Director, Employer Reporting

ACCOUNTABILITIES:

• Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
• Manages entire reinsurance program for the health plan including all aspects from the negotiation of the renewal rates to claim submission.
• Works with personnel throughout the corporation in the development and enhancement of disease management, case management, wellness, episodes of care, and program savings results reporting through the Employer Reporting Demonstrating Our Value reports. Provide ongoing training to Sales staff on the reports.
• Works with Finance personnel in the development of group specific administration programs cost and pricing in response to very large group RFPs.
• Responsible for managing staff including hiring, firing, discipline, coaching, training, and performance evaluations.
• Develops and manages budget and financial performance.
• Manages the production of standard and ad hoc employer reports, including verification that data meets all applicable federal and state privacy laws and HealthPartners' proprietary data is protected.
• Coordinates the calculation of discount and provider fee information for RFPs, including the integration of affiliate discount and fee information with HealthPartners data.
• Manages all group specific financial settlements including specific and aggregate stop-loss, minimum-maximum premium arrangements, discount guarantees and claim targets.
• Directs the release of data to external parties including Data Aggregator and third-party administrators, verifying that all applicable federal and state privacy laws are followed, and that HealthPartners proprietary data is protected.
• Supervises the querying of groups specific Part D Medicare subsidy data and the submission of that data to the CMS RDS website.

REQUIRED QUALIFICATIONS:

PREFERRED QUALIFICATIONS:

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.