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.
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