Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits, (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency, and customer support. We are now a subsidiary of Health Care Service Corporation, the largest customer-owned insurance company in the United States and a strategic partner of Health Benefits since 2018, giving us access to increased national scale and support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration, and service to our communities.  

The Eligibility Supervisor is responsible for the day-to-day supervision and management of an Eligibility team enabling the team to meet its client and corporate commitments. Responsibilities include, but are not limited to, successful achievement of team quality, production and service expectations, staff development, successful implementation of new clients, and retention of existing clients. The Supervisor is responsible for providing technical guidance and coaching, answering complex or difficult questions, advising team members regarding processes and procedures, and providing support to ensure all department goals are met.

PLEASE NOTE, YOU WILL BE WORKING FULL-TIME IN THE WEST DES MOINES OFFICE DURING THE TRAINING PERIOD. AFTER TRAINING PERIOD, YOU WILL HAVE THE ABILITY TO WORK FROM HOME IN A HYBRID CAPACITY OF 2 DAYS IN THE OFFICE AND 3 DAYS FROM HOME. THE WORK SCHEDULE IS 8:00 AM – 4:30 PM CST, MON – FRI.

KEY ACCOUNTABILITIES:

• Manage, monitor, track and report performance of staff to ensure inventory, turnaround time, production, quality and service objectives are achieved. Assign daily work and projects. Adjust as needed based on staff availability and business need.
• Create and run recurring and custom reports. Track inventory, turnaround time and quality of work.
• Provide timely and accurate information regarding client, Health Benefits or Compliance updates that impact team.
• Assist with training team members.
• Serve as a resource to team members.
• Support and encourage team members, and promote a positive work environment.
• Handle personnel matters including mentoring, coaching, motivating, performance management and feedback, recognition, performance evaluation and time tracking of direct reports.
• Provide input into compensation and promotion increases.
• Regularly communicate with staff via department meetings and one-on-one meetings with team members
• Mentor and develop leaders within team.
• Interview and recommend viable candidates for job openings.
• Resolve client or member/employee escalated issues.
• Work with other departments as needed to resolve escalated issues.
• Recommend changes to resolve repetitive issues.
• Interface with Client Management Team to ensure successful implementation of new clients, and retention of existing clients, from an eligibility perspective.
• Effectively communicate and advise staff on client requirements and unique client handling to ensure proper eligibility management. Participate in or oversee User Testing to eligibility is set-up correctly.
• May participate in client meetings on occasion.
• Other duties as needed/assigned.

EXPERIENCE & EDUCATION:

• High School Diploma or GED equivalent
• 3-5 years Eligibility experience and/or related experience 
• Self-directed individual who works well with minimal supervision
• Excellent verbal and written communication skills
• Strong leadership, organizational and interpersonal skills
• Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
• Ability to effectively deal with problems in varying situations and reach resolution
• Ability to read, analyze and interpret documents and Summary Plan Descriptions (SPDs)
• Flexible; open to continued process improvement
• Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
• Previous supervisor or management experience-preferred.
• Self-Funded Insurance/Benefits and/or TPA experience-preferred.

ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, RELIGION, COLOR, NATIONAL ORIGIN, SEX, AGE, OR DISABILITY

Required Skills Required Experience

• 5-10 years of experience in related field is preferred. 
• Strong written and oral communication skills. 
• Experience with negotiating vendor contracts. 
• Experience with scheduling shipments. 
• Ability to use all Microsoft applications.
• Bachelors Degree or equivalent experience preferred
• Work is generally performed within a business professional office environment with standard office equipment available. 
• Work conditions are typical of an office environment
• This role does not require any domestic travel 
• Position requires the physical agility to perform continuous lifting up to 15 pounds, bending, squatting, pushing, pulling, stretching/reaching, use hands or fingers, talk, hear, feel objects, tools, controls and standing/walking on concrete flooring. 
• Position requires the physical ability to stand/walk for the duration of work hours

OSI Industries is an Equal Employment Opportunity employer that believes everyone has the right to be treated with dignity and respect. OSI does not discriminate on the basis of national origin, gender, race, color, religion, pregnancy, gender identity, sexual orientation, protected veteran status, disability, or any other characteristic protected by applicable law. All applicants will receive consideration for employment based on merit, qualifications, and business needs. OSI participates in the E-Verify program.