COB and CAV Manager

Thank you for your interest in The University of New Orleans.

Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin.  The required information is listed below in the job posting.  
You must complete all required portions of the application and attach the required documents in order to be considered for employment.  

Department

Medicaid Support

Job Summary

Job Description

• Leads the overall day-to-day operations of TPL activities including cost avoidance, coordination of benefits, and ancillary recovery activities.
• Sets fiscal year projections and objectives for TPL activities, and manages the program to performance.
• Leads the monitoring of the Third Party Liability (TPL) Vendor post payment recovery activities.
• Leads the monitoring of the TPL Vendor file maintenance activities.
• Works in conjunction with the TPL Vendor to develop projections for all TPL Vendor recovery activities including post payment recoveries, cost avoidance, credit balance audits, and any other metric defined in the TPL Vendor contract or as determined by LDH initiative.
• Works in conjunction with the TPL Vendor to develop and refine reporting and dashboards for all TPL Vendor recovery activities including post payment recoveries, cost avoidance, credit balance audits, and any other metric defined in the TPL Vendor contract.
• Leads the monthly/quarterly TPL Subcommittee meetings.
• Leads monthly meetings with the TPL Vendor.
• Assists with all TPL Modularity projects as directed by LDH Management. Serves as the Business Owner for TPL Modularity.
• Serves as the Business Owner for TPL Modularity.
• Develops short range plans for staff organization, training, and equipment needs.
• Conducts an annual performance evaluation for each subordinate, setting future goals and strategies.
• Other tasks as directed.

QUALIFICATIONS
REQUIRED:

• Bachelor’s degree or 6 years of professional work experience in lieu of degree.
• Minimum 4 years of professional experience with TPL Recovery Processes.
• Minimum 4 years of professional experience working with private insurance and/or Medicare verification.
• Minimum 2 years of supervisory experience.
• Excellent analytical skills, effective organizational and time management skills.
• Great attention to detail and follow up, and verbal/written communications skills.
  

DESIRED:

• Advanced degree.
• Minimum 4 years of professional experience with TPL Recovery Processes.
• Minimum 4 years of administrative support, customer service or call center experience.
• Minimum 4 years of professional experience working with private insurance and/or Medicare verification.
• Minimum 4 years of professional experience with the LaMEDS system and Medicaid eligibility.

Required Attachments

Please upload the following documents in the Resume/Cover Letter section. 

• Detailed resume listing relevant qualifications and experience;
• Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems;
• Names and contact information of three references;
• Diversity Statement (required for all Faculty positions and any Staff position of Assistant Manager and higher).

See Diversity Statement instructions by clicking this link: https://www.uno.edu/careers/diversity-instructions

Applications that do not include the required uploaded documents may not be considered.

Posting Close Date
This position will remain open until filled.

Note to Applicant:

Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.

  

References will be contacted at the appropriate phase of the recruitment process.

  

This position may require a criminal background check to be conducted on the candidate(s) selected for hire.

  

As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.

The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer.  We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.