Manage efforts to implement and revise correspondence
Completion of the client requirement document (CRD) to accurately reflect contract and regulatory requirements
Presentation of the CRD content to the client
Coordinate revisions necessary to final completion and client approval
Identify the templates required for implementation
Draft a template document, as necessary
Ensure template content meets requirements based on client contract, regulations, NCQA and/or URAC
Perform gap analysis for correspondence requirements and system functionality
Coordinate template implementation and revisions with the client, client services, operations, the correspondence technical team and the Operations Correspondence Senior Manager
Define the rules necessary to accurately populate variable information within the template
Mock up samples of the templates and submit to the correspondence technical team to draft production samples
Review production samples provided to ensure accuracy
Coordinate production of the template with the correspondence technical team after approval has been received
Create and maintain a letter library and tracking mechanism for all current and historical templates for each client
Audit production samples of the letter files once the template is put into production
Assist the Operations Correspondence Senior Manager to determine root cause for all findings identified in an external audit, relating to correspondence
Requirements
Associate degree in business, healthcare or related field (or equivalent work experience)
Proficient with general computer software including Microsoft Excel, Word and Outlook
Exceptional communication skills
Excellent spirit for teamwork, problem-solving, communication, and decision-making skills
Strong situational analysis and decision-making abilities
Excellent verbal, written, interpersonal, organizational and public speaking/communication skills
Ability to prioritize and organize multiple tasks with tight deadlines
Ability to manage multiple projects and priorities in a fast-paced, result-driven environment
Excellent independent problem-solving skills
Self-motivated and has the ability to work with little supervision and make independent decisions
Demonstrated track record of attention to detail
Previous experience managing multiple complex tasks with varying deadlines and competing priorities (preferred)
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