Regional Operations Manager

Location: New York, NY
Date Posted: 08-10-2018
CareNational
Regional Operations Manager  –  Managed Care
New York, NY (Manhattan)

Regional Operations Manager Duties:
  • Manage workflow and monitor productivity to ensure medical claim/case is processed within service level time frames
  • Review daily, weekly, and quarterly reporting to ensure accurate reporting
  • Review daily work to ensure compliance to contract guidelines 
  • Manage workflow to ensure timely and appropriate follow-up on outstanding deliverables
  • Review quality results of work performed to ensure accurate processing and communicate findings 
  • Ensure systems are updated timely and appropriately when documents are received
  • Identify and take action on potential late cases
  • Manage workflow of External (Plan, CMS IMEDICES, etc.) Reviews
  • Work with Sr. Managers and staff to ensure potential issues are communicated effectively and timely
  • Interface directly with assigned Plan liaisons as determined by the client
  • Assist in the training of staff and in the coordination of Special Projects
  • Assist in the development of and implementation of policies and procedures to Review Operations unit
  • Communicate with external liaisons on issue specific to client 
 Regional Operations Manager  Background:
  • Highly prefer a Bachelor’s Degree in Healthcare Administration, Business, Leadership, or related field.
  • Requires demonstrated ability to manage several accounts and resolve issues on the telephone and in writing with various clients.
  • Around 1-2 years of health care operations experience, medical record technician experience is ideal.
  • Prefer 1 or more years of experience working for a Managed Care Organization (Health Plan, IPA, TPA, MSO, etc).
  • Roughly 1 year previous supervisory or team lead experience.
  • Basic computer proficiency (MS Office and Healthcare IT Systems) and typing skills are necessary.
  • Excellent verbal and written communication skills, as well as exceptional critical thinking skills.
  • Strong oral and written communication skills; ability to interact with internal and external contacts. 
#ADMIN
 

We are an equal opportunity employer and value diversity in our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
 
PRASHANT PATEL
STRATEGIC DIRECTOR
CareNational
prashant@carenational.com
480.646.3275 (CALL – TEXT – FAX)
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