What are the responsibilities and job description for the Manager Health Plan Operations position at medstar?
The Manager of Health Plan Operations has responsibility for providing leadership and management of the BPAAS vendor in the areas of claims, enrollment, customer service and payment integrity related services, including processing, auditing, research, and resolution, reporting and process improvement.
The Manager reports directly to the Vice President of Operations and partners with other departmental managers and external vendors on all strategic and tactical matters as they relate to claims adjudication and payment, enrollment, customer service and payment integrity.
