PacificSource Health Plans

  • Commercial Project Coordinator

    Job Location US-OR-Springfield
    Job ID
    2018-160
    Type
    Regular Full-Time
    Hiring Pay Range
    18.50 - 21.00
    # of Openings
    1
    Status
    Non-Exempt
  • Overview

    Support the development, research, implementation, and maintenance of large commercial groups. Assist with the Caremark set-up, implementation, and performance reporting for large fully insured and self-insured clients. Responsible for reviewing, compiling, coordinating, and communicating benefits and eligibility for potential, new, and renewing large groups. Ensure accuracy and deadlines to ensure compliance and to support department in providing customer service.

    Responsibilities

    1. Must possess excellent communication skills, particularly in writing. Must also be able to work with a wide variety of internal and external customers Must be able to work under pressure and meet all deadlines.
    2. Maintain performance guarantee metrics and reporting for select large group clients.
    3. Act as a liaison between Commercial programs, sales and operations. Escalate client issues as needed, and facilitate with issue resolution
    4. Maintain or coordinate with Communications on sales related forms (i.e., forms for plan selection, group enrollment, member enrollment, waiver, renewal confirmation, and group size confirmation).
    5. Document and track information as required by the Implementation Coordinator. Assist with maintaining new and renewing group tracking, reporting and monthly updates.
    6. Assist Implementation Coordinator with meeting minutes, tracking milestones and facilitating meetings (internally and externally) when needed.
    7. Prepare custom benefit summaries, SBC’s or other documents for internal and external use.
    8. Liaise with other departments in order to establish and maintain consistent language and operation requirements and support in relation to the organization's sales, materials management, production and overall operating functions.
    9. Publish plan documents, amendments, SBC’s or other documents for internal and external use.

     

    Supporting Responsibilities:

    1. Meet department and company performance and attendance expectations.
    2. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
    3. Perform special projects and other duties as assigned.

    Qualifications

    Work Experience: Experience in insurance industry and in a position that required research, presentations, and effectively managing multiple projects and deadlines.

     

    Education, Certificates, Licenses: Requires a high school diploma or equivalent.. BA/BS preferred.

     

    Knowledge: A thorough understanding of insurance products, contracts, administrative procedures, and the health insurance industry’s legal and mandatory guidelines preferred. Ability to remain current on PacificSource administrative procedures and products, healthcare, and the health insurance industry. Excellent communication skills, both verbal and written and the ability to communicate effectively with all types of individuals. Strong skills in Microsoft Word, Excel, and PowerPoint. Consistently and effectively pays attention to detail, produces high quality work in a timely manner, and strives to increase production without sacrificing quality. Handle sensitive issues with diplomacy and persuasiveness.

     

    Competencies

    Our Values

    • Adaptability
    • Building Customer Loyalty
    • Building Strategic Work Relationships
    • Building Trust
    • Continuous Improvement
    • Contributing to Team Success
    • Planning and Organizing
    • Work Standards

     

     

    • We are committed to doing the right thing.
    • We are one team working toward a common goal.
    • We are each responsible for our customers’ experience.
    • We practice open communication at all levels of the company to foster individual, team and company growth.
    • We actively participate in efforts to improve our many communities-internal and external.
    • We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.

     

     

    Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.

     

    Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.  Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

     

    Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

     

    PacificSource is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

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