Associate Manager, Care Coordination

Tia

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $54,500 - $79,300 per year

Job Level

JuniorMid-Level

About the role

  • Oversee a team of care coordinators, ensuring exceptional member interactions, optimizing processes, and maintaining high-quality service delivery.
  • Ensure efficient communication between patients, healthcare providers, and internal teams while upholding industry regulations and best practices.
  • Collaborate closely with medical professionals (RNs, NPs, MDs), specialists, and other healthcare stakeholders to ensure seamless care coordination for members.
  • Monitor the progress of member journeys, identify potential barriers, and implement strategies to optimize member health outcomes.
  • Provide effective leadership, guidance, mentoring, and performance feedback to care coordination representatives.
  • Manage complex member cases and escalated issues, providing timely resolutions and guidance in alignment with company policies and protocols.
  • Implement and refine standard operating procedures and workflows for the contact center to ensure efficient handling of member requests and inquiries.
  • Utilize data to evaluate contact center performance, member feedback, and operational metrics; identify trends and provide recommendations for improvement.
  • Collaborate with various teams outside of Care Coordination, including medical teams, billing, enrollment, and product, to ensure effective communication and knowledge sharing.
  • Provide formal coaching, feedback, and support to direct reports; lead onboarding of new teammates and ongoing training; contribute to the team's formal knowledge base.
  • Regularly assess performance metrics and conduct root cause analyses in partnership with Quality and Training specialist to drive improvements.
  • Help gather and share insights gained from member interactions to drive improvements in products, services, and overall member experience.

Requirements

  • Bachelor's degree in Healthcare Administration, Business Management, or related field preferred.
  • Minimum of 3 years of experience in healthcare operations, care coordination, or contact center management within a membership-based healthcare setting.
  • Exceptional leadership skills with a track record of effectively managing teams, driving performance, and cultivating a positive work environment.
  • Strong understanding of healthcare processes, medical terminology, and member engagement in a healthcare context.
  • Outstanding communication skills, both verbal and written, along with the ability to empathize and engage with members and teammates.
  • Proficiency in using contact center software, member relationship management (CRM) systems, and Google Workspace
  • Excellent problem-solving skills and the ability to remain composed in high-pressure situations.
  • Adherence to strict confidentiality standards and understanding of healthcare data privacy regulations, such as HIPAA.
  • Detail-oriented with strong organizational and multitasking abilities.
  • Flexibility to adapt to changing priorities and business needs
  • Willing to work morning, nights & weekends, if needed
  • Authorized to work in the US
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