Medical Necessity and Authorizations Operations Specialist

Corewell Health • Grand Rapids, MI

7d • Onsite

About The Position

Job Summary The Operations Specialist will work in partnership with leadership and various operational teams and organizational departments to develop, implement and support programs and projects that ensure operational efficiency, enhanced safety, increased productivity, reduced cost, and continuous improvement. Assists in managing the day-to-day operational needs as well as the strategic goals of the business. Essential Functions Provides operational support for new and existing programs and projects. Ensures required documentation, reporting, data collection and database utilization are performed in an accurate and timely manner. Prepares progress reports, study results and other reports as required. Collects and analyzes process, productivity, value and quality related data to initiate, develop, and recommend operational practices and procedures that focus on operational efficiency, enhanced safety, increased productivity, and reduced cost. Engages in process and quality improvement initiatives. Responsible for implementing recommendations to improve operational efficiency, new services for area of responsibility and creates documentation of new established workflows. Serves as the operational lead to provide structure, project management and direction for new and existing workflow transformation and other operational initiatives. Collaborates with leadership to develop action and projects plans focused on operations and running the business. Assists with the coordination of compliance activities to ensure services are provided in accordance with State and Federal regulations, organizational policies and procedures, medical staff bylaws and accreditation/compliance requirements. May serve as interim leadership About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence. How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here . On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance, pet insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status

Requirements

• Bachelor's Degree or equivalent business, healthcare administration or related field
• 3 years of relevant experience

Nice To Haves

• 3 years of relevant experience
• Leadership Experience
• Experience in healthcare and working within an organization of size and complexity comparable to Corewell Health

Responsibilities

• Provides operational support for new and existing programs and projects.
• Ensures required documentation, reporting, data collection and database utilization are performed in an accurate and timely manner.
• Prepares progress reports, study results and other reports as required.
• Collects and analyzes process, productivity, value and quality related data to initiate, develop, and recommend operational practices and procedures that focus on operational efficiency, enhanced safety, increased productivity, and reduced cost.
• Engages in process and quality improvement initiatives.
• Responsible for implementing recommendations to improve operational efficiency, new services for area of responsibility and creates documentation of new established workflows.
• Serves as the operational lead to provide structure, project management and direction for new and existing workflow transformation and other operational initiatives.
• Collaborates with leadership to develop action and projects plans focused on operations and running the business.
• Assists with the coordination of compliance activities to ensure services are provided in accordance with State and Federal regulations, organizational policies and procedures, medical staff bylaws and accreditation/compliance requirements.
• May serve as interim leadership

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level