Healthcare Operations Specialist -Onsite- Detroit, MI

Location: Dearborn
Posted on: June 23, 2025

Job Description:

Job Title: Healthcare Operations Specialist -Onsite- Detroit, MI Are you a operations Specialist in healthcare, seeking a dynamic and rewarding opportunity? Our client, a leading company in Healthcare, is looking for a talented coordinator to join their growing team in Detroit, MI. About Kyyba:Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.Kyyba is recruiting for the below mentioned position with our direct client which is one of the major Healthcare Payers in the US. Job Description Will this position be required to work onsite for any reason at any time? Yes, Resource will be able to perform this role offsite 4 days a week and come into the office, Detroit Tower, Detroit, MI, 1 day week to collaborate with the whole team. Engagement Description – Under general supervision is responsible for assisting and supporting management in the execution, evaluation, recommendation, establishment, implementation and of production workflows, work processes for systems, reporting and new products/programs to improve customer service levels and overall quality. Top 3 Required Skills/Experience – • Handle escalated servicing issues by way of CMS' Complaints Tracking Module. • Ability to work with external parties directly, such as providers and members, to resolve issues/problems and effectively communicate findings. • Work cross departmentally to address enrollment, claims, benefit, eligibility, and billing matters. Required Skills/Experience – The rest of the required skills/experience. Include: • Maintain confidentiality of all information processed. • Assist and support in the planning, coordinating, developing, and implementing of approved projects which are Divisional and/or Corporate in scope to enhance the overall efficiency of operational procedures, methods, controls, and performance. • Analyze, process and/or expedite operational transactions; this may include timely resolution of problems. • Participate in systems testing, develop procedures/controls and provide recommendations for the ongoing improvement of the updated process. • Provide leadership team with status of projects; issue, communicate and recommend policy decisions to achieve project objectives. • Utilize and maintain available corporate production and reporting systems; produce routine and non-routine reports, presentations, letters communications and graphics. • Assist personnel (both internal and external) by answering questions, supplying information and training. • Develop and maintain an effective working relationship with customers or partners Preferred Skills/Experience – Optional but preferred skills/experience. Include: • • Excellent analytical, organizational, planning, and follow-up skills. • Ability to work collaboratively in a team environment, including remotely, • Excellent verbal and written skills, including expertise in writing for digital and social media and video, • Ability to exercise independent judgment, meet deadlines and deliver on projects while working under limited supervision. • Ability to comprehend complex company documents, procedures, and policies, and distill these into easy-to-understand language that supports corporate strategy. • Ability to speak effectively before external and internal groups. • Proficient in current industry standard PC applications and systems including Microsoft Office. • Ability to work in a team setting and independently, and under tight deadlines. • Ability to build trust and relationships with internal and external customers. • Ability to maintain confidentiality. • Ability to work with a variety of variables where limited standardization exists. • Resourceful problem solver with ability to formulate and execute plans efficiently and effectively. Education/Certifications – Include: • High School Graduate or GED equivalent required. Three (3) to five (5) years of experience with benefits and procedures as related to assigned department. Kyyba is an Equal Opportunity Employer. Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. Minorities / Females / Protected Veterans / Individuals with Disabilities are encouraged to apply. All employment is decided on the basis of qualifications, merit, and business need.” It is the policy of Kyyba to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Kyyba at 248-813-9665 Rewards: Medical, dental, vision 401k Term life Voluntary life and disability insurance Optional Pre-paid legal plan Optional Identity theft plan Optional Medical and dependent FSA Work-visa sponsorship Opportunity for advancement Long-term assignment with opportunity for hire by client SELECT AWARDS An INC 5000 company for 10 years Corp! Michigan Economic Bright Spots Crain’s Detroit Business Top Staffing Service Companies in Detroit TechServe Alliance Excellence Award- IT and Engineering Staffing & Solutions Best of MichBusiness winner in HR Wizards & Partnerships Metro Detroit Elite Category: Recruitment, Selection & Orientation for 101 Best & Brightest 101 Best & Brightest Companies to Work for in Michigan

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