Hybrid Manager, Provider Data Operations

Posted last week

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About the role

  • Manager for Provider Data Operations supporting health insurance providers. Overseeing daily operational tasks, team performance, and process improvements in a fast-paced environment.

Responsibilities

  • Manages inbound requests for Provider Operations tasks including the daily Intake of tasks received from Provider Network and ensures timely completion of those tasks with minimal re-work.
  • Identifies opportunities for increased efficiency while maintaining high quality standards in alignment with company goals, regulatory compliance, and security requirements.
  • Establish clear and quantifiable policies & expectations for department Team Members related to productivity and quality of work in accordance with company goals and compliance requirements.
  • Maintain visibility of daily production activities including volume of work, completion times, and quality of outcomes through Individual and aggregate Team Performance Reporting.
  • Complete tasks and assignments on time and within established service level agreements.
  • Meet with Team Members no less than monthly to discuss team performance and address trends requiring improvement.
  • Recognize and reward employees for accomplishments and leverage performance improvement plans to ensure accountability as needed.
  • Collaborate with Stakeholders across the operations to implement process improvements across teams.
  • Establish individual performance goals for all team members.
  • Attend meetings and communicate relevant changes and updates as appropriate.
  • Hire, coach, and develop staff for advancement.
  • Attend to any human resource related matters within area of responsibility by collaborating with Sr. Leadership, Employee Connect, and HRBP
  • Collaborate with Operational Audit, Policy & Process Documentation, and Training Delivery Teams to ensure Job Aids, Training Materials and available tools and reference guides are aligned with the production environment and useful to team members.

Requirements

  • Moderate experience working with MS Office Suite to include adding/deleting rows/columns, creating simple formulas, creating standardized reports, and creating letters/memos.
  • Experience reading and interpreting data, identifying trends, recommending proactive solutions, and effectively communicating them to senior management.
  • Prior experience in a management role providing team leadership of exempt and non-exempt staff, including experience administering performance reviews, coaching, and disciplinary action, as well as conducting interviews, hiring, employee on-boarding, and terminations.
  • Experience evaluating risk, making sound decisions, and solving problems quickly and effectively.
  • Experience in an Operations area, managing high volume and complex repetitive tasks, in quality driven environment.
  • Experience dynamically adjusting day to day operations and effectively leveraging resources to accommodate unexpected, time sensitive tasks.
  • Previous experience managing competing priorities with effective communication.
  • Associate Degree from an accredited institution or equivalent experience.

Benefits

  • medical
  • dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions

Job title

Manager, Provider Data Operations

Job type

Experience level

Mid levelSenior

Salary

$103,400 - $149,430 per year

Degree requirement

Associate's Degree

Location requirements

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