Hip Of Florida/Vista Health Plan Work Values

Daily Duties at Hip Of Florida/Vista Health Plan:

• Benefits administration and configuration for over 300,000 members and over 10,000 employer groups and 1,000 employees. • Implementation of Commercial, Medicare, Medicaid and Large and Small Group products. • Handled employees • Vendor liaison and resolved benefit and claims issues. • Representative at all major project meetings, system conversions and updates. • Managed all contract administration and led open enrollment for large clients. • Manage all HMO, POS, PPO, Medicare and Indemnity Benefits. • Manage and maintain Benefits Subsystem (PowerMHS, QCare, Amisys) • Manage staff of three, Benefits Assistant, Contract Analyst and Benefits Analyst • Develop new Products and create benefit comparisons for Group Administrators • Ensure contract, RFP and benefit compliance • Manage member enrollment materials • Knowledge of HCFA, HIPAA and DOI regulations • Responsible for training staff on benefit system set up and product/plan utilization and design. • Create and Maintain benefit matrices for outside Vendors and Customer Service and other departments • Communicate with Customer Service, Claims, Medical, members and providers. • Grievance and Appeals Committee • Oversee the testing of claims and pre-authorizations in test region to handle new benefits • Expertise with ICD-9, CPT-4, HCPC and revenue codes

What they like about Hip Of Florida/Vista Health Plan:

A hiring company that offers alternative approaches to pay, performance bonuses, and/or equity in the firm is very attractive to you. You're generally less interested in working for an organization offering only traditional, salary-based compensation, one with limited opportunity to acquire equity in the firm, or one that does not actively promote skill development. In addition, you are more likely to choose a company that offers a variety of internal career options, with defined career paths. You view the learning of new skills and development of your expertise as key to your career advancement. These aspects of an organization may become even more important to you as you progress in your field, and are especially critical if you change career or occupation.

Tags

Benefits /Systems Manager

Skills

MS Access Database creation, Creating Crystal Reports, MS Project expertis, Advanced EXCEL skills, Visio expertise

These are some of the questions we asked our climbers about their experiences with Hip Of Florida/Vista Health Plan: