Company :United Concordia DentalJob Description : 

I.  GENERAL OVERVIEW: 

Provide leadership in the development of short-term and long-term objectives to standardize business practices.  Actively participate on a team or lead projects. Ensure appropriate controls and processing methods are established.  Consults on key metrics and reporting.  Manages staff responsible for addressing daily system and process, organizational and cultural issues. 

II.  ESSENTIAL RESPONSIBILITIES:

1. Communicate effectively.

2. Oversee ongoing analysis and implementation of procedures and systems. 

3. Identify, research, determine, implement and validate solutions. 

4. Serve in a consulting/training role to staff in the appropriate processes to identify and resolve errors.

5. Involved in client performance guarantees and audit procedures.

6. Other duties as assigned or requested.

III. QUALIFICATIONS:

Minimum

High School Diploma or GED5 years experience working with various operations related applications3 years project management experience1 year experience with quality and/or process improvement methodologies.

Preferred

Bachelor’s degree7 years operational and/or systems experience

Knowledge, Skills and Abilities 

Experience evaluating technology or implementationSold organizational and planning capabilities.Understanding of various guarantee standards and metric reporting.Broad based technical and business knowledge

Required:

** Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen, and must also pass a background check **

IV. SCOPE OF RESPONSIBILITY:

Does this role supervise/manage other employees?   Yes 

If yes, indicate the number of direct reports:

V. WORK ENVIRONMENT:

Is Travel Required?  Yes 

Position Type: 

WFA – Work from Anywhere

100% - Remote

Referral Level 1:

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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