Manager Operations (Business Configuration Quality)

Requisition ID:892568

Store #:110343 EM Plan Setup - OH CSC

Position:Full-Time

Total Rewards:Benefits/Incentive Information

At EyeMed, we have a unique perspective on vision benefits. By listening and staying curious, we create innovative vision benefits that are a joy to use.

Our mission is to help people see life to the fullest-and our commitment goes beyond vision benefits. Our passionate employees proudly support the OneSight EssilorLuxottica Foundation, a leading not-for-profit organization with a 100% focus on eradicating the world's vision crisis.

EyeMed is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions. Join our global community of over 200,000 dedicated employees around the world in driving the transformation of the eyewear and eyecare industry. Discover more by following us on LinkedIn.

GENERAL FUNCTION

The Manager - Business Configuration Quality is responsible for the data integrity and quality assurance of product and benefit display configuration in Facets. The Manager will identify, define, and implement auditing processes as well as spearhead projects that drive solutions to improve the product and benefit configuration performed by the Business Configuration production team.

MAJOR DUTIES AND RESPONSIBILITIES

• Lead projects to enhance the Configuration Tool set and improve the quality of data in our systems. (i.e. Facets, and various programs that support configuration).
• Functional lead for Business Configuration Annual Soc1 Controls and Managed Vision Care Revenue Quality Audits, responsible for providing the proper evidence to support the controls throughout the review process.
• Collaborate with Business Configuration leaders to implement Best Practices for the audit and quality control of configuration.
• Perform daily quality assurance checks on automation programs to ensure any records that drop outside of the systemic processes are addressed timely.
• Perform regularly scheduled audits for benefit configuration for designated Clients to ensure performance guarantees are met.
• Provide assessment, analysis, and troubleshooting of potential data set up issues using SQL Queries to pull data from the system.
• Collaborate with cross-functional teams on enhancements of automated solutions to deliver improved quality program processing.
• Perform and resolve configuration questions/issues sent to the Business Configuration team without guidance
• Responsible for identifying, defining, and driving enhancements in audit tools and processes to improve production team performance.
• Oversee and monitor established Performance Guarantees (PGs) for Business Configuration; monitoring and maintenance of PG Performance to ensure production quality is completed within goal.
• Create training documentation and deliver training to other team members on auditing processes.
• Perform Business Configuration product and client data cleanup activities.
• Maintain relationships with cross functional teams to develop a cohesive result driven, working environment.
• Coordinate and participate in cross-functional team activities for issue resolution.
• Recommend process and system enhancements to drive improvements.

BASIC QUALIFICATIONS

• Bachelor's degree in business or related field, or equivalent work experience
• 5+ years' experience in health plans with a thorough understanding of benefits and claim adjudication.
• 2 years' experience writing SQL queries and extracting data from multiple database tables using Oracle Sequel Developer.
• 2 years' experience in a data related analytical and problem-solving role.
• Strong communication and interpersonal skills
• Ability to lead and manage multiple complex assignments at once.

PREFERRED QUALIFICATIONS

• Experience in benefit configuration in the Healthcare industry.
• Experience with claim adjudication and claim research
• Experience with Facets platform using Claims and Product Benefit Configuration
• Knowledge of Medicare and Medicaid programs

Employee pay is determined by multiple factors, including geography, experience, qualifications, skills and local minimum wage requirements. In addition, you may also be offered a competitive bonus and/or commission plan, which complements a first-class total rewards package. Benefits may include health care, retirement savings, paid time off/vacation, and various employee discounts.

Upon request and consistent with applicable laws, EssilorLuxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process. To request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law. Native Americans in the US receive preference in accordance with Tribal Law.