Supervisor, Membership Applications - 25-203

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At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

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Hill Physicians has much to offer prospective employees. We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

The I.T. leader shares power, puts the needs of the employees first and helps people develop and perform as highly as possible. I.T. leadership inverts the norm, which puts the individual contributor as a main priority. Instead of the people working to serve the leader, the leader exists to serve the people. These positions have varying and progressive degrees of detail vs strategic pursuits. The percentage of time spent doing day-to-day tasks will decrease as the individual progresses through leadership. By the time the leader is in a senior role, they will be more focused on strategy execution than the actual individual tasks. The I.T. leader supports a number of I.T. staff, Supervisors and Managers depending on the role and rank within the I.T. organization.

Under the leadership of the Manager of Managed Care Applications, the Supervisor Epic Tapestry Membership Applications plays a crucial leadership role in overseeing the accurate and efficient support of enrollment and benefits data through the Epic Systems Tapestry application. You will lead and manage a team of enrollment and benefits application analysts, ensuring accuracy, compliance, and timely issues resolution our enrollment and benefits processes.

Acting as the primary point of contact for users of the Tapestry application in relation to enrollment and benefits processing, Membership Application Supervisor will:

• Manage the utilization of the Tapestry application to oversee the management and maintenance of accurate enrollment and benefits data ensuring accuracy, integrity, and completeness.
• Ensure compliance with industry standards and regulatory requirements related to enrollment and benefits.
• Provide expert-level technical support, troubleshoot application-related issues, and resolution of complex problems.
• Collaborate with and lead internal teams to understand and address the organization's enrollment and benefits needs, implementing system updates and enhancements.
• Works closely with Managed Care Manager on planning and executing strategic objectives and project initiatives.
• Provide strategic insights and recommendations and lead teams in the implementation of workflow optimizations to enhance efficiency and user satisfaction, creating and maintaining user-friendly documentation, guides, and best practices for application usage.
  
  
  

The I.T. Supervisor reports directly to an I.T. Manager or Sr. Manager. The Supervisor will have expertise in one or more functional areas providing day-to-day direction to several individual contributors. The Supervisor’s responsibility is to ensure that the tasks assigned are accomplished within the time frame and specification requested. The Supervisor shall monitor and measure all staff members’ activities and provide feedback to the team on agreed-upon performance success criteria. Scope of management includes at least five (5) direct reports and no more than twelve (12) except under special circumstances.

• To the People they support
• Ensures that employees understand the purpose and vision of the organization and the team’s connection to purpose.
• Works to ensure that employees are engaged and productive.
• Performs annual performance evaluations ensuring that employees are aware of challenges before review.
• Encourages participation in employee surveys and action plans.
• Monitor and measures employee workloads helping with prioritization and escalation as needed.
• Coaches team members on career development and individual development plans.
• Facilitates team daily or weekly team standup to discuss activities and determine barriers.
• Team champion.
  
  
  
  

• To the Product(s) they support
• Monitors and measures supported system performance.
• Identify system challenges and works with the team to reduce errors and improve efficiency.
• Fully support and use the PRISM Change Management process.
• Ensure all incidents and problems are entered into PRISM.
  
  
  
  

• To the Leadership / Business they support
• Supports the I.T. and Business Leadership in organizational goals.
• Ensures teams adherence to service level agreements.
• Ensures teams compliance with PRISM Service Management Standards.
  
  
  

Experience

Required Experience and Professional Skills

• 5+ years of experience in healthcare data management and or payor contracts, with a minimum of 2 years in a supervisory or leadership position.
  
  
  

Professional Skills

• Proficiency with the Epic Systems Tapestry application is a required.
• Knowledge of healthcare regulations and compliance, including HIPAA, is preferred.
  
  
  

Required Education And Certifications

• Master’s/bachelor’s degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience.
• Epic Certification in Claims Admin and/or Cheers required.
  
  
  

Additional Information

Salary:

Hill Physicians is an Equal Opportunity Employer