Policy Change Supervisor supervises a group of insurance policy change technicians to ensure that policy changes and requests are carried out according to established guidelines. Determines action on changes for which a policyholder has applied, but which are not covered by policy provisions, and computes costs or allowances for policy changes. Being a Policy Change Supervisor contacts policy owners and field agents with pertinent information that may affect a policy change. Does not have underwriting approval. Additionally, Policy Change Supervisor requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Policy Change Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a Policy Change Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)
Careers With Purpose
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: Cherapa Place Building
Location: Sioux Falls, SD
Address: 300 N Cherapa Pl, Sioux Falls, SD 57103, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $27.50 - $44.00
Department Details
Hybrid opportunity to work from home 2 days per week is an option
Job Summary
Performs complex analytical work of applicable insurance regulations and translates them into operational functions. Provides leadership among colleagues through compiling and analyzing of information relevant to health insurance industry. Assignments typically involve performing policy development, analysis, and review of issues. Work can have significant broad effects. Responsibilities include gathering, organizing, analyzing and verifying information; develops solutions which identify issues and recommend options to operational changes; works with members of multiple disciplines.
Stays up to date on state and federal health insurance regulations and can operationalize the requirements back into the business in an easy-to-understand way. Responsible for managing processes to keep projects moving forward to completion or next review. Creates benefit documents with rigorous change control processes for final document submission for State and Federal product filing approval. Understands regulatory requirements while being able to apply operational know-how to meet the needs of the business.
Facilitates planning and leading cross-functional team meetings to execute policy requirements. Responsible for plan documents, document preparation, information management, file maintenance, and coordination of tasks across multiple areas of understanding. Understands how to achieve a balance between regulatory concerns and product functionality. Much of the position is demanding, fast-paced, dynamically structured, high-stress position in a constantly changing environment.
Must understand all aspects of health insurance products to be able to apply regulations and policies appropriately. Explains regulations, policies and/or procedures in common vernacular for clear understanding among staff. Displays accuracy and attention to detail when working with constantly changing data. Knowledge of effective project management strategies and tactics and ability to plan, organize, monitor, and control projects. Will also undertake special projects as assigned.
Qualifications
Bachelor’s degree.
Experience in one of the following is preferred: Public Policy, Health Policy, Political Science, Business or Business Law
Benefits
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0185102
Job Function: Legal and Compliance
Featured: No