Sentara Health
Supervisor, Health Plan Business Systems Operations
Sentara Health, Richmond, Virginia, United States, 23214
Supervisor, Health Plan Business Systems Operations
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Supervisor, Health Plan Business Systems Operations
role at
Sentara Health Supervisor, Health Plan Business Systems Operations
1 day ago Be among the first 25 applicants Join to apply for the
Supervisor, Health Plan Business Systems Operations
role at
Sentara Health Overview
The City/State
Richmond, VA
Work Shift
First (Days)
Overview:
Overview
The
Supervisor, Health Plan Business Systems Operations
will lead a team focused on delivering business solutions for complex health plan initiatives, including the configuration and implementation of new markets and products. This role requires strong system analysis, configuration design, testing, and documentation skills, as well as a high level of expertise in supporting governmental and commercial reimbursement policies.
The Supervisor will oversee claims and system administration activities, manage configuration and testing projects, and ensure platform functionality aligns with organizational goals. This individual will serve as a key liaison between departments, ensuring realistic project scopes, effective timelines, and the resolution of barriers. Experience with commercial health plans and strong leadership capabilities are essential. QNXT platform experience is highly preferred.
Education
Bachelors Degree (Required)
Certification/Licensure
No specific certification or licensure requirements
Experience
Minimum 2 years of experience managing people or leading a team Experience in the configuration of commercial health plans; QNXT experience preferred Strong understanding of government and commercial reimbursement methodologies 3+ years of experience with MS SQL Server, including writing SQL queries and working with SSAS, SSRS, and SSIS Proven ability to retrieve and analyze complex data using Microsoft Access, Excel, and SQL Proficient in process mapping/flow charting and documentation best practices Demonstrated ability to independently lead multi-functional projects and guide team members Strong organizational, verbal, and written communication skills Ability to coach, mentor, and manage workload across a team of analysts Experience in Managed Care, Medicaid, or Medicare Insurance environments Ability to apply sound judgment, troubleshoot complex issues, and influence process improvements
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick Leave Paid Parental & Family Caregiver Leave Emergency Backup Care Long-Term, Short-Term Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition Assistance $5,250/year and discounted educational opportunities through Guild Education Student Debt Pay Down $10,000 Reimbursement for certifications and free access to complete CEUs and professional development Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer
and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day, this is a tobacco-free environment.
For positions that are available as remote work,
Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
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Join to apply for the
Supervisor, Health Plan Business Systems Operations
role at
Sentara Health Supervisor, Health Plan Business Systems Operations
1 day ago Be among the first 25 applicants Join to apply for the
Supervisor, Health Plan Business Systems Operations
role at
Sentara Health Overview
The City/State
Richmond, VA
Work Shift
First (Days)
Overview:
Overview
The
Supervisor, Health Plan Business Systems Operations
will lead a team focused on delivering business solutions for complex health plan initiatives, including the configuration and implementation of new markets and products. This role requires strong system analysis, configuration design, testing, and documentation skills, as well as a high level of expertise in supporting governmental and commercial reimbursement policies.
The Supervisor will oversee claims and system administration activities, manage configuration and testing projects, and ensure platform functionality aligns with organizational goals. This individual will serve as a key liaison between departments, ensuring realistic project scopes, effective timelines, and the resolution of barriers. Experience with commercial health plans and strong leadership capabilities are essential. QNXT platform experience is highly preferred.
Education
Bachelors Degree (Required)
Certification/Licensure
No specific certification or licensure requirements
Experience
Minimum 2 years of experience managing people or leading a team Experience in the configuration of commercial health plans; QNXT experience preferred Strong understanding of government and commercial reimbursement methodologies 3+ years of experience with MS SQL Server, including writing SQL queries and working with SSAS, SSRS, and SSIS Proven ability to retrieve and analyze complex data using Microsoft Access, Excel, and SQL Proficient in process mapping/flow charting and documentation best practices Demonstrated ability to independently lead multi-functional projects and guide team members Strong organizational, verbal, and written communication skills Ability to coach, mentor, and manage workload across a team of analysts Experience in Managed Care, Medicaid, or Medicare Insurance environments Ability to apply sound judgment, troubleshoot complex issues, and influence process improvements
Benefits: Caring For Your Family and Your Career
Medical, Dental, Vision plans Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick Leave Paid Parental & Family Caregiver Leave Emergency Backup Care Long-Term, Short-Term Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition Assistance $5,250/year and discounted educational opportunities through Guild Education Student Debt Pay Down $10,000 Reimbursement for certifications and free access to complete CEUs and professional development Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer
and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission to improve health every day, this is a tobacco-free environment.
For positions that are available as remote work,
Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Other Industries
Hospitals and Health Care Referrals increase your chances of interviewing at Sentara Health by 2x Get notified about new Business Supervisor jobs in
Richmond, VA . Pharmacy Manager - Sign-On Bonus Available
Richmond, VA $5,775.00-$6,342.00 2 weeks ago Richmond, VA $95,000.00-$100,000.00 4 days ago Pharmacy Manager - Sign-On Bonus Available
Richmond, VA $5,775.00-$6,342.00 2 weeks ago Field Supervisor- Hiring for Future Growth- Expected start June 2025
Pharmacy Manager- Sign-On Bonus and Relocation Assistance Available
Chester, VA $5,775.00-$6,342.00 1 month ago Lubricants Sr Region Manager - GROWMARK, Inc. - Remote (VA)
Richmond, VA $105,150.00-$144,537.50 2 weeks ago Patient Access Supervisor - Adult Outpatient Pavilion
Richmond, VA $74,000.00-$77,000.00 3 days ago Field Supervisor- Hiring for Future Growth- Expected start June 2025
Patient Access Supervisor - Pediatric Internal Medicine - Chesterfield Meadows
Pharmacy Manager - Sign-On Bonus Available
Petersburg, VA $5,481.00-$5,985.00 1 month ago Patient Business Services Manager II - Children's Pavilion
Mechanicsville, VA $16.00-$24.00 5 days ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr