Supervisor Eligibility - LHB

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

• Manage, monitor, track and report performance of staff to ensure inventory, turnaround time, production, quality and service objectives are achieved. Assign daily work and projects. Adjust as needed based on staff availability and business need.
• Create and run recurring and custom reports. Track inventory, turnaround time and quality of work.
• Provide timely and accurate information regarding client, Luminare Health or Compliance updates that impact team.
• Manage and prioritize department, team and individual plans actions with a client centric and forward thinking perspective
• Use process methodologies, like root cause analysis, to determine and implement opportunities that improve service levels and KPIs
• Resolve client or member/employee escalated issues.
• Collaborate with other departments as needed to resolve escalated issues.
• Create and ensure documentation is accurate and current for the team. Such information to be available and used to develop existing staff and the onboarding of new staff.
• Assist with training team members.
• Serve as a resource to team members.
• Support and encourage team members, and promote a positive work environment.
• Handle personnel matters including mentoring, coaching, motivating, performance management and feedback, recognition, performance evaluation and time tracking of direct reports.
• Provide input into compensation and promotion increases.
• Regularly communicate with staff via department meetings and one-on-one meetings with team members
• Mentor and develop leaders within team.
• Interview and recommend viable candidates for job openings.
• Collaborate with Trainers to orient and develop new Analysts, assess new Analyst performance and training needs, timely and effectively implement new policy and procedure, and assess ongoing training needs.
• Ensure successful implementation of new clients, and retention of existing clients, from an eligibility perspective.
• Effectively communicate and advise staff on client requirements and unique client handling to ensure proper eligibility management. Participate in or oversee User Testing to eligibility is set-up correctly.
• May participate in client meetings on occasion.
• Other duties as needed/assigned.

Required Job Qualifications:

• High School Diploma or GED equivalent
• 3-5 years eligibility, insurance, administration or employee benefits experience.
• Self-directed individual who works well with minimal supervision
• Excellent verbal and written communication skills
• Strong leadership, organizational and interpersonal skills
• Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
• Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
• Ability to effectively deal with problems in varying situations and reach resolution
• Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
• Flexible; open to continued process improvement
• Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:

• Bachelor's degree
• Previous supervisory or management experience
• Self-Funded Insurance/Benefits and/or TPA experience

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan,pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package forassociates.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Min to Max Range: