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Contract Services Team Lead – San Antonio, TX

San Antonio, TX 78205
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Let's talk about meaningful work, an important role and a career move that can transform your future.  WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors.  At WellMed, now part of Optum and the UnitedHealth Group family of businesses, we focus on prevention and the complete coordination of care for our patients. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.  Join us and you'll be part of a team dedicated to patient-centered, safe and effective health care. Your skills and talents will make an important impact on our patients while you open doors for yourself that simply do not exist in any other organization. This is a place like no other and where you'll do your life's best work.SM

The Contract Services Lead will assist the Contract Services Manager/Supervisor in managing the day to day functions of the Contract Services team, to include workflow management and technical support. The CS Lead's primary function will include responsibility for coaching and assisting team members through difficult contract configurations, providing claims knowledge and technical support as necessary.  They will have primary responsibility to ensure that all escalated and priority requests are managed appropriately.

Primary Responsibilities:

  • Reviews audit errors and identifies coaching and training needs of Contract Services staff related to performance and quality statistics.
  • Acts as first level contact for escalated issues related to the Contract Services team.
  • Manage the daily work activities of all team members to include daily tasks and special projects, to maintain established service levels.
  • Provide initial onboard and ongoing training to team members for all system functions, team policies and department procedures used in the Contract Services process.
  • Contributes to the overall attainment of Department and Corporate goals by assisting with other projects, reports and duties as assigned based on business need.
  • Communicates workflow issues, or procedural changes to staff and upstream management as needed.
  • Contributes in implementation of applicable System upgrades.
  • Communicates ideas for improvements and increased efficiency within the Network Operations Department.
  • Develops, distributes and maintains team inventory reports and logs as assigned.
  • Assists the Contract Services team with provider and contract configuration as needed when inventory is elevated or team is short staffed. 
  • Meets or exceeds department quality metrics on a consistent basis.
  • Performs all other related duties as assigned.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Posted: 2020-05-23 Expires: 2020-06-22

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Contract Services Team Lead – San Antonio, TX

UnitedHealth Group
San Antonio, TX 78205

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