Overpayment Recovery Manager: Your Success = Lower Healthcare Costs

Overpayment Recovery Manager: Your Success = Lower Healthcare Costs




Get job satisfaction from collecting less money than the last guy. At Blue Shield of California, the state's 3rd largest health plan, less is more when it comes to Californians' health care dollars. As our Manager of Corporate Recovery, you'll lead the team dedicated to collecting, resolving and minimizing overpayments among providers. This is a high-visibility role in which your leadership, operational skills and insatiable appetite for driving results will ensure that the department runs like a well-oiled machine. Since minimizing overpayments helps to reduce the cost of healthcare, you'll reap rewards that go beyond the usual, and go straight to the core of what we do - helping to enhance the lives and preserve the good health of our customers.



As a not-for-profit health plan, we at Blue Shield of California are guided by our mission and values to ensure that all Californians have access to high-quality, affordable health care. We've been at it for over 60 years and are 3.3 million members strong. More than ever, we need people who want to help us shape the future of health care. For the Corporate Recovery team, this means that identifying and collecting the number of erroneous overpayments is only the beginning. We need to get to the root of the error so we can prevent it from happening again. The lower the recovery dollars are year-to-year, the better we've been at doing our job.


As Corporate Recovery Manager working in our Woodland facility, near Davis, California, you'll oversee all strategic and operational aspects of the Corporate Recovery department. You'll start by learning what we do well and exploring what we can do to improve, so you can deploy your team resources in the best way possible. Although your previous exposure to financial audits, collections or healthcare will help you hit the ground running, we will rely more on your experience in process mapping and reengineering to document existing procedures and appropriately align tasks with talent. Your ability to produce reports and analyze data using Excel and Access will allow you to extrapolate usable information from raw data. Not only will we expect you to tell us how much and how fast overpayments are being collected, we will also need you to identify red flags and trends and determine the best to address them. Since we use both internal resources and 3rd-party vendors to execute the recoveries, we need you to manage these relationships effectively with a focus on improving the flow of information among all stakeholders. As if all this isn't enough to keep you on your toes from day one, you will also be our goodwill ambassador to the rest of the company. With your talent for packaging and presenting data, you will herald Corporate Recovery's added value to the organization. The more other departments understand our work and its results, the more we can partner to improve our processes and produce even more value to Blue Shield of California and its customers.


All applications for this position are accepted via our online interview system, managed by Accolo. You can begin the interview process or REFER someone you know by going to this link: http://jobs.accolo.com/6248


Once you have completed the interview, your information will be sent directly to the hiring manager for decisions on the next steps. Regardless of the outcome, Blue Shield of California or Accolo will keep you updated as to your status by e-mail or phone.


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