Operations Administrator

Operations Administrator

Job ID 30073 Location Remote

Creating a better way. It’s more than just the philosophy we were founded on. It’s our purpose. For our employees, it means more time with patients. Unrushed visits to build meaningful relationships. And most importantly, an opportunity to empower our patients to achieve their full potential at work and in life. Determined to make a difference? Join our health care revolution and be a part of something better.

The Operations Admintrator (OA) develops and strengthens client relationships, provides quality service, and addresses and solves client problems/issues. OA must demonstrate a thorough understanding of client needs and QuadMed’s tools/processes and products/solution and creates solutions that fulfill our client’s needs. The OA must identify additional opportunities to improve client’s management population health and for aligning QuadMed’s core competencies with client’s goals and objectives.

This position is responsible for the day-to-day relationship with the client. Operations Administrator must also coordinate a collaborative relationship with internal account team & lead weekly or bi-weekly communications on client asks and expectations to insure completion.

Key Responsibilities:

• Foster and grow client relationships in partnership with Operations Managers
• Develop relationships with brokers, consultants, and vendors in partnership with Operations Managers
• Develop strategy and framework to collaboratively engage clients in creating joint solutions that delivers on strategy
• Responsible for book of business management up to $1M
• Leads development and implementation with OM’s on new client schedules, programs and goals
• Administers eligibility, schedules, and health and wellness center programs
• Analyzes client concerns and leads resolutions of open Client Action Log items, ensuring collaboration with clients, team members and stakeholders.
• Oversight of operational dashboard metrics in partnership with Health Center Manager
• Data analytics, identifying variance, trends, and opportunities for business and development
• Responsible for monthly, quarterly, and annual client report data validation, preparation and development
• Client invoice review and modification. B03 is the process QM follows to amend invoices
• Working knowledge of Salesforce
• Familiarity with Epic reporting
• Initiation of client Amendments following KIS process
• Manage client eligibility file and monitor for changes/errors that may impact business
• Responsible for partnering with Health Center Manager on plans to achieve operational performance guarantees and utilization goals for the health center
• Responsible for meeting Performance Guarantees related to report timeliness
• Visits to the health center to assist with conducting facility audits as needed

Job Requirements:

Education:

• High school diploma
• Bachelor’s degree in business or health services administration or related field is preferred

Experience:

• Relevant experience in client services required; experience in health care/health plans preferred.
• Salesforce and Epic experience preferred
• Administrative experience required
• Healthcare background required
• Claims background or familiarity with CPT codes would be a plus, but not required

Knowledge, Skills & Abilities:

• Ability to make sound and logical judgments as it pertains to budgets, contracting, negotiating and communicating with clients
• Strong interpersonal, written, and oral communication skills
• Ability to facilitate discussion and collaborate with teams
• Detail oriented
• Understands health and wellness center operations and is able to execute strategies, budgets and execute deliverables
• Understands industry and healthcare trends to set 1/3/5-year key account plans for client

Harry Quadracci was determined to do things differently, and to do them better. In 1991, the visionary print manufacturing CEO founded QuadMed out of the belief that there had to be a better way to provide his employees with access to affordable, high-quality health care. And what started as doing the right thing, ended up sparking a health care revolution. Now 30 years later, we partner with employers across the nation to provide value-driven health and wellness services in or near the workplace. With a focus on breaking down cost, access and quality barriers, we empower employees and their families to live healthier, happier lives.

We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more.

QuadMed and Quad is proud to be an equal opportunity employer and values diversity. We are committed to creating a place of belonging a space where employees do not need to sacrifice who they are to exist and grow in our workplace. QuadMed and Quad does not discriminate on any unlawful basis including race, religion, color, national origin, disability, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or any other basis prohibited by applicable federal, state, or local laws. QuadMed and Quad also prohibits harassment of applicants and employees based on any of these protected categories.

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