Senior Manager, Eligibility

1199 Seiu National Benefit Fund

$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Health Information Technology, Healthcare Administration, Public Health, Computer Science, or equivalent experience required
  • Minimum six years of healthcare data analysis and management experience, with three years of supervisory experience
  • Advanced proficiency in PostgreSQL with experience in large dataset management
  • Advanced Microsoft Excel skills; knowledge of Microsoft Word
  • Experience leading UAT and system testing, including test case development
  • Strong understanding of multi-fund benefit plan structures and CMS requirements
  • Exceptional organizational and problem-solving skills with ability to manage multiple priorities

Responsibilities

  • Lead and manage the Business Intelligence Analysis Unit for optimal performance
  • Oversee daily BI operations to ensure deliverables are accurate and timely
  • Manage BI Unit testing for system changes and document results
  • Review nightly eligibility processes to identify discrepancies and direct corrective actions
  • Guide the development of KPI and ad hoc reports with effective reporting methodologies
  • Ensure data integrity for eligibility datasets through analysis and validation
  • Recommend process improvements for departmental efficiency

Benefits

  • Hybrid workplace arrangement
  • Opportunities for hands-on analytical work
  • Involvement in process improvement initiatives
  • Mentorship and leadership opportunities
  • Participation in special projects
Full Job Description
Requisition #:

7488

# of openings:

1

Employment Type:

Full time

Position Status:

Permanent

Category:

Non-Bargaining

Workplace Arrangement:

Hybrid

Fund:

1199SEIU National Benefit Fund

Job Classification:

Exempt

Responsibilities
• Lead, mentor, and manage the Business Intelligence Analysis Unit to ensure strong performance, effective workflows, and a high-quality operational structure.
• Oversee daily, weekly, and monthly Business Intelligence (BI) operations to ensure analyses, reports, and deliverables are accurate, timely, and appropriately escalated.
• Oversee and lead BI Unit testing activities for new system implementations and changes to existing applications; manage priorities, resolve technical issues impacting eligibility operations, and ensure testing results are documented and communicated.
• Review eligibility nightly processes and control reports; analyze trends and variances, identify discrepancies, and direct corrective action in alignment with established policies and procedures.
• Oversee development of Key Performance Indicator (KPI) and ad hoc reports, ensuring strong reporting methodology, efficient workflow, and effective internal controls.
• Ensure data integrity for eligibility and enrollment datasets extracted via PostgreSQL, including hands-on data analysis, reconciliations, validations, and internal control reviews as needed.
• Recommend and implement process improvements to enhance departmental efficiency and effectiveness.
• Identify training needs, ensure cross-training, and foster a collaborative, high-performance team culture.
• Perform hands-on analytical, reporting, and data validation work as needed to support unit operations and ensure continuity of critical processes.
• Perform additional duties and special projects as assigned.

Qualifications
• Bachelor's degree in Health Information Technology, Healthcare Administration, Public Health, Computer Science, or equivalent experience required
• Minimum six (6) years of healthcare data analysis and management experience, including experience supervising staff or leading project teams, and three (3) years of supervisory experience required
• Advanced proficiency in PostgreSQL, with demonstrated experience extracting, validating, and analyzing large eligibility and enrollment datasets
• Advanced Microsoft Excel skills; working knowledge of Microsoft Word
• Demonstrated experience leading UAT and system testing for new implementations and system changes, including test case development, issue tracking, and results analysis
• Strong understanding of multi fund benefit plan structures, CMS requirements, and Medicare Advantage; Taft Hartley plan experience highly preferred
• Exceptional organizational, analytical, and problem solving skills, with the ability to manage multiple priorities in a high volume environment
• Strong leadership and communication skills, with the ability to present complex data clearly to stakeholders and guide staff performance

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