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Supervisor, Benefits Administration

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Mar 26, 2025
Reporting to the Manager, Benefits Administration, the Benefits & Coding Supervisor acts as a subject matter expert working closely with the Manager of Benefits Administration overseeing different work and projects as the business need requires. The Supervisor works with the Benefits Administration team members to guide and support to ensure the accurate and effective implementation of coverage and cost sharing for all medical benefits across all products. This position is responsible for various functions including leading audits, daily meetings with the team to resolve benefit inquiries. Additional responsibilities include QNXT claims processing system business requirements for configuration, Knowledge Center II (KCII) management, Code Checker maintenance, work with other business areas, attend Committee meetings as needed, manage Benefit Inquiry Library and BA IT Configuration Library as needed. Education Associate's Degree Related Field of Study required Can this role accept experience in lieu of a degree? No Experience At least 3-5 years of experience in a related role required and At least 3-5 years of experience in valuing the impact of benefit coverage decisions required with the support of analytics preferred Knowledge, Skills and Abilities Strong knowledge of ICD-10, CPT, and HCPCS coding systems, as well as insurance verification and authorization processes. Familiarity with healthcare revenue cycle management, including claims processing, denial management, and reimbursement methodologies. Excellent analytical, organizational, and problem-solving skills, with a strong attention to detail. Effective communication and interpersonal skills, with the ability to work collaboratively with diverse teams. Ability to stay current with changes in coding standards, payer requirements, and healthcare regulations. Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) Carrying Occasionally (3-33%) Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.