[Hiring] Supervisor Provider File Management @company

Role Description

The incumbent directs the team responsible for maintaining the integrity and quality of the provider files. This role oversees the training, coordination of all departmental workflows, prioritization of assignments, interaction with external customers as well as effectively communicating requirements amongst various cross-divisional teams. The Supervisor effectively leads the Provider File Management (PFM) team in such a way as to ensure quality delivery within time and budget constraints.

• Supervises technical and analytical work of assigned PFM staff.
• Interviews, selects and trains staff to achieve or exceed established standards of performance.
• Monitors and coaches PFM employees.
• Coordinates the prioritization and scheduling of work assignments and projects.
• Initiates and leads analyses within the department to drive innovative approaches to process improvement strategies.
• Represents Provider Network Engagement (PNE) in Azure DevOps request prioritization teams.
• Analyzes and resolves errors/trends, makes appropriate corrections.
• Acts as a resource subject matter expert for provider data management requirements.
• Prepares reports and detailed business documents as required.
• Ensures that projects and provider data management administration tasks meet time, cost, and quality parameters.
• Identifies and installs quality monitoring tools and processes.
• Drives process improvements, leverages technology effectively, collaborates across stakeholders.
• Identifies provider file/data quality trends through analysis and collaboration.
• Interfaces with IT to implement new technology requirements.
• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values.
• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Maintains knowledge of all relevant legislative and regulatory mandates.
• Conducts periodic staff meetings to include timely distribution and education related to departmental and Ethics/Compliance information.
• Regular and reliable attendance is expected and required.
• Performs other duties and functions as assigned by management.

Qualifications

• 3 years of relevant experience, one (1) of which are in a defined project lead and/or leadership role, required.
• Bachelor’s Degree in Computer Science, Information Technology or related. In lieu of degree, a minimum of six (6) additional years relevant experience required.
• Demonstrated leadership and supervisory experience.
• Ability to assess risk and prioritize planned activities.
• Demonstrated experience with project design, development, creation of metrics, and governance processes.
• Knowledge of overall Health Plan operations, contract benefits, and provider databases.
• Demonstrated expertise in structured systems analysis and design.
• Expertise in relevant configuration programming, job control languages and structured configuration programming techniques.
• Strong project management and communication skills.

Requirements

• Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer.
• Ability to work while sitting and/or standing at a workstation viewing a computer and using a keyboard, mouse, and/or phone for three (3) or more hours at a time.
• Ability to work in a home office for continuous periods of time for business continuity.
• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

Benefits

• Compensation Range(s): Grade E3: Minimum $62,400 - Maximum $106,929.
• Actual salary will vary depending on factors including budget available, prior experience, knowledge, skill and education.
• Participation in group health and/or dental insurance.
• Retirement plan, wellness program, paid time away from work, and paid holidays.
• Opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team.