Supervisor Provider Onboarding

Delta DentalAlpharetta, GA
38d

About The Position

This position is responsible for overseeing the Provider Onboarding department's daily activities to maximize employee productivity and quality of work, accuracy and timeliness of provider contracting, credentialing, directory accuracy, and servicing tasks within allocated systems. Supervise staff including staff evaluation and performance monitoring; trains and coaches staff to assist in professional development and ensure superior work quality. Develop and oversee the maintenance of training and procedure manuals encompassing all job functions. Ensure work and projects are completed accurately and within schedules; take corrective action, as needed. Monitor workload and inventory within the department to determine appropriate allocation of staff/resources; make adjustments as needed to ensure the team meets production expectations and adheres to performance guarantees and customer service levels. Actively support all functional areas relating to the provider contracting and credentialing processes; advise and provide guidance on related questions and functions and/or escalations. Manage cross-functional communication regarding service levels, department initiatives, issue resolution, and other items that may impact performance guarantees and service to the providers. Manage identified process improvement and escalation issues related to provider contracting and credentialing and provide recommendations to leadership; execute approved initiatives. Prepare and maintain productivity and inventory reporting statistics and review with staff members and leadership.

Requirements

  • 5+ years of experience as Individual Contributor w/Associate's degree; supervisory experience preferred
  • Strong organizational and time management skills with the ability to multi-task while maintaining attention to detail
  • Strong analytical, critical thinking and problem-solving skills
  • Excellent written, verbal, and interpersonal communication skills; ability to interact well with all levels of staff and outside contacts
  • Strong leadership skills with the ability to encourage teamwork
  • Knowledge of group configuration processing policies, guidelines and systems
  • Knowledge of Delta Dental products, policies, claims, eligibility and underwriting procedures and guidelines
  • Knowledge of health care industry issues
  • Ability to present written information and findings, communicate concepts, and make executive-level presentations
  • PC literacy; MS Office skills (Outlook, Word, Excel, PowerPoint, MS Teams)

Responsibilities

  • Overseeing the Provider Onboarding department's daily activities to maximize employee productivity and quality of work
  • Accuracy and timeliness of provider contracting, credentialing, directory accuracy, and servicing tasks within allocated systems
  • Supervise staff including staff evaluation and performance monitoring
  • Trains and coaches staff to assist in professional development and ensure superior work quality
  • Develop and oversee the maintenance of training and procedure manuals encompassing all job functions
  • Ensure work and projects are completed accurately and within schedules; take corrective action, as needed
  • Monitor workload and inventory within the department to determine appropriate allocation of staff/resources; make adjustments as needed to ensure the team meets production expectations and adheres to performance guarantees and customer service levels
  • Actively support all functional areas relating to the provider contracting and credentialing processes; advise and provide guidance on related questions and functions and/or escalations
  • Manage cross-functional communication regarding service levels, department initiatives, issue resolution, and other items that may impact performance guarantees and service to the providers
  • Manage identified process improvement and escalation issues related to provider contracting and credentialing and provide recommendations to leadership; execute approved initiatives
  • Prepare and maintain productivity and inventory reporting statistics and review with staff members and leadership

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Industry

Insurance Carriers and Related Activities

Education Level

Associate degree

Number of Employees

1,001-5,000 employees

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