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Manager, OPS System Operations

Company: Sentara Healthcare
Location: Glen Allen
Posted on: June 25, 2022

Job Description:

The Ops Support/Systems Administration manager manages all business activities involving system development and implementation, provider and hospital contract configuration, coding compliance and fee schedule implementation.The manager will work collaboratively across the organization to address business needs, determine configuration changes needed and how the changes impact other areas. They will troubleshoot system related issues and should be proficient in analyzing business needs, determining necessary configuration, and developing test scenarios to ensure accurate and complete testing.They will manage all applications and or interfaces used to support claims processing and pricing. They will be responsible for developing staff and documenting processes and procedures to support business needs. They will manage the configuration of the systems by enforcing a strict change management policy and a clear documentation process. In addition, they will work with the Quality & Integrity team to ensure that system configuration changes are functioning properly upon post production release.Virginia Premier is seeking an experienced professional to join our team and serve as the Manager of Operations Support/Systems Administration. This is a full time, days leadership position located in Glen Allen, VA.We are seeking candidates that have knowledge and understanding with medical claims processing. Candidates with QNXT experience are preferred.Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier. Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health.

  • Bachelor's Level Degree
    • Healthcare 3 years
    • Health Insurance Industry 3 years
      • Leadership
      • Judgment and Decision Making
      • Service Orientation
      • Critical Thinking
      • Science
      • Coordination
      • Reading Comprehension
      • Complex Problem Solving
      • Quality Control Analysis
      • Communication
      • Active Listening
      • Project Management
      • Active Learning
      • Persuasion
      • Writing
      • Monitoring
      • Troubleshooting
      • Microsoft Word
      • Time Management
      • Microsoft Excel
      • Technology/Computer
      • Mgmt of Staff Resources
      • Systems Evaluation
      • Mgmt of Material Resources
      • Mgmt of Financial Resources
      • Systems Analysis
      • Speaking
      • Mathematics
      • Social Perceptiveness
      • Learning Strategies

Keywords: Sentara Healthcare, Richmond , Manager, OPS System Operations, Executive , Glen Allen, Virginia

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