7 days old

Senior Manager Intake Call Center WellMed San Antonio TX

San Antonio, TX 78205
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  • Job Code
    862153

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)
 
The Sr. Manager, Intake is responsible for ensuring the Intake Call Center meets all business targets by providing first contact customer service to providers and members calling for Utilization Management needs.  Responsible for planning, organizing, and directing the ancillary support for the Utilization Management team.  The Manager coordinates team coverage for the call center teams taking calls for Prior Authorization / Hospital Intake, Specialty Drug Review and Concurrent and Peer to Peer review. The manager will ensure compliance with regulatory, contractual and accreditation requirements for the call center staff. The success of this position requires the ability to manage a large staff in a fast paced call center environment, foster communication and teamwork among the call center teams, physicians, medical management staff, corporate departments, vendors, and senior leadership.   


Primary responsibilities:

  • Monitors call center operations ensuring that the overall performance of the department along with individual groups', adheres to corporate and regulatory standards
  • Oversees call center departmental functions, and coordinates workflows, policies and procedures with Prior Authorization clinical team to ensure that all Federal and State regulations and contractual agreements are followed
  • Actively manages offshore vendor team to meet all program requirements, while working to solve problems, and coordinate with other groups as needed
  • Oversees the implementation of processes and system enhancements which will improve the overall quality and service provided by the UM call center teams
  • Analyzes trends and identifies/implements departmental initiatives based upon data provided through the reporting of production, quality, financial and audit data, including vendor data
  • Provides input into and supports all applicable employee and other training programs for the department staff to ensure that regulatory compliance requirements are disseminated and understood
  • Oversees the recruiting, performance, development and mentoring of service staff.
  • Initiates cross functional/departmental discussions and initiatives to remove barriers and improve communications and work flows
  • Identifies/initiates technology solutions to improve employee productivity and quality
  • Actively participates in the management of the annual departmental budget. Actively participates in the development of policies and procedures
  • 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.

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Posted: 2020-03-21 Expires: 2020-04-21

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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Senior Manager Intake Call Center WellMed San Antonio TX

UnitedHealth Group
San Antonio, TX 78205

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