Team Lead, Coordination Of Benefits (cob) - Jefferson Health Plan

Jefferson Health

Philadelphia, Pennsylvania, United States of America
Not specified; not specified; comprehensive benefi...
Coordination of benefits operations
Cms medicare secondary payer rules
Naic commercial cob guidelines
The Team Lead is responsible for overseeing day-to-day COB and Third-Party Liability operations while providing leadership to a team of analysts

Job Summary

  • The Team Lead is responsible for overseeing day-to-day COB and Third-Party Liability operations while providing leadership to a team of analysts.
  • This role requires advanced knowledge of CMS Medicare Secondary Payer rules and NAIC commercial COB guidelines to ensure accurate benefit primacy determinations.
  • Jefferson Health offers a comprehensive benefits package including medical, dental, vision, retirement plans, and tuition assistance at Thomas Jefferson University.

Matching Summary

The Team Lead is responsible for overseeing day-to-day COB and Third-Party Liability operations while providing leadership to a team of analysts.

Salary

Not specified; Not specified; Comprehensive benefits package including medical, dental, vision, life, disability, and tuition assistance

Skills & Requirements

Must-have

  • Coordination of Benefits operations
  • CMS Medicare Secondary Payer rules
  • NAIC commercial COB guidelines
  • Third-Party Liability management
  • Team leadership and coaching
  • Vendor performance oversight

Nice-to-have

  • SQL-based relational database experience
  • Data-driven process improvement skills
  • Bachelor's degree in Healthcare Administration
  • Strong analytical reporting capabilities

Key Requirements

  • High School Diploma/GED required
  • 5 years healthcare insurance operations experience
  • 2 years supervisory or team oversight experience
  • Hands-on experience with CMS MSP rules
  • Demonstrated application of NAIC COB guidelines

Work Rights

Not specified

Tailored Resume

Cover Letter