What are the responsibilities and job description for the Senior Medicaid Operations Specialist position at Spectrum Health?
Job Summary
The Senior Operations Specialist works independently and autonomously to identify, lead, drive and manage work that supports the strategies, initiatives, and goals of the organization. Responsible for the development, implementation and support of programs and projects that ensure operational efficiency, enhanced safety, increased productivity, reduced cost, and continuous improvement. Manages the day-to-day operational needs as well as the strategic goals of the business.
Essential Functions
Provides operational leadership for new and existing programs and projects. Ensures required documentation, reporting, data collection and database utilization are performed in an accurate and timely manner. Prepares progress reports, study results and other reports as required.
Collects and analyzes process, productivity, value and quality related data to initiate, develop, and recommend operational practices and procedures that focus on operational efficiency, enhanced safety, increased productivity, and reduced cost.
Directs, organizes, and engages in process and quality improvement initiatives. Responsible for identifying, leading, and implementing recommendations to improve operational efficiency, new services for area of responsibility and creates documentation of new established workflows.
Serves as the operational lead to provide structure, project management and direction for new and existing workflow transformation and other operational initiatives. Develops action and projects plans focused on operations and running the business.
Leads compliance activities across the organization to ensure services are provided in accordance with State and Federal regulations, organizational policies and procedures, medical staff bylaws and accreditation / compliance requirements.
May work on initiatives that span across several service lines.
May serve as interim leadership
Qualifications
Required
Bachelor's Degree or equivalent business, healthcare administration or related field
5 years of relevant experience
Preferred
Preferred Master's Degree
5 years of relevant experience proven leadership
5 years of relevant experience
Experience in healthcare and working within in an organization of size and complexity comparable to Corewell Health
Medicaid or Insurance experience
Project management experience
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work / life balance goals. Learn more .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1231 E Beltline - Grand Rapids
Department Name
PH - Market Operations - Medicaid
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
Hours of Work
8 : 00 to 5 : 00
Days Worked
Monday to Friday
Weekend Frequency
N / A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
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