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Corporate Functions & Operations WellCare - Operations Support Careers

Operations Supervisor Job

Full Job Title: Supv, Operations

Job Number: 1705645

Location: Phoenix, AZ

Date Posted: 11-27-2017

This position is forCare1st Health Plan in Phoenix, AZ, a WellCare Healthplans, Inc. company.

Position provides direct management of non exempt associates and/or assists in activities for the business function (or multiple functions) within Operations, internal and/or external people management, Root Cause Analysis, Trending, and Process Improvement all can be key aspects of this position. Assignments are broad in nature.

Department:Arizona- Operations Claims, Medicaid

Reports to: Manager, Customer Service

Location: E Camelback Rd, Phoenix AZ 85016

Job Type: Salary/Exempt


Essential Functions:

  • Manages and monitors key performance metrics and implements improvement plans either to the individual or at an aggregate level.
  • Handles all direct employee personnel issues and processes (where applicable), including performance management, appraisal processes, development planning, and career pathing.
  • Supervises non exempt direct reports assigning workload, monitoring quality and associate coaching.
  • Serves as liaison between departments when it becomes necessary due to member or workflow issues.
  • Develops, recommends, and implements process improvements to improve efficiencies and services provided.
  • Performs root cause and trending analysis on data error reports from operation systems and business units.
  • Updates and creates resources on Well Care link applicable to the call center, such as timely announcements, step actions, reference call tools, FAQs etc.
  • Ensures WellCare link is update to with the appropriate materials.
  • Trains associates on new processes and refresher training.
  • Facilitate and participate in meetings with other departments and line of business as needed.
  • Act in a liaison capacity for the Mgr/ Sr Mgr representing operations with other areas and business units.
  • Responsible for reviewing, updating, and creating training materials for business.
  • Ensures all business processes are compliant with state and federal guidelines
  • Demonstrates desired behaviors by exceeding others expectations and leads by example
  • Completes gap analysis on training for the business.
  • Other duties as assigned.
Candidate Education:
  • Required A High School or GED or equivalent
  • Preferred A Bachelor's Degree in a related field
Candidate Experience:
  • Required 4 years of experience in a related field based on operational area, i.e., customer service, claims, call center, or a high transactional environment, accounts receivable application, etc.
  • Required Experience supervising or leading others
Candidate Skills:
  • Intermediate Demonstrated analytical skills
  • Intermediate Demonstrated written communication skills
  • Intermediate Demonstrated interpersonal/verbal communication skills
  • Intermediate Ability to communicate and make recommendations to upper management
  • Intermediate Other In-Depth knowledge of Health Insurance
  • Intermediate Other Strong understanding of managed care and its place in the health care industry
  • Intermediate Other Understanding of interdependencies on other business units such as Health Services, Provider Relations, Sales, Vendors, Claims
Technical Skills:
  • Required Intermediate Microsoft Word
  • Required Intermediate Microsoft Outlook
  • Required Intermediate Microsoft Excel

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Last Updated On: 12/9/2015