Business Team Leader bei Elderhaus

Elderhaus is Hiring! 
General Summary: 

Elderhaus located in Wilmington, NC is seeking a dynamic and detail-oriented Business Team Leader to oversee the day-to-day operations of our Business Office. This role is pivotal in managing claims processing, vendor relations, contract oversight, and financial reporting for our PACE (Program of All-Inclusive Care for the Elderly) services. The ideal candidate will work closely to ensure smooth and compliant business operations. 

Business Team Leader, Full Time 

Key Responsibilities: 

• Lead and supervise the PACE Business Office team, including coordinators and analysts.
• Manage claims processing, batch closing, and audits using Plexis Healthcare System (PCM).
• Collaborate with finance and accounting teams on monthly closing processes and annual audits.
• Assist in budget creation and financial analysis.
• Oversee vendor relationships and support Medicare Part D bid and audit processes.
• Ensure compliance with HIPAA, CMS, State, and County regulations.
• Maintain confidentiality and uphold EveryAge’s mission, values, and safety protocols.

Qualifications

Education: 

•  Bachelor’s degree in a related field preferred.

Experience: 

• Minimum 2 years in claims processing or related field.
• Supervisory experience in a healthcare/business setting.

• Familiarity with Medicare, Medicaid, and managed care principles.
• Experience with Plexis Healthcare System (PCM) preferred.

Skills: 

• Advanced Excel and intermediate Microsoft Office proficiency.
• Strong organizational, analytical, and interpersonal skills.
• Ability to manage multiple projects and shifting priorities.
• Knowledge of accounting principles and database operations.

Other Qualifications: 

• Must be medically cleared for communicable diseases and have up-to-date immunizations.
• At least one year of experience working with frail or elderly populations.
• Demonstrated leadership, communication, and decision-making abilities.
• Commitment to EveryAge’s values and participant-centered care.

Benefits: 

• 403B/403B matching
• Employee assistance programs/discounts
• Dental/Vision insurance
• Health insurance after 30 days!
• Great team environment!
• Life insurance
• PTO
• Referral programs/Tuition reimbursement

EOE/Disability/Vets