Skip to main content
Accounting & Finance WellCare - Finance Careers

Encounters - Senior Manager Job

Full Job Title: Senior Manager, Encounters

Job Number: 1701736

Location: New York, NY

Date Posted: 4-17-2017

Manages a team that reviews state and CMS encounter regulations and addresses gaps and issues associated with end to end claims payment and encounter processes. Manages and coordinates, along with our IT and state partners, the execution and fulfillment of our encounter reporting for various states. Oversees performance results of the Encounters department.

Department:Executive - Operations

Reports to:VP, State Operations

Location: Manhattan, NY

Key Duties and Responsibilities:

  • Leads and implements changes in our processes in order to fulfill our encounter submission requirements.
  • Implements initiatives by managing a detailed action plan, coordinating action steps with cross functional partners, driving resolution of implementation related issues and education of cross functional partners.
  • Serves as a single point of contact for all encounters related issues specific to a project.
  • Supervises trains, evaluates and develops direct reports who include Managers and/or Analysts.
  • Manages internal reporting requirements for dashboards and team metrics.
  • Manages process improvement initiatives, seeking root cause and developing appropriate corrective action.
  • Establishes objectives, goals and performance measures for the function being managed.
  • Coordinates activities of the team to meet budget.
  • Coordinates activities to ensure key deliverables are met and resolves conflicting demands.
  • Applies a comprehensive knowledge of provider data management to the completion of assignments. Has an understanding of provider contracts and configuration within ours systems.
  • Serves as primary contact to our state partners for complex encounter issues.
  • Develops successful working relations with key functional areas (i.e. IT, State leadership, Configuration, and Medical Economics etc).
  • Assists in developing both short and long range plans for overall departmental activities.
  • Oversees the implementation of programs and strategies.
  • Assists in determining recommendations on matters of policy, and approves changes in area of expertise

*LI-CW1

Manages a team that reviews state and CMS encounter regulations and addresses gaps and issues associated with end to end claims payment and encounter processes. Manages and coordinates, along with our IT and state partners, the execution and fulfillment of our encounter reporting for various states. Oversees performance results of the Encounters department.

Department:State Operations

Reports to:VP, State Operations

Location: Manhattan, NY

Job Level:L22

Key Duties and Responsibilities:

  • Leads and implements changes in our processes in order to fulfill our encounter submission requirements.
  • Implements initiatives by managing a detailed action plan, coordinating action steps with cross functional partners, driving resolution of implementation related issues and education of cross functional partners.
  • Serves as a single point of contact for all encounters related issues specific to a project.
  • Supervises trains, evaluates and develops direct reports who include Managers and/or Analysts.
  • Manages internal reporting requirements for dashboards and team metrics.
  • Manages process improvement initiatives, seeking root cause and developing appropriate corrective action.
  • Establishes objectives, goals and performance measures for the function being managed.
  • Coordinates activities of the team to meet budget.
  • Coordinates activities to ensure key deliverables are met and resolves conflicting demands.
  • Applies a comprehensive knowledge of provider data management to the completion of assignments. Has an understanding of provider contracts and configuration within ours systems.
  • Serves as primary contact to our state partners for complex encounter issues.
  • Develops successful working relations with key functional areas (i.e. IT, State leadership, Configuration, and Medical Economics etc).
  • Assists in developing both short and long range plans for overall departmental activities.
  • Oversees the implementation of programs and strategies.
  • Assists in determining recommendations on matters of policy, and approves changes in area of expertise

Back to top

Join Our
Talent Network

and receive job alerts
Click Here
Last Updated On: 12/9/2015