Operations Supervisor, Managed Care
CurrentTeam Leadership and Coaching:○ Meet objectives (personal and/or team objectives) as outlined in the ManagedCare Operations Monthly Objectives.○ Coach and support team members, to ensure objectives are met, and alignmentwith team, department, and company goals.○ With management support, lead regular feedback and development sessionswith team members to address areas of improvement and acknowledgeaccomplishments.Operational Oversight:○ Oversee the Michigan… Show more Team Leadership and Coaching:○ Meet objectives (personal and/or team objectives) as outlined in the ManagedCare Operations Monthly Objectives.○ Coach and support team members, to ensure objectives are met, and alignmentwith team, department, and company goals.○ With management support, lead regular feedback and development sessionswith team members to address areas of improvement and acknowledgeaccomplishments.Operational Oversight:○ Oversee the Michigan Remote office operations, including but not limited to:vendor appointments, compliance audits (in partnership with compliance), andstaffing needs to ensure that the office is staffed at all times.○ Ensure portal request management is efficient and that tickets are completedtimely and that targets are met.○ Oversee billing and claims projects and ensure timely resolution of tickets.○ Resolve routine issues with health plans in accordance with the department’sservice level agreements.○ Manage and support projects related to network implementation, policy changes,and overall operational improvements.○ Facilitate monthly or quarterly payer meetings, in-services, and training sessionsto address issues related to claims reimbursement and health plan processes.Reporting and Analytics:○ Provide customized reporting as required, ensuring accuracy and timeliness in alldata shared with stakeholders.○ Use data analytics tools (e.g., Access, SQL, Excel) to support decision-makingand improve processes. Show less