Senior Producer Relations Liaison
Henry Ford Hospital - Troy, MI
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Responsible for processing commissions for the contracted/appointed producers that sell HAP's commissionable products, including HAP and Alliance Health and Life individual and group fully-insured, Medicare supplement and Medicare Advantage; coordinate relationships and expectations of the appointed/contracted producers that sells HAP commission able product lines; process appropriate files, fall-out reports and system flows to create monthly commission payments, statements and administrative fee payouts; analyze commission report to determine over/underpayment; maintain compliance requirements, process improvements, job aids, and flow charts for the department; submit and oversee trouble tickets with external vendors to ensure issues are resolved; update the Commission Call Center Statistical Analysis Report on a daily basis to track agent issues, system issues and problem resolution; attend weekly meetings with the Commission Team, providing system and process updates; update Producer Relations Management to resolve critical commission and Medicare administrative fee issues; post on-line commission statements, and create producer log-ins for access for the producer portal; provide customer service support for the preferred producers, managing agency (MA) HAA and individual products GAs; respond to inquiries and requests regarding commissions; review agency commissions audits with the principal producer; support the implementation of mass commission schedule changes and business rules in commission systems; work with IT to ensure the accurate deployment of configuration that supports commissions' monthly operations and new releases of Facets; utilize and apply knowledge of Salesforce, SAP ICM, MS Access, SQL Server, IKA, Facets, BAAN V, Oracle, Pega, RFQs/RFPs, Process initiatives conceptualization, Process flows and CMS regulations/guidelines to perform assigned duties; responsible for the submission of commission's system enhancement service requests; partner with Accounts Receivable, M&B, BCT, and Group Operations to resolve group issues, plan group updates, audit commissions and process manual adjustments; collaborate and support vendor relationships and implementation of vendor activities; assist with overseeing vendor performance; collaborate with business partners in the creations and review of UAT test scenarios for system upgrades for InfoCRM, Facets, Pega, Colibrium and new HAP systems; prepare department reports and assist with data analysis and data management related activities; coordinate data needs; develop and run queries and reports as needed; and coordinate and support special commission projects, spreadsheets and presentations for the department. Location : Detroit, Michigan and multiple undetermined worksites throughout the US "DNS" #LI-DNI" Education: Bachelor's Degree in Management Information Systems, Electronic Engineering, Computer Information Systems, or in a related field of study (will accept equivalent foreign degree); Experience: Two (2) years in the position above, as a Production Planning Specialist, as a Production Planner and Buyer, as a Material Purchasing Buyer, as a Specialist, or in a related occupation; Other Requirements: Experience must include use two (2) years of all the following: Salesforce, SAP ICM, MS Access, SQL Server, IKA, Facets, BAAN V, Oracle, Pega, RFQs/RFPs, Process initiatives conceptualization, and Process flows. Will also accept any suitable combination of education, training, and/or experience. Additional Information * Organization: HAP (Health Alliance Plan) * Department: Producer Relations * Shift: Day Job * Union Code: Not Applicable
Created: 2024-09-23