Job Opportunities in United States

Primary City/State:
Arizona, Arizona
Department Name:
Sales
Work Shift:
Day
Job Category:
General Operations
Great careers are built at Banner. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote & hybrid work options. Apply today.

Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings.

As the Manager of Health Plan Commissions and Operations, your role will be to ensure the accurate and prompt payment of broker commissions and HRA payments. You will rely on your robust technical skills and meticulous attention to detail to process commissions accurately.

The position is fully remote, with work hours from Monday to Friday during standard business hours in the Arizona Time Zone. If this opportunity seems like a good fit for you, we encourage you to apply today.

Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.
POSITION SUMMARY
This position is responsible for managing the coordination and/or collection of relevant financial data to prepare and process commission payments of Broker, Agency, and Field Marketing Organization (FMO) distribution channels. The position will be working cross-functionally with various departments including Finance, Sales, Accounting, and HR to execute commission payments from beginning to end, including but not limited to system configuration, monthly calculations, forecasting/modeling, and audits. Responsible for leading and motivating staff to ensure accurate and timely commission payments.

CORE FUNCTIONS
1. Calculate and processes commissions each month to pay agent/agency partners for Medicare lines of business.

2. Develop and manage commission strategies in accordance with CMS guidelines. Audits calculations for accuracy prior to payment releases.

3. Accountable for accuracy, timeliness, and quality of payments each month. Collaborates with enrollment, sales and finance in order to process such payments.

4. Uses internal systems to pool enrollment data each month to determine what commissions are to be paid.

5. Manage records and reports across different workforce levels.

6. Audits/corrects and collects on under or overpayments should they occur. Coordinate between management and functional staff.

7. Responsible for understanding CMS commission guidance and maintaining updates to the CMS process annually. Collaborate with staff to deliver contracts with specified guidelines.

8. Execute and supervise dealings in accordance with CMS commission guidelines/deadlines. Assist project staff in outlining commission responsibilities. Ensure accuracy of systems results and promote company standards.

9. Plan strategies to achieve project completion using available resources. Oversee projects with required systems to build an automated solution. Recruit, train, inspire, and manage commission team. Participate in and manage commission operations.
MINIMUM QUALIFICATIONS

Knowledge, skills and abilities as normally obtained through the completion of a bachelor’s degree in Finance, Business, Healthcare management or related field of study.


Requires a proficiency level typically attained with 3+ years’ experience in the functional area with experience as a lead.


Required knowledge, skills and abilities in commissions, audit, QC, and/or payroll processing.


Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

PREFERRED QUALIFICATIONS

Systems knowledge and experience in platforms like Sales Force and/or Market Prominence preferred.


Additional related education and/or experience preferred.


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EEO/Female/Minority/Disability/Veterans
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