Share this Job
Apply now »

Senior Manager Operations Payments

Date:  Nov 15, 2022
Brand:  EyeMed Vision Care
Location: 

Mason, OH, US, 45040

Requisition ID: 788056 
Position:Full-Time
Total Rewards: Benefits/Incentive Information

 

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

 

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, and Target Optical.

 

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

Th Sr Manager, Payments is responsible for leading the payments production team and monitoring payments productivity. This role owns daily escalated payments research through the execution of report creation/maintenance and data analysis. Through strong written and verbal communication skills, this role will drive cross-functional issue resolution and process improvement efforts with various functional areas in the organization. The role will also be responsible for communicating issue resolution and status updates to Claims and Payments leadership.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Direct the productivity, performance and development of the payments production team.
  • Deliver reports to EyeMed leadership outlining performance relative to targets and KPI on a recurring basis, highlighting areas of risk and actions required to mitigate.
  • Oversee the creation and maintenance of regulatory documents such as RAs, EOBs and IDNs, which have a very significant business impact in the areas of Medicare and Medicaid.
  • Provides leadership and oversight in Payments RTB and Compliance related initiatives.
  • Interfaces with internal contacts (via phone, email, meetings, etc.) to research and resolve/escalated issues accurately and in a timely manner. Ensures upward and downward communication to keep management and employees properly informed.
  • Develops and maintains the primary relationship between the Payments Team and IT in troubleshooting and triage efforts.
  • Develops and maintains the primary relationship between the Payments Team and third party fulfillment vendors.
  • Provide subject matter expertise for all payment production related matters on projects and in support of other departments including, but not limited to, Claims, IT, Accounting and Operations.

 

BASIC QUALIFICATIONS

  • Bachelor’s Degree or equivalent work experience
  • At least 8+ years of experience in an Operations role
  • At least 3+ years of supervising experience
  • At least 3+ years of experience with query writing and/or report building
  • Previous SAP knowledge and experience
  • Experience with Microsoft Office
  • Strong analytical skills

 

PREFERRED QUALIFICATIONS

  • 5+ years of supervising experience
  • 5+ years of analysis experience
  • 5+ years of experience with query writing and/or report building
  • Knowledge of Facets
  • Knowledge of SQL Data Extraction
  • Healthcare experience
  • Ability to work independently
  • Highly motivated self-starter

Upon request and consistent with applicable laws, Luxottica 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 Luxottica Ethics Compliance Hotline at 1-888-887-3348 (be sure to provide your name and contact information so that we may follow up in a timely manner). 

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 receive preference in accordance with Tribal Law.


Nearest Major Market: Cincinnati

Job Segment: Operations Manager, Business Process, Medicaid, Medicare, Manager, Operations, Management, Healthcare

Apply now »