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Provider Relations-Networking-Contracting WellCare - Provider Administration & Support Careers

Provider Operations - Supervisor Job

Full Job Title: Supervisor, Provider Operations*

Job Number: 1702577

Locations:
Chicago, IL
Belleville, IL
Waukegan, IL
Springfield, IL
Moline, IL

Date Posted: 10-2-2017

Supervises a team of Provider Operations Coordinators in support of the Field Provider Relations and/or Network Management team as it relates to troubleshooting, coordination and administration duties.

Essential Functions:
  • Oversees the day-to-day operations of the Provider Operations team.
  • Supervises and develops direct reports.
  • Provides support to field teams in the function of troubleshooting, coordination and administration.
  • Coordinates with management from Network Management, Provider Relations, and other network teams to ensure appropriate prioritization is given to PLFs for network expansion projects.
  • Ensures regularly scheduled meetings with Shared Sevrices teams, such as Configurations and Credentialing, to discuss issues, workload and processes for improved synchronization.
  • Ensures compliance with all regulatory and organizational requirements and standards through process refinement, regular audits, and associate coaching.
  • Partners with local training team to identify and develop applicable training courses for direct reports.
  • Assists is establishing effective departmental practices and works closely with various departments to ensure department and company goals are being met.
  • Performs work flow analysis to monitor consistency and efficiency in processes and procedures.
  • Performs quality audits on a regular basis to ensure PLFs are completed correctly and provider demographic and contractual data is correctly reflected in our systems.
  • Identifies areas to improve service levels within operating budget parameters.
  • Manages resources to meet operational goals and budgets.
  • Assists in implementing corporate initiatives to achieve optimum results.
  • Performs other duties as assigned.
This position is contingent upon the bid award in the state of Illinois to WellCare Health Plans, Inc.
Candidate Education:
  • A Bachelor's Degree in a related field required.
Candidate Experience:
  • 4 years of experience in a customer service, provider relations and/or network development environment required.
  • 1 year experience in leading/supervising others required.
Candidate Skills:
  • Intermediate - Ability to lead/manage others.
  • Intermediate - Demonstrated interpersonal/verbal communication skills.
  • Intermediate - Demonstrated written communication skills.
  • Intermediate - Ability to influence internal and external constituents.
  • Intermediate - Ability to work as part of a team.
  • Intermediate - Ability to work in a fast paced environment with changing priorities.
  • Intermediate - Ability to multi-task.
  • Intermediate - Knowledge of healthcare delivery.
  • Intermediate - Demonstrated organizational skills.
  • Intermediate - Demonstrated problem solving skills.
  • Intermediate - Ability to analyze information and covert related activities into a comprehensive work plan.
  • Intermediate - Ability to communicate and make recommendations to upper management.
Technical Skills:
  • Intermediate proficiency in Microsoft Outlook, Word, Excel, and PowerPoint.

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Last Updated On: 12/9/2015