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Wellcare

Account Relations Manager

Wellcare - Tampa, FL

Account Relations Manager','1802974','Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans to families, children, seniors and individuals with complex medical needs. The company serves approximately 4.4 million members nationwide as of Dec. 31, 2017. WellCare is a Fortune 500 company that employs nearly 9,000 associates across the country and was ranked a ''World's Most Admired Company'' in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, sex, age forty (40) and over, disability, veteran status, or national origin.','!*!Provides onsite management of 3rd party program relationship with various vendor partners for customer service performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our vendor partners and WellCare . As the company’s operations representative, this position manages the facilitation from initial launch of services through day to day interactions. Process and project management are key aspects of this position. Essential Functions:

Offers program support for various LOBs to Site Leadership

Works with the Business Intelligence, Training, Corporate Management & Site Leadership to coordinate the best ways to optimize data/ information from site

Evaluates, educates, and influences Site Program Sponsors on the quality output of resources

Serves as a subject matter expert for CAREConnects, product training and implementations

Reviews key performance data to monitor and measure productivity of specific Programs

Monitors program compliance and effectiveness

Consults with Site Leadership and Stakeholders on persistent issues

Lends expertise to internal teams and Results’ Site Leadership

Defines requirements and plans project life cycle deployment

Collaborate and communicate with other enterprise continuous improvement leaders on best practices, internal and external benchmarking, talent development, programs of study and knowledge sharing

Provides status reports to central management on performance, issues and key performance indicators

Ensures applicable systems access are in place for associate use Additional Responsibilities:

All other duties as assigned ','!*!Candidate Education:

Preferred A Bachelor's Degree in a related field

Required or equivalent work experience Candidate Experience:

Required 4 years of experience in a call center and/or managed healthcare operations environment

Required 2 years of experience in Vendor Management experience

Required Other Relevant functional project based experience

Preferred Other Healthcare and quality management experience Candidate Skills:

Other Proven background in call center operations to manage, implement and optimize services by vendors within customer service environment

Other Strong knowledge of call center management best practices, outsourced call center workflow and operations within an outsourced call center environment

Ability to represent the company with external constituents

Ability to effectively present information and respond to questions from peers and management

Ability to multi-task

Demonstrated organizational skills

Demonstrated problem solving skills

Demonstrated written communication skills Licenses and Certifications:A license in one of the following is required:

Technical Skills:

Required Intermediate Microsoft Word

Required Intermediate Microsoft Excel

Required Intermediate Microsoft Outlook

Required Intermediate Microsoft PowerPoint Languages:

','US-FL-Tampa','5730 N Hoover Blvd','','Tampa','33634','','','No','No','Account Relations Manager

18 days 2 hours ago

Wellcare

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Account Relations Manager Wellcare - Tampa, FL, United States

   

Location: Tampa, FL

Company Profile:
WellCare Health Plans, Inc. focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. The company served approximately 3.8 million members nationwide as of Sept. 30, 2015. For more information about WellCare, please review our website and view the company’s videos. WellCare has developed a full complement of expertise in three major areas of government-sponsored health care…. Medicaid, Medicare Advantage and Medicare Prescription Drug Plans. Leveraging our expertise for our members' benefit is a key part of the value we bring to our members. WellCare focuses on those members who are dually eligible for both Medicaid and Medicare. This is an area of specialization that many other health plans simply do not have. We are committed to continually improving the quality of care and service that we provide to our members. We help our members access the right care at the right time in the appropriate setting. For some members, this includes the use of coordinated care teams and community partnerships. And we’re focused on government customers and use a disciplined approach to ensure a competitive cost structure.