Client Operations Manager
Greater NYC Area
1 month ago
Support implementation and client management teams with all day-to-day client requirements.
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Analyze incoming client requests and work with internal and external teams to complete required plan documentation.
Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent.
Lead pre- and post-implementation quality assurance and testing to validate coding accuracy.
Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address.
Handle and resolve sponsor and member issues, escalating as needed.
Research and respond to claims processing and system configuration inquiries.
Coordinate integration of other data inputs into client management processes.
Collaborate cross functionally to support general client operations, as required.