Employer Group Operations Manager

General Information

Position Purpose

• The Employer Group Operations Manager will work closely with the Executive Director, Director of Clinical Operations, and organizational leadership in the development, facilitation, and support of the organization’s employer operations and wellness initiatives. The Employer Group Operations Manager will play a critical role in advancing and maintaining the organization’s mission of better care, lower costs and healthier communities.
• The Employer Group Operations Manager must be self-driven, detail-oriented, and dedicated to developing long-term relationships with our self-insured employers. The Employer Group Operations Manager must have the ability to identify, create, facilitate, and execute general management processes with little to no oversight. The Employer Group Operations Manager will play an integral role regarding employer support and will be an effective communicator across multiple, cross-functional teams and most importantly, with employers.
• They will be a subject matter expert on workplace wellness and health promotion for the employers Monument serves. They are expected to represent Monument Health through community involvement and events; some will be outside of traditional working hours, such as early mornings, evenings and weekends. The Employer Group Operations Manager will be required to operate according to Monument Health core values and help advance the mission and vision of Monument Health.
• Hybrid work arrangement may be considered, with an understanding that a significant amount of onsite work in Grand Junction, CO will be required. Grand Valley residency required.

Essential Job Functions

• Drive routine employer group interactions and serve as the main point of contact for employer queries, benefit plan support, open enrollment participation, and other activities as identified
• Drive the engagement of local self-insured employers under value-based partnerships that are consistent with employers’ guiding principles and coordinate with their Third Party Administrators network implementation and administration
• Synthesize complex health data and claims trends into actionable insights and professional presentations for employer leadership teams
• Accountable for the on-site development, coordination and facilitation of employer groups’ open enrollment sessions, benefits fairs, etc.
• Serve as a subject matter expert on workplace wellness and health promotion to employers.
• Develop relevant collaterals and member engagement materials for employers and wellness platform clients
• Regularly assess employer solutions operations for opportunities to improve effectiveness
• Interact effectively with executives, the team, community partners, and clients in a friendly and professional manner
• Oversee the coordination of employer meetings and other events for the organization
• Light housekeeping (shared by all employees).
• Protect Monument’s value by keeping information confidential.
• Review systems and processes and suggest/make modifications to address issues
• Occasional travel is required for conferences and assignments.
• Perform other related duties as necessary for the purpose of ensuring the efficient and effective functioning of the organization.

Knowledge, Skills, Abilities, and Other Characteristics

• Minimum of three (3) years experience working in project management required; preferable in a healthcare or health insurance setting
• Knowledge of self-insured health plans, commercial health plans and value-based healthcare.
• Must be a highly-motivated, self-driven person who can learn quickly and be comfortable in a fast-paced, start-up environment where direct feedback is regularly provided.
• Must work well independently and on a team, in person, remotely, and in hybrid formats.
• Demonstrated ability to lead a project from start to end.
• Experience having managed multiple projects at once and able to balance multiple stakeholders’ opinions and priorities.
• Excellent customer service skills required with focus on providing high-quality, outcomes-driven member experiences.
• Must be skilled in high-impact, business communication and demonstrate critical thinking skills.
• Intermediate to advanced user of Google G-Suite and a willingness and demonstrated ability to learn other software.
• Must adopt and live the Monument Health core values.

Preferred Qualifications

• • PMP certified
  • Experience with the local broker community and experience working with third party administrators
  • Knowledge of value-based care fundamentals and particularly, applications to self-insured plans
  • Experience with data representations, including Tableau, and pulling data from multiple sources into a cohesive and impactful report to stakeholders

Education and Certifications Requirements

Bachelor’s degree required; preference for Business Administration, Healthcare Administration, or Health Promotion. Graduate degree preferred.

Monument Health Overview

Monument Health, LLC is a joint venture capitalized in 2015 and owned by Intermountain St. Mary’s Regional Medical Center and Primary Care Partners. Monument Health facilitates the largest and most comprehensive clinically integrated network (CIN) on Colorado’s Western Slope and delivers high-impact population health services. The high performing integrated network and population health services allow for better, more coordinated care and cost containment in the communities it serves.

Monument Health currently manages a network of 100,000+ members across the Western Slope, encompassing Commercial, Medicaid, CHP+, Medicare, Medicare Advantage, and Dual Special Needs (D-SNP) insurance plans with multiple payors. Self-funded employer groups may also utilize the Monument Health network and population health services on their TPA platforms. In addition, Monument Health offers analytics, population health and employee-based wellness programs and services.

Physical Aspects of the Job – Regularly Required to Perform Job Tasks

Physical Requirements 

Lifting Requirements

Working Environment

Vision Requirements

Hearing Requirements

Mental Requirements

OSHA Category Classification: Category III

The normal work routine of this position does not involve exposure to blood, body fluids, or tissues. The person holding this position will not be called upon to perform or assist in emergency medical care or first aid or to be potentially exposed in some way. Category III does include handling of implements, utensils, equipment; using public restrooms and public telephones; and personal contacts such as handshaking.