At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

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Job Summary

Job Summary

The Senior Manager of HCM Operations is responsible for management, and execution of a wide scope of operational processes and workflows, to include support and leadership for all HCM administrative services, customer service/triage of authorization, including HCM system administration. Collaborate with all HCM functional areas to review, revise and implement current/potential new business processes and provide recommendations for new or enhanced solutions, including but not limited to hardware and software, that support current and future HCM operations demand. This role will require active participation in developing and managing project plans, creation and/or updating of Standard Operating Procedures (SOP), outlining tasks to be completed, timeframes, and dedicated resources needed to complete daily/weekly/monthly/quarterly/annual duties. This position requires sound operational management ability.

Minimum Requirements

Education:

• Bachelor’s degree and 5 years of relevant experience OR 9 years of relevant experience.

Experience

• Minimum of 3 years’ experience in call center environment
• Minimum of 2 years’ experience in leadership/management

General Abilities/Competencies:

• Read and comprehend documents, criteria, instructions, and policy and procedure manuals.
• Speaks effectively with clients, physicians, providers, and members.
• Evaluate and solution problems, develop alternative models and identify trends and patterns.
• Ability to prioritize efforts when faced with tight deadlines and multiple, complex projects.
• Ability to travel to regional field offices and Home Office
• A demonstrated ability to think/work/prioritize independently.
• Effective verbal and written communication skills, including the ability to translate technical language to non-technical listeners.
• Proven management experience with the ability to motivate, organize, direct and evaluate other professionals and support diverse staff while fostering creativity and innovation in the workplace .
• A demonstrated ability to adapt, quickly learn new skills and serve as a sponsor of change

Preferred Requirements

Education:

• Medical Coding Certification

Experience:

• Previous experience in a healthcare or insurance environment
• Three years of TPA (Third Party Administration) management experience.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:

$56,700.00 - $106,400.00