Gallagher
Director, GBCARE Operations (Bill Review)
Gallagher, Rolling Meadows, Illinois, United States, 60008
Introduction :
Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.
We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview :
Under general direction of GBCARE leadership, this position will be responsible for operational management and client delivery for many aspects of the GBCARE Bill Review product.
This role will have the core responsibility for managing and enhancing the end-to-end Bill Review product from medical provider bill intake, to managing medical bill repricing, through payment and customer service. To accomplish this, the candidate must have extensive experience in project management, process optimization, and vendor/operational oversight. The team is looking for an independent self-starter, ideally with significant experience in medical bill review and provider networks, that will work cross-functionally with all Gallagher Bassett departments for product delivery.
How you'll make an impact :
Product Oversight and Project Management
Optimize and oversee end-to-end processes, including medical bill intake/indexing, Medical Bill Review, and provider payment
Monitor market trends and identify product enhancement or partnership opportunities to optimize client outcomes
Where identified, lead new vendor and service introduction, including developing and implementing new processes and procedures for service offerings
Serve as project manager for internal managed care change initiatives
Lead selected process optimization efforts in cooperation with internal and external stakeholders
Vendor Oversight
Where outside partners are engaged, responsible for negotiating and contracting select partner agreements
Review vendor invoices and confirm payments where appropriate
Confirm and oversee that product delivery matches agreed upon SLAs, including daily oversight and exception management
Department Liaison
In partnership with all internal departments, develop workflows that drive greater efficiency and effectiveness
Support efforts with Finance where needed to support pricing, forecasting, and audit
Partner with IT to ensure new process requirements are defined and met, and support IT security and audit requirements
Partner with Legal and Compliance for contracting, state regulation, and legal escalation concerns
Partner with Sales and Client Services on marketing product benefits and value proposition, and managing client requirements
Escalation Management
Manage significant escalations to completion, engaging all needed departments and partners
About you :
Preferred:
Extensive experience with Workers’ Compensation bill review and network access processes
Prior vendor management experience
Strong oral and written communication skills
Project Management
Ability to support the category lead in transformational planning and the development of business cases
Highly collaborative and comfortable leading cross-functional efforts
Required:
Bachelor's degree; 6 years related experience in claim reporting or workers compensation/managed care.
Proficiency in computer applications, including risxfacs.com, Outlook, Excel, Word, PowerPoint, and Access.
Strong organizational skills-must be able to prioritize workload and manage multiple tasks simultaneously.
Excellent written and oral communication skills.
Willingness to travel up to 50% of time.
Compensation and benefits : On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the
minimum core benefits
you’ll get, depending on your job level these benefits may improve:
Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Other benefits include:
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...
We value inclusion and diversity
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.
We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply. Overview :
Under general direction of GBCARE leadership, this position will be responsible for operational management and client delivery for many aspects of the GBCARE Bill Review product.
This role will have the core responsibility for managing and enhancing the end-to-end Bill Review product from medical provider bill intake, to managing medical bill repricing, through payment and customer service. To accomplish this, the candidate must have extensive experience in project management, process optimization, and vendor/operational oversight. The team is looking for an independent self-starter, ideally with significant experience in medical bill review and provider networks, that will work cross-functionally with all Gallagher Bassett departments for product delivery.
How you'll make an impact :
Product Oversight and Project Management
Optimize and oversee end-to-end processes, including medical bill intake/indexing, Medical Bill Review, and provider payment
Monitor market trends and identify product enhancement or partnership opportunities to optimize client outcomes
Where identified, lead new vendor and service introduction, including developing and implementing new processes and procedures for service offerings
Serve as project manager for internal managed care change initiatives
Lead selected process optimization efforts in cooperation with internal and external stakeholders
Vendor Oversight
Where outside partners are engaged, responsible for negotiating and contracting select partner agreements
Review vendor invoices and confirm payments where appropriate
Confirm and oversee that product delivery matches agreed upon SLAs, including daily oversight and exception management
Department Liaison
In partnership with all internal departments, develop workflows that drive greater efficiency and effectiveness
Support efforts with Finance where needed to support pricing, forecasting, and audit
Partner with IT to ensure new process requirements are defined and met, and support IT security and audit requirements
Partner with Legal and Compliance for contracting, state regulation, and legal escalation concerns
Partner with Sales and Client Services on marketing product benefits and value proposition, and managing client requirements
Escalation Management
Manage significant escalations to completion, engaging all needed departments and partners
About you :
Preferred:
Extensive experience with Workers’ Compensation bill review and network access processes
Prior vendor management experience
Strong oral and written communication skills
Project Management
Ability to support the category lead in transformational planning and the development of business cases
Highly collaborative and comfortable leading cross-functional efforts
Required:
Bachelor's degree; 6 years related experience in claim reporting or workers compensation/managed care.
Proficiency in computer applications, including risxfacs.com, Outlook, Excel, Word, PowerPoint, and Access.
Strong organizational skills-must be able to prioritize workload and manage multiple tasks simultaneously.
Excellent written and oral communication skills.
Willingness to travel up to 50% of time.
Compensation and benefits : On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the
minimum core benefits
you’ll get, depending on your job level these benefits may improve:
Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Other benefits include:
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...
We value inclusion and diversity
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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