Supervisor Health Plan Operations Referrals - USFHP

Providence • Renton, WA

3d

About The Position

Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff under the supervision of the Director of USFHP Operations. Responsibilities include ensuring accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses for Outside e (OPS),. Assures compliance with DoD and other government agency guidelines and contract requirements. Sets Referral policy and monitors compliance to same. Monitors Medicare and TRICARE referral guidelines and educates staff in changes. Identifies and solves processing issues with outside providers. Serves as a member of the US Family Health Plan management team. Jointly manages the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team. Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Requirements

• 4 years Health care referrals experience
• 2 years Supervisory capacity, including Lead role; or six months supervisory experience within Pacific Medical Centers

Nice To Haves

• Bachelor's Degree in Health Care Administration or Business Administration

Responsibilities

• Organizes and directs the daily activities and department workflow of the Referrals and Referral Support Staff
• Ensuring accurate and timely data entry and processing of authorization and referrals of Pacific Medical Centers' revenues and expenses for Outside e (OPS)
• Assures compliance with DoD and other government agency guidelines and contract requirements
• Sets Referral policy and monitors compliance to same
• Monitors Medicare and TRICARE referral guidelines and educates staff in changes
• Identifies and solves processing issues with outside providers
• Serves as a member of the US Family Health Plan management team
• Jointly manages the US Family Health Plan budget with the Director of USFHP Operations and the other members of the management team

Benefits

• Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
• We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 501-1,000 employees