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Insurance Healthcare Supervisor

Expired Job

DXC Tehcnology Conway , AR 72034

Posted 4 months ago

Job Description:

The Medicaid Expansion supervisor provides consulting utilizing knowledge and expertise on insurance and healthcare.

Develops and implements general insurance and health policies in accordance with state and federal laws. Provides

expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider

appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any

remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and

works with organized healthcare groups and associations on various medical issues related to insurance and healthcare

programs.

Responsiblities:

- Supervise a team primarily comprised of non-exempt employees or contingent workforce with well-defined, limited scope,

including directing daily work activities/priorities, time tracking, people recruitment and development, cost management

and workforce planning. Provides general supervision and guidance within one functional area.

- Act as a resource to staff related to benefit and salary administration. Assists with hiring tasks. Manage FPR process for

employees. Manage team and individual performance. Monitors team members’ progress on goals.

- Ensure services are provided on standard, specialized or complex systems. Ensure processes and procedures, are

documented and reviewed/updated on a regular basis.

- Resolve-monitor routine customer escalations as appropriate. Solves routine issues within established guidelines.

Escalates issues for which there is not a document procedure or precedent set.

- Reviews production reporting as required to support processes. Lead team toward operational excellence by monitoring

key metrics, ensuring team goals and contractual commitments are met. Monitors Service Level Agreements. Produce

goals to include process improvements.

- Provides production data to upper management as appropriate. Good people management ability and handles all

people care related activities. Creates a working environment that is conducive to individual growth, high performance, is

challenging and rewarding



Requirements:
  • Call Center experience
  • 2+ years of Supervisor experience
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Insurance Healthcare Supervisor

Expired Job

DXC Tehcnology