Supervisor, Care Management

Zing Health

24d

About The Position

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com. SUMMARY DESCRIPTION: The Supervisor, Care Management support the Care management department by recommending appropriate actions, strategies and/or alternatives to meet business needs. Has responsibility for auditing of care coordination staff, training, desktop and policy development and corrective actions as needed. Ensures the end state of the project and/or business operations meets business objective(s) and that all deliverables and due dates are met. Highly collaborative position that works directly with the Director of Care management and the Sr. Director of Medicare programs.

Requirements

• Proven track record meeting project deadlines
• Experience in developing and completing training programs
• Previous (3-5 years) experience in managed care clinical operations(Utilization, care management)
• Experience (3-5 years) in a leadership role within a managed care organization
• Strong report preparations skills
• Analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills
• Ability to work independently
• Effective computer skills including navigating multiple systems
• Proficiency with standard corporate software applications, including Outlook, MS Word, Excel, as well as some proprietary applications

Responsibilities

• Provides ongoing and random analysis of the business process, clinical systems, tools, and staff competencies using organizational performance measurements to ensure compliance with government regulations and corporate policy.
• Identifies, documents, and reports any transaction errors in a timely manner to ensure prompt resolution.
• Tracks and trends audit results, providing feedback to management.
• Recommends corrective action and facilitates the implementation of remedial and process improvement plans. Implements training programs to increase role specific consistencies and efficiencies related to process workflows.
• Proactively leads assigned project by creating project timeline, identifying key milestones and additional resources needed to successfully complete the work.
• Identifies issues that may stall project/team and works with Director to address them.
• Solicit and evaluate internal and external feedback to enhance continuous quality improvement.
• Identify gaps and recommend enhancements related to new and/or existing products, services and workflows based on broad view of the organization.
• Develops recommendations based on complex data and root cause analysis.

Benefits

• A competitive salary based on the market
• Medical, Dental, and Vision
• Employer-Paid Life Insurance
• 401(K) match up to 4%
• Paid-Time-Off
• Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 11-50 employees