Henry Ford Health System
Senior Producer Relations Liaison
Henry Ford Health System, Oklahoma City, Oklahoma, United States,
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 sell HAP commissionable product lines. Process appropriate files, fall-out reports, and system flows to create monthly commission payments, statements, and administrative fee payouts. Analyze commission reports 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 online commission statements and create producer log-ins for access to 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 creation 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 USEducation : 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 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.Organization : HAP (Health Alliance Plan)Department : Producer RelationsShift : Day JobUnion Code : Not ApplicableThis posting represents the major duties, responsibilities, and authorities of this job and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
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