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VP of Enterprise Membership

Company: P&C / Life / Health Insurance, Farmington, CT
Location: Farmington
Posted on: March 18, 2019

Job Description:

Seeking an innovative and dynamic Vice President of Membership to drive operational performance and establish metrics that lead to timely and accurate enrollment, billing reconciliation and ID card distribution of our vendors including but not limited to – Cognizant, Clarity and The Sourcing Group. The performance should lead to exceptional service for our members, brokers and exceed contractual requirements that align with Company and ConnectiCare strategic objectives. Responsibilities: Ensure that all Membership processes comply with approved Company and ConnectiCare policies as well as State and Federal regulations. Drive transition of ConnectiCare’s Membership work to Cognizant. Responsible for selection and procurement of the company's product and service providers to reduce operational costs. Ensure that decisions regarding vendor selection and performance are in alignment with financially sound business practices and that day to day procurement decisions are consistent with these policies. Work closely with operation colleagues, product, case installation and executive teams to determine areas of improvement in performance delivery that project us to a leadership position against our competitors. Drive and implement new disciplined distribution of bills, premium reconciliation and conduct monthly analysis on the billing and accounts receivable to identify anomalies prior to the financial closing, improving the accuracy of the financial statements for Emblem and ConnectiCare. Qualifications: Bachelor’s degree required; Master’s degree preferred. 12 - 15 years of relevant managed care experience. 5 years of procurement / vendor management experience or leading a Membership or Operational team. Experience in the development and implementation of metrics and analytics to measure performance. Proven experience in cost containment for a large division, department, or company. Industry level knowledge of best practices in procurement and vendor management. Ability to interpret and implement federal, state and local guidelines for all aspects of the member and provider processes.

Keywords: P&C / Life / Health Insurance, Farmington, CT, New England , VP of Enterprise Membership, Executive , Farmington, Northeast

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