Supervisor, Health Plan Operations – Referrals

Providence

Supervisor overseeing daily activities and workflow of Referrals and Referral Support Staff at Pacific Medical Centers. Ensuring compliance and educating staff on Medicare and TRICARE referral guidelines.

Posted 4/16/2026full-timeRenton • Washington • 🇺🇸 United StatesMid-LevelSenior💰 $3,945 - $6,124 per hourWebsite

About the role

Key responsibilities & impact

Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff under the supervision of the Director of USFHP Operations.
Ensures accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses for Outside e (OPS).
Assures compliance with DoD and other government agency guidelines and contract requirements.
Sets Referral policy and monitors compliance to same.
Monitors Medicare and TRICARE referral guidelines and educates staff in changes.
Identifies and solves processing issues with outside providers.
Serves as a member of the US Family Health Plan management team.
Jointly manages the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team.

Requirements

What you’ll need

4 years Health care referrals experience.
2 years Supervisory capacity, including Lead role; or six months supervisory experience within Pacific Medical Centers.
Bachelor's Degree in Health Care Administration or Business Administration (preferred)

Benefits

Comp & perks

Comprehensive benefits package
Health care benefits (medical, dental, vision)
Life insurance
Disability insurance
Retirement 401(k) Savings Plan with employer matching
Paid time off benefits (paid parental leave, vacations, holidays)
Voluntary benefits
Well-being resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data entryauthorization processingreferral processingbudget management

Soft Skills

leadershipproblem-solvingcommunicationorganizational skills

Certifications

Bachelor's Degree in Health Care AdministrationBachelor's Degree in Business Administration