As a Team Manager you will set the path to success by managing performance and service quality to guarantee customer satisfaction. You are also expected to:
- Establish and maintain communication with clients and/or team members; understand their needs resolve issues and meet expectations
- Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations that would impact the bottom line
- Identify the training needs that will equip the staff with fundamental skills and knowledge
- Have a thorough understanding of the various system tools and operational procedures utilized within the program
- Collaborate with stakeholders on a regular basis for changes on promotions and updates
- Conduct all defined and required process compliance and adherence to all team members partners and thirdparty providers
Qualifications :
Our most successful candidates will have:
- Active USRN License
- a 2year significant clinical experience (to align with URAC and NCQA standards)
- URAC (Utilization Review Accreditation Commission) and NCQA (National Committee for Quality Assurance)
- 1 year of leadership experience in Utilization Management
- Preferably has experience in doing Medical Claims Review or Appeals & Grievance line
- Demonstration of language proficiency (a profile with IELTS is ideal)
- Be able to efficiently manage time and keep track of multiple schedules meetings and initiatives
- Have strong verbal and written communication skills; be able to communicate in a clear constructive and professional manner (a profile with IELTS is ideal)
- Computer Literate with average typing speed
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Remote Work :
No
Employment Type :
Fulltime