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Wellcare

Supv, Operations

Wellcare - Phoenix, AZ

Supv, Operations','1705645','!*!About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 4 million members and employs approximately 6,500 people nationwide as of Sept. 30, 2014. For more information about WellCare, please visit our website at www.wellcare.com or view our videos at https://www.youtube.com/user/WellCareHealthPlan.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.','!*!

This position is for Care1st Health Plan in Phoenix, AZ, a WellCare Healthplans, Inc. company.

Position provides direct management of non exempt associates and/or assists in activities for the business function (or multiple functions) within Operations, internal and/or external people management, Root Cause Analysis, Trending, and Process Improvement all can be key aspects of this position. Assignments are broad in nature.

Department: Arizona- Operations Claims, Medicaid

Reports to: Manager, Customer Service

Location:  E Camelback Rd, Phoenix AZ 85016

Job Type: Salary/Exempt

Essential Functions:

Manages and monitors key performance metrics and implements improvement plans either to the individual or at an aggregate level.

Handles all direct employee personnel issues and processes (where applicable), including performance management, appraisal processes, development planning, and career pathing.

Supervises non exempt direct reports assigning workload, monitoring quality and associate coaching.

Serves as liaison between departments when it becomes necessary due to member or workflow issues.

Develops, recommends, and implements process improvements to improve efficiencies and services provided.

Performs root cause and trending analysis on data error reports from operation systems and business units.

Updates and creates resources on Well Care link applicable to the call center, such as timely announcements, step actions, reference call tools, FAQs etc.

Ensures WellCare link is update to with the appropriate materials.

Trains associates on new processes and refresher training.

Facilitate and participate in meetings with other departments and line of business as needed.

Act in a liaison capacity for the Mgr/ Sr Mgr representing operations with other areas and business units.

Responsible for reviewing, updating, and creating training materials for business.

Ensures all business processes are compliant with state and federal guidelines

Demonstrates desired behaviors by exceeding others expectations and leads by example

Completes gap analysis on training for the business.

Other duties as assigned.','!*!Candidate Education:

Required A High School or GED or equivalent

Preferred A Bachelor's Degree in a related field Candidate Experience:

Required 4 years of experience in a related field based on operational area, i.e., customer service, claims, call center, or a high transactional environment, accounts receivable application, etc.

Required Experience supervising or leading others Candidate Skills:

Intermediate Demonstrated analytical skills

Intermediate Demonstrated written communication skills

Intermediate Demonstrated interpersonal/verbal communication skills

Intermediate Ability to communicate and make recommendations to upper management

Intermediate Other In-Depth knowledge of Health Insurance

Intermediate Other Strong understanding of managed care and its place in the health care industry

Intermediate Other Understanding of interdependencies on other business units such as Health Services, Provider Relations, Sales, Vendors, Claims Technical Skills:

Required Intermediate Microsoft Word

Required Intermediate Microsoft Outlook

Required Intermediate Microsoft Excel

#LI-MT1','US-AZ-Phoenix','2355 E. Camelback Dr.','Suite 300','Phoenix','85016','','','No','No','Supv, Operations'

17 days 22 hours ago

Wellcare

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Supv, Operations Wellcare - Phoenix, AZ, United States

   

Location: Phoenix, AZ

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.