
Develop business plans for full scalability, including funding, staffing, and technology modeling
Plans and collaborates to ensure appropriate staffing levels and staff competencies for assigned business 
Proven experience in developing and managing high performing dynamic teams
Manages Reclamation operations and contributes to development/enhancement of operational infrastructure.
Ensure team(s) consistently achieve operational metrics and goals, quality and compliance requirements.
Builds business value and credibility internally and externally, and represents the organization in meetings with the clients and other reclamation business constituents.
Uses excellent communication skills in order to influence a wide range of internal and external audiences.
Leads by example and adheres to all Company policies and procedures in performance of job duties and all interactions.
Develop and implement operational training for staff to support operational quality and compliance, and optimal service delivery to clients.
Actively identify opportunities and develop solutions for increased efficiencies to processes, systems and tools used in delivering client services.
Performs other duties as assigned.
Required Skills and Knowledge:
Extensive depth and breadth of experience with Medicare Third-Party Liability (TPL) business models and products.
Experience successfully leading TPL specific business and driving operational results, with some P&L responsibilities.
Working knowledge of requirements gathering, ETL processing, data matching, and databasing.
Demonstrated ability to meet top and bottom line revenue targets for a rapidly expanding business.
Excellent professional written and verbal communication skills.
Understands and adheres to HIPAA standards and regulations.
Perform other duties as may be required to meet business needs.
Strong critical thinking, analytical and problem-solving skills.
Self-motivated and thrives in a fast-paced business performing multiple tasks cohesively, with keen attention to detail.
Ability to adapt quickly and transition effectively to changing circumstances, client requirements, assignments, and business needs; and consistently performs job responsibilities.


Physical Requirements:
Performs duties in a busy standard office environment with moderate noise level. (or home-based Telework environment in accordance with Company policies and procedures).
Sits or stands at a desk, reaching as needed to use office equipment.
Makes and returns calls using an office phone system or company issued cellular phone.
Views a computer monitor, types on a keyboard and uses a mouse.
Reads and comprehends information in electronic (computer) or paper form (written/printed).
Types frequently, but not constantly, using a keyboard and mouse.
Occasionally lifts/carries/pushes/pulls up to 10 pounds.


Travel occasionally as may be required
Education and Experience:
Bachelors degree in relevant field or equivalent combination of education and experience.
5+ years relevant professional level experience with increasing responsibility relevant to the position working with MSP data and processes.
3+ years in relevant leadership role(s). Previous experience demonstrating successful P&L ownership highly preferred.
Accomplished track record demonstrating the knowledge and skills required for the position.


Other Requirements
-Must submit to and pass pre-employment (and during employment) background check, including, but not limited to, criminal background checks; must not have any felony convictions or specific misdemeanors, nor on state/federal debarment lists.
-Must submit to and pass drug screen.
-Performant is a government contractor. Certain client assignments for this position may require additional background and/or clearances.

Job Profile is subject to change at any time.

Performant Financial Corporation is an Equal Opportunity Employer. Performant Financial Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

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Posted: 2020-06-11 Expires: 2020-09-06
Analytics, audit, and recovery services for healthcare, government and student loans.

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Manager, HCS Commercial MSP Operations

Performant Financial
Sunrise, FL 33351

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