Manager of Field Services Miami FL
Company: Optum
Location: Hialeah
Posted on: April 25, 2024
Job Description:
Opportunities at Change Healthcare, part of the Optum family of
businesses. We are transforming the health care system through
innovative technology and analytics. Find opportunities to make a
difference in a variety of career areas as we all play a role in
accelerating health care transformation. Help us deliver
cutting-edge solutions for patients, hospitals and insurance
companies, resulting in healthier communities. Use your talents to
improve the health outcomes of millions of people and discover the
meaning behind: Caring. Connecting. Growing together.
The Manager of Field Services is responsible for effectively
managing operations and delivering a high level of customer service
to a specific facility or multiple facilities within a geographic
region. Reporting to the Director, Operations, this role is
responsible for leading a team of Healthcare Representatives to
ensure the highest level of customer service possible to assigned
accounts. This role works collaboratively with field leadership and
with other leadership across Change Healthcare.
Primary Responsibilities:
- Operations
- Leads a team of Healthcare Representatives responsible for
providing high quality client focused services by using knowledge
of local, state and federal program requirements to efficiently
maintain and update general applicant information to support client
applications
- Responsible for ensuring the quality and quantity of claims
taken and ensures that claims are submitted / resolved timely.
Ensures that claim status is documented appropriately in the
system
- Review inventory reports and ensure all actions are taken
accurately and provide employee feedback
- Responsible for reporting and metrics for assigned territory.
Provides recommendations based on reporting
-
- Ensures the appropriate coverage is available within assigned
area
- Monitors and fosters ongoing communications with government
agencies regarding the status of claims
- Manages all customer relationships in accordance with Change
Healthcare policy and federal/state regulations
- Team Leadership
- Fosters teamwork by actively encouraging team members to work
together and by setting the right example
- Proactively manages change by demonstrating the ability to
support innovation and organizational changes needed to improve the
organization's effectiveness
- Manages team performance setting clear goals and expectations,
tracking progress against the goals, ensuring feedback, and
addressing performance problems and issues promptly
- Communicates effectively and ensures that information is passed
on to others who should be kept informed
- Develops others by demonstrating the ability to delegate
responsibility and to work with others and coach them to develop
their capabilities. Ensures that all staff receives the training
necessary to be successful
- Works with the team members on development planning and
provides growth opportunities within Change Healthcare as
appropriate
- When staffing needs arise, partners closely with Talent
Acquisition to interview and hire the best talent
- Builds collaborative relationships by developing, maintaining,
and strengthening partnerships with others inside or outside the
organization who can provide information, assistance, and
support
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.
Required Qualifications:
- 5+ years of experience in one of the following areas:
-
- Healthcare management
- Social services
- Related government agency
- Business Experience
- Resolution Experience and Medicaid Follow up Preferred
Qualifications:
- 1+ years of experience as a Resolution Specialist
- People management experience Specialized Knowledge / Skills:
- Solid communication skills with a wide variety of
audiences
- Excellent customer service skills
- Ability to demonstrate decisiveness and judgment in a wide
range of situations
- Basic mathematical knowledge and understanding of budgets
- General knowledge of Microsoft Office
- Solid follow up and organizational skills
- Ability to work collaboratively within a team
- Thorough knowledge of SSA/SSI disability, as well as other
federal financial assistance programs and state and local
government programs Working Conditions:
- Environment - field hospital and/or office environment
- Travel Requirements - Some travel may be required (up to
75%)
- Schedule Requirements - May include days, evenings, weekends
and holidays
- Physical Requirements - Sitting, standing, walking, and using
key board If the hired individual resides in Florida (office based
or telecommuting) this position requires the AHCA Level II
background check (fingerprinting) by the State of Florida for all
clinicians that have direct face to face contact with members OR
employees who will have access to confidential patient data and
will require renewal every five years.
At UnitedHealth Group, our mission is to help people live healthier
lives and make the health system work better for everyone. We
believe everyone-of every race, gender, sexuality, age, location
and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good
health which are disproportionately experienced by people of color,
historically marginalized groups and those with lower incomes. We
are committed to mitigating our impact on the environment and
enabling and delivering equitable care that addresses health
disparities and improves health outcomes - an enterprise priority
reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: Optum, Kendall West , Manager of Field Services Miami FL, Executive , Hialeah, Florida
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