Job Summary
Pay Range : $68,000 - $133,000, position is eligible for an incentive bonus
Note : Individuals typically begin between the minimum to middle of the pay range
Responsible for overseeing, evaluating, training, motivating, and managing staff responsible for activities related to provider research, education, and support, Medicare coordination of benefits inquiries from the Centers for Medicare and Medicaid Services (CMS), and various other provider support projects.
Communicates directly with providers and / or their support staff to resolve issues. Participates in various special projects and conducts data analysis related to improving the provider relationship with HMSA.
Minimum Qualifications
- Bachelor's degree and three years of related work experience; or an equivalent combination of education and related work experience.
- Demonstrated leadership experience.
- Excellent verbal and written communication skills
- Excellent customer service skills
- Excellent interpersonal and collaboration skills
- Strong planning and organizational skills
- Self-motivated and self-directed to meet deadlines
- Critical thinking skills
- Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
Duties and Responsibilities
- Manage staff, ensuring provider inquiries are responded to timely, accurately, and professionally. Resolve complex provider inquiries.
- Respond to and oversee staff responding to CMS demand letters.
- Participate in ad hoc projects to help enhance the provider experience with HMSA. These may include but are not limited to enhancements of provider online resources and development of content for the HealthPro news and Provider Resource Center.
- Analyze relevant data sources to proactively help identify and resolve issues affecting providers.
- Oversee training activities and the creation of training materials, workflows, and desktop procedures. Prepare and conduct presentations for staff and management.
- Develop staff in a manner that ensures continual growth and opportunities while maximizing efficiency for providers and the department.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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