Team Lead, Arbitration Services

Claritev•New York, NY

6h•$57,000 - $62,000•Onsite

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY This position oversees the Arbitration services team activities to ensure the team achieves and maintains service, production, and quality standards. Collaborate with team members to foster growth and development. This role manages the arbitration services team inventory including evaluation of provider disputes and appropriate client payment offers. The incumbent will coordinate efforts with the team and other leadership to bring matters to efficient and successful outcomes.

Requirements

Minimum high school diploma or equivalent (GED) and two (2) years' experience in healthcare operations.
Minimum 1 year management/leadership experience or 2 years in a senior role.
Excellent organizational, analytical, and independent decision-making skills
Demonstrated critical thinking skills with the ability to manage multiple priorities and meet associated timelines.
Ability to anticipate needs and solve problems proactively in a fast paced, rapidly changing environment.
Sound business judgement.
Ability to learn quickly and work independently within time constraints.
Adept knowledge of Microsoft Word, Excel, and Outlook
Logical, clear, and concise written and verbal communication skills
Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier, and telephone.
Sensitivity to privacy in accordance with HIPAA guidelines
Ensure compliance with HIPAA regulations and requirements.

Nice To Haves

Bachelors' degree in a related field is preferred plus two (2) years' experience in healthcare operations.

Responsibilities

Oversee the assigned arbitration services team to ensure the tasks completed by employees are within the required regulatory timeframe while maintaining production standards and quality assurance.
Ensure all client deliverables and SLA's are achieved. Providing exceptional results to clients escalated inquiries, to include root cause analysis.
Track trends, initiate process improvements to eliminate impediments to delivering quality service and ensure company and team goals are met.
Ensure smooth and effective day-to-day team operations. Consistently reporting results to the leadership team.
Establish, maintain, and monitor individual and departmental performance expectations/metrics and implement measures to correct deficiencies. Consistently and thoroughly document employee progress.
Assist in the development, implementation and monitoring of department policies and procedures. Develop and implement system and operation changes to improve service and production efficiency of the department. Assist with the creation, testing and implementation of future automation and technical solution initiatives.
Keep management abreast of key operation, personnel, and client issues.
Select, develop, and evaluate staff to ensure the efficient operation of the department. Implement corrective action when deficiencies are identified.
Collaborate with other departments to ensure the successful delivery of product expectations to include Service Operations, QA, TG&D, Legal, Sales and Account Management, Data Science, HCE and IT.
Respond timely to all electronic, written, and verbal communications, log information derived from written and verbal communication; maintain detailed and accurate records.
Outreach to clients for data needed for arbitration packages and/or attend client meetings.
Demonstrate Company's Core Competencies and values held within.
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned, as necessary.

Benefits

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits