Eligibility Verification Manager

Introduction

At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them.

We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work;

think of Gallagher.

Part D Advisors (PDA) is a custom solutions provider that recovers lost funds and generates future savings in healthcare costs. With a breadth of experience in both Retiree Drug Subsidy (RDS) administration and Dependent Eligibility Verification audit (DEV/DEVA) services, we’ve collected more than $1 billion in subsidies for our RDS customers, and produced an average ROI of $28 to $1 for DEV clientele.

In short, PDA reduces healthcare costs without reducing member benefits or raising premiums.

As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.

The Manager will be responsible for directing all facets of eligibility and enrollment verification, customer relations, and processing center operations. Oversees and trains the Account Managers and Processing Center Supervisors. Works with other team members to assure there is smooth client intake, project planning, and project execution is on schedule and on budget. Functions as liaison to key accounts and brokers.

Demonstrates a high level of personnel management expertise, personal initiative, excellent communication and interpersonal skills, and strong organizational skills. Ensure that we successfully complete Dependent Audit contractual obligations, including tracking of service level agreements. Coordinates with Account Management staff to maintain overall positive client, broker, and vendor relationships. Confirms that we have effective documentation and output for the services that we offer and in the deliverables that we provide for both internal and external use.

Delegates accounts receivable activities with the Dependent Audit Account Management Team. Possesses a high level of subject matter expertise and serves as a resource to direct reports.

This is a hybrid position and the salary range for this role is $83,000 - $93,000.00.

• Coordinates and manages the oversight of the Dependent Eligibility Practice.
• Recruits and trains Account Managers and Processing Center Supervisors.
• Builds a business partnership with each assigned customer based in trust and confidence that their needs are met, and any issues will be addressed and resolved in a timely and professional manner.
• Functions as liaison to key accounts and brokers. Lead the design and customization of customer verification forms, survey questions, and affidavits.
• Proactively anticipates and resolves customer and referrer issues and oversees “end to end” total issue resolution thereby ensuring customer satisfaction.
• Participates in scrum sessions with the Business Process Team to help guide software development and implementation.
• Coordinates Accounts Receivable follow-up and reporting in conjunction with the Accounting Team.
• Maintains the confidentiality of corporate records and our financial positions in strict confidence.
• Ability to quickly learn computer software and features, research and gather a variety of information, then organize and distribute into a presentable and easy to follow format.
• Provides and regularly applies project management and analytical skills to processes and deliverables, and helps to proactively identify where internal processes can be improved upon.
• Performs other duties as assigned or as…