This Director position will be responsible for day-to-day operation of our Individual & Family Membership Administration function. Membership Administration is a shared service within Health Plan operations providing centralized support for all Kaiser Permanente regions across the country.
Membership Administration is responsible for all aspects of service to effectuate and maintain member coverage as well as all associated premium billing and payment. The Director will have accountability to drive a high performing service culture that is focused on achieving an effortless experience for our members. Operational oversight includes leadership of on-shore and off-shore resources and development of critical internal partnerships for both Off-Exchange and On-Exchange distribution channels.
Accountability includes achievement of turnaround time and quality service levels, budget planning and performance, identifying and driving process improvement opportunities, ensuring strong solution controls and regulatory compliance of operations, shared service value creation, staff development and employee satisfaction, service culture development, and contributing to strategic planning for production operations.Essential Functions: Leads management team to establish strategic plans and objectives for the function; may assist with developing some cross-functional oriented objectives. Has overall control of planning, staffing, budgeting, managing expense priorities, performance requirements, and recommending and implementing changes to methods.
Influences the development and execution of functional and KP-wide policies and long-term goals. Participates in development of methods, techniques and evaluation criteria for projects, programs, and people.Basic Qualifications:Experience Minimum ten (10) years of experience in a claims processing environment or other related environment, with seven (7) years of management experience.
Education Bachelor's degree in business administration OR four (4) year of experience in a directly related field.Additional Requirements: Experience in managing large groups of employees in a collaborative work team environment required. Must be able to work in a Labor/Management Partnership environment.
Minimum five (5) years of experience at the manager or higher level overseeing operations in financial, health care, or insurance sectorsLeadership experience over transactional customer service operations will be given preferenceDemonstrated people leadership skills and experience building strong employee engagementProven track record of process improvement achievementExperience with health benefit exchanges a plusExperience in highly regulated environments requiring strong process control a plusPreferred Qualifications: Master's degree preferred.Primary Location: California,San Diego,California Service Center - Rio S.D.Scheduled Weekly Hours: 40Shift: Day Workdays: Mon, Tue, Wed, Thu, FriWorking Hours Start: 08:00 AMWorking Hours End: 05:00 PMJob Schedule: Full-timeJob Type: StandardEmployee Status: RegularEmployee Group/Union Affiliation: NUE-PO-01|NUE|Non Union EmployeeJob Level: Director/Senior DirectorDepartment: Po/Ho Corp - Vendor Mgmt Organization (VMO) - 0315Pay Range: $173000 - $223850/yearThe ranges posted above reflect the location in the job posting.
The salary range may vary if you reside in a different location or state than the location posted.Travel: NoAt Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work.
Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status