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

Provider Operations - Supervisor Job

Full Job Title: Supv, Provider Ops

Job Number: 1805017

Location: Brentwood, TN

Date Posted: 2018-07-12

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.
Additional Responsibilities:
    Candidate Education:
    • Required A Bachelor's Degree in a related field
    Candidate Experience:
    • Required 4 years of experience in a customer service, provider relations and/or network development environment
    • Required 1 year experience in leading/supervising others
    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 Ability to work in a fast paced environment with changing priorities
    • Intermediate Ability to multi-task 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
    Licenses and Certifications:
    A license in one of the following is required:
      Technical Skills:
      • Required Intermediate Microsoft Word Proficient in Microsoft Office such as Word, Excel, PowerPoint and Outlook
      • Required Intermediate Microsoft Excel Knowledge of project planning software sufficient to document project steps and report progress
      • Required Intermediate Microsoft PowerPoint
      • Required Intermediate Microsoft Outlook

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        Last Updated On: 12/9/2015