About Key Benefit Administrators

We are on a mission to improve health and stabilize insurance costs for local communities. KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators. We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.

Check us out here:

https://keybenefit.com/

https://www.glassdoor.com/Overview/Working-at-Key-Benefit-Administrators-EI_IE692314.11,37.htm

https://topworkplaces.com/company/key-benefit-administrato/indystar/

The Manager, Case Management and Utilization plays a critical role in overseeing day-to-day CM/ UR activities, providing functional guidance to CM and UR teams, and ensuring optimal outcomes. This position involves maintaining necessary controls to identify deficient performance, leading PMO projects and new product/service initiatives, and ensuring the quality of the company's offerings meets or exceeds customer expectations. Additionally, the manager assists in one-on-one or small group training for staff and clerical personnel based on audit process findings, Training Department recommendations, and management directives. The manager serves as a resource person for team members' questions and collaborates directly with leadership to manage overall activity within AHDI.

Essential Duties and Responsibilities:

Policy Development and Implementation:

• Develop and implement consistent policies and strategies across operational units to enhance productivity and efficiency.
• Measure and report on results related to policy implementation.

Issue Resolution and Collaboration:

• Work closely with customer service representatives, client relations staff, and providers to address complex issues.
• Keep AHDI leadership informed of critical issues.

Efficiency Enhancement:

• Identify process inefficiencies and friction points.
• Propose and implement solutions to maximize operational efficiency.

Team Empowerment:

• Provide feedback (positive or negative) on workflow, staff performance, and other relevant matters to AHDI Leadership.
• Direct Team Lead positions to improve workflow, process efficiency, and administrative functions.

Resource Management:

• Ensure inventory moves efficiently with minimal delays.
• Manage organizational resources and processes to achieve improved performance.

Metrics and Controls:

• Establish metrics and controls for product and service delivery.
• Continuously improve operational goals.

Project Management:

• Lead company project initiatives:
• Build teams
• Set deadlines
• Monitor progress
• Resolve issues
• Evaluate project performance

Staff Development:

• Assist in the preparation of staff annual performance reviews.
• Conduct regularly scheduled one-on-one sessions with staff.

Backup Support:

• Serve as a backup for team lead staff in their absence.

Other Duties:

• Handle additional tasks as assigned by management.

Supervisory Responsibilities:

• Monitor sick and vacation time.
• Track work assignments, inventory control, and individual/team performance indicators.
• Coordinate with the Vice President-AHDI on clinical staff management.
• Manage employe performance and complete employee annual reviews in a timely manner.

Competencies, Knowledge, Skills, and Abilities:

• Bachelor's degree with a minimum of three years of experience in population health.
• Previous leadership or supervisor experience with responsibility for reporting, issue resolution, and setting direction.
• Strong coordination, analytical, decision-making, and detail-oriented skills.