About the role
- Manage a team of approximately 100 front-line employees and 5-8 supervisors
- Track and document employee performance both formally and informally
- Complete employee performance reviews
- Create and distribute reports as needed or as requested by senior leadership
- Train, motivate, develop, and coach employees to drive case manager satisfaction, accuracy, efficiency, and performance
- Determine training requirements for new hires and additional performance-based training for existing Intake Specialists and Call Representatives
- Answer questions from Intake Specialists/Call Representatives and handle customer escalations
- Manage productivity based on department metrics to ensure workloads are being handled in an efficient and productive manner
- Formulate and implement rapid change and process improvements
- Work cross-functionally to support customer care, sales, and revenue cycle initiatives
- Lead weekly cross-functional operation meetings
- Lead monthly operational overview meetings to a cross functional leadership team
- Create strong working relationships with referring health plan partners, case worker agencies, and other referral sources
- Lead Call Center dedicated to ILOS, 1115, and PD/CC clientele
- Manage incoming authorizations from Area Agencies on Aging, Managed Care Organizations, and Health Plans for home delivered meals
Requirements
- Bachelor’s degree
- 5+ years’ work-related management experience with a background in the health, human services, managed care, or insurance industry
- Strong understanding of medical and ancillary benefit authorization process, payor portals, and the claims denial process
- Strong problem solving and analytical skills
- Experience driving process improvement activities
- Excellent verbal and written communication skills
- Ability to manage multiple priorities, demonstrated flexibility, and ability to adapt and implement change in a timely and effective manner
- Proficient in Microsoft Office, especially Outlook, Word, and Excel
- Strong relationship building skills with payers and external/internal customers
- Excellent attention to detail to avoid administrative errors
- Some post-graduate work (preferred)
- Experience with Salesforce, Genesys, Secure File Transfers, and payer web portals (preferred)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
employee performance managementtraining and developmentprocess improvementanalytical skillsproblem solvingcase managementmedical benefit authorizationclaims denial processmulti-priority managementattention to detail
Soft skills
leadershipcommunicationrelationship buildingflexibilityadaptabilitycoachingmotivationteam managementcustomer servicecross-functional collaboration
Certifications
Bachelor's degreepost-graduate work