DST Systems Director, Government Operations in Birmingham, Alabama

The speed of technology. The influx of data. Shifting regulations. Increased customer expectations.

That's where you'll find DST, helping clients find opportunity in ever-changing and complex customer, business, and regulatory requirements. Mastering complexity is a constantly changing and evolving challenge – one that only a few people can embrace and thrive upon.

If you see your opportunity in complexity, then we are the right fit for you.

Job Description:

Organizational Overview

DST Health Solutions, LLC, delivers contemporary healthcare technology and service solutions that enable clients to thrive in a complex, rapidly evolving market. Providing business solutions developed from a unique blend of industry experience, technological expertise, and service excellence, we assist our clients in improving efficiencies while also effectively managing the processes, information, and products that directly impact quality outcomes.

Role Overview

Reporting to the Chief Operating Officer, the Director of Government Health Plan Operations will accountable for Medicare Advantage, Medicaid, and Exchange Billing, Enrollment, Reconciliation and EDI for BPO clients. This individual will interface directly with all departments at multiple levels within Delivery and directly with our clients.

Responsibilities

  • Lead operational efforts between Shared Services, Call Center, Command Center, IT Implementation and the client

  • Ensure all policies, procedures and workflow are documented by government line of business and client

  • Manage inventories by line of business and client and ensure timeliness metrics are met

  • Implement and adhere to all applicable rules, regulations and reporting requirements

  • Work closely with the Product Development organization to CTO ensure all necessary client data is properly managed through the EDI process

  • Work closely with the Finance department to ensure an accurate budget and forecast

  • Lead government billing operations

  • Must work cross functionally with compliance and legal

  • Must be able to develop comprehensive CAPs/RCAs

Qualifications

  • Bachelor’s degree or 7 to 10 years of experience in running operations

  • 5+ years of administrative/management experience in health plan operations, Medicare Advantage and Medicaid health plan experience is a plus

  • Experienced in enrollment, eligibility and reconciliation processes and electronic data interchange (EDI) requirements, and reporting

  • Self-starter, proactive, who works quickly and accurately and will prioritize and meet deadlines effectively

  • Strong interpersonal, decision-making, financial and technical skills; must be able to introduce new ideas, processes, and tools to improve company performance

  • Strong leadership, analytical, project planning and coordination skills

  • High energy; demonstrates an ability to function in a creative, entrepreneurial environment and think outside the box

  • Superior verbal, written and telephone communication skills

  • Superior organization and multi-tasking skills; detail-oriented

Location:

Birmingham Alabama

DST is an equal opportunity employer and values a diverse and inclusive workplace. All qualified candidates will receive consideration for employment without regard to age, race, color, religion, genetic information, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. For more information about Equal Opportunity in the Workplace please click here and here. DST is committed to working with and providing reasonable accommodation to job applicants with disabilities. If you are a qualified individual with a disability and need an accommodation or accessibility assistance to complete the online application, please contact us at PeopleCenter@dstsystems.com for assistance.

DST Systems, Inc. is a leading provider of specialized technology, strategic advisory, and business operations outsourcing to the financial and healthcare industries. Combining unmatched industry knowledge, critical infrastructure and service excellence, DST helps companies master complexity in the world’s most demanding industries to ensure they continually stay ahead of and capitalize on ever-changing customer, business and regulatory requirements.

We work with companies in some of the world’s most demanding industries where rapid shifts in consumer, regulatory, and technology trends are increasingly affecting how our clients do business. For them, keeping up in a landscape of constant change is becoming more and more complex. Through our technology, strategic advisory, and business improvement solutions we work with clients to help them stay ahead of and capitalize on customer, business, and regulatory change.

Mastering complexity is not an end-state. It’s a constantly changing and evolving challenge – one that only a few people can embrace and thrive upon. If you see your opportunity in complexity, then we are the right fit for you.