at MultiPlan in Naperville, Illinois, United States
Job Description
Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.
Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!
This position will manage the Provider Data Management team operations and related staff to ensure the quality, integrity proper implementation and maintenance of the Company's provider data network data; manage team and processes effectively to meet the Company's standards of performance for production, quality, and cycle time to support the Company's organizational objectives.
This is a remote role, but must be available during core EST/CST hours
JOB ROLES AND RESPONSIBILITIES:
1. Manage effective team operations including developing and meeting production and quality goals and standards for performance; develop and maintain staffing levels to maintain service standards, production goals, quality standards and cycle time
2. Manage projects from initiation to completion, as needed, to develop process improvement or data integrity initiatives at the department and organizational level
3. Provide subject matter expertise on team products and processes and the Company's data systems internal and external to the department
4. Develop and produce weekly team productivity statistics to measure compliance and effectiveness of team operations; provide weekly feedback to department management on results, trends, corrective action, and/or opportunities for improvement
5. Develop and implement department policies and procedures. Monitor for compliance as necessary
6. Identify and reports systemic or recurring problems. Track trends and initiate technology & process improvements to eliminate issues/impediments to delivering service excellence and meeting organizational and team goals/established metrics
7. Maintain knowledge of current legislation relative to specific state and federal requirements affecting credentialing/data operations
8. Maintain master copy of current team manuals identifying all processes within the team, workflows, documentation, standards, and training materials as needed to support effective team operation
9. Participate in the implementation of new programs and services related to Provider Data Management Operations. Recommend actions to improve and enhance department operations through active participation in management team operations
10. Select, develop, and evaluate staff to ensure the efficient operation of department.
11. Ensure systematic data oriented efforts to improve consumer and/or client services. 40% of this job is related to QM activities.
12. Collaborate, coordinate, and communicate across disciplines and departments.
13. Ensure compliance with HIPAA regulations and requirements.
14. Demonstrate commitment to the Company's core values.
15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.
JOB SCOPE:
The incumbent works under limited supervision, leading and motivating a team that is primarily focused on provider data management of the MultiPlan, PHCS, Beech Street and HEOS Provider Networks. The incumbent must use independent judgment to identify issues, trends and possible problems and recommend action plans to address. The incumbent must be able to balance several projects at a time that may be varied or complex, while maintaining a focus on achieving all department goals for quality and service. This is a management position overseeing a staff of direct reports. Responsibilities may include some budgetary functions. 40% of the incumbent's responsibilities are dedicated to Quality Management functions.
COMPENSATION
The salary range for this position is $55-65K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and... For full info follow application link.
As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law. Â Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
