Supervisor, Intake Specialist

Centene Corporation Woodland Hills , CA 91367

Posted 2 weeks ago

Position Purpose: Supervise the day to day operations of the intake area; with direct supervision to the Intake Specialists

Supervise day to day activities of the Intake Specialists including work flow, training, hiring, etc.

Ensure deliverables reported to the State entity occurs within established time frames

Respond to State inquiries in a timely manner per department procedure

Implement work processes ensuring establishment of and continuity of services for Members through the assessment process

Assist subcontractors, Members and/or internal customers with cases pertaining to referral and assessment questions, issues and authorizations

Reconcile standardized reports in a timely manner per department procedure

Review and process assessment letters, maintain logs, and coordinate decisions to external or internal personnel per plan procedures

Facilitate ongoing process meetings with external partners and stakeholders

Audit reporting related to authorizations, correspondence and clinical record-keeping to ensure compliance with department procedure

Address Member complaints utilizing established procedure

Education/Experience: Bachelor's degree or equivalent experience. 3 years of referral and authorization, intake, customer service, claims processing or provider relations experience preferably in a managed care setting.

Strong proficiency in MS office applications, esp Excel. Familiar with clinical record systems (i.e. CCMS) and claims systems (i.e. Amisys and MACESS). Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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Supervisor, Intake Specialist

Centene Corporation