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Full Time | Business Services 11 Months Ago
Save

One Call Care Management is Hiring a Mgr Program Near Jacksonville, FL

Mgr Program

We’re looking for colleagues who are ready to Think Big, Go Fast, Deliver Awe,and Win TogetherThese core values embody our diverse and inclusive culture and help us live out our mission of “getting people the care they need when they need it.” Over the last 30 years, our company has established itself as the market leader in managed care for the workers’ compensation industry. We are committed to making a positive impact in the lives of the injured workers we serve, and we have fun doing it. 

Salary Range: 66,100.00 - 109,100.00 Salary

This compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At One Call, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is 66,100.00 - 109,100.00 Salary

Benefits Summary: 
In return for your commitment to our company’s mission, we offer a vast array of benefits to help support the whole you. 

·Opportunities to work from home 

·Competitive wages with opportunities to earn annual merit increases 

·Paid development hours to use for professional and community development! 

·Generous paid time off, 8 company holidays, and 2 floating holidays per year 

·$1,000 Colleague Referral Program 

·Enterprise Recognition Program rewarding colleagues for their extraordinary work 

·Exclusive discounts on travel, activities, and merchandise via work discount program 

·Colleague Assistance Program that provides free counseling and financial services 

·Tuition Reimbursement Program including certifications 

·Quantum Health: A healthcare navigation platform to help our colleagues make the best, most cost-effective healthcare decisions 

·Medical, dental, and vision insurance 

·Pre-Tax FSA and HSA health savings accounts 

·401(k) matching 

·Company paid life insurance 

·Company paid short term and long-term disability 

·Referral program

·Healthcare concierge 

  • The One Call Foundation which aims to help colleagues during unexpected emergencies, from car accidents to natural disasters. 

This position will report to the Director, Program Management. This role will concentrate on Program performance and improvement while identifying new business opportunities. This individual is expected to be the subject matter expert on client retention and growth within programs. This position will work closely with Program Engagement, Sales, Operations, Clients, and external Partners.

GENERAL DUTIES & RESPONSIBILITIES:

MAKE IT HAPPEN (40%)

  • Generate reporting metrics on program performance including conversion success, revenue, and volume.

  • Assist in researching missed opportunities through inventory comparison and provide recommendations on leakage capture.

  • Monitor rejection rates and research rejection data to identify potential workflow changes to improve program results.

  • Partner with network management to support and lead strategic initiatives.

  • Assist Sales in developing strategic initiatives where program partners are involved.

  • Provides program training for internal customers and offers support for billing and collection issues that impact One Call, customers, or partner.

  • Develop and expand strong business relationships with external partners.

SPECIALIZED BUSINESS KNOWLEDGE (40%)

  • Manage and assist in network rate applications and One Call invoice compliance.

  • Assist in managing and enforcing partner contracts to include financial terms and agreements.

  • Strategize with external partners on “new to market” initiatives.

  • Assist with prioritization of project tasks, and communicate any changes that impact timelines.

  • Develop external partner performance improvement plans and participate in the implementation changes that will lead partners to attain best-in-class performance.

WIN TOGETHER (20%)

  • Work with Process Management Organization and Compliance to complete research pertaining to market size, competitors, current market penetration, and market position strategy.

  • Coordinate with Operations and RCM on program enhancements that support operational efficiencies and increased collection rates. 

  • Work with Product Managers and SMEs to build content storyboards that speak to the products and programs’ value to the organization, our customers, and the industry.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

      • Bachelor’s Degree in Business or related field or the equivalent combination of education, training, and work experience.

      • 5 years’ experience in workers’ comp payor and provider domain knowledge.

      .

GENERAL KNOWLEDGE, SKILLS & ABILITIES:

  • Communicates ideas both verbally and in written form in a clear, concise, and professional manner.
    Requires advanced working knowledge of One Call products and processes as well as the industries in which One Call competes for business.
  • Strong communication skills – written, oral, facilitation, negotiation, conflict resolution.
  • Customer facing experience.
  • Exceptional organizational skills.
  • Ability to work independently in an environment with fluid priorities and multiple stakeholders.
  • Ability to ask incisive questions and challenge assumptions to uncover potential barriers to success.
  • Team skills, including the ability to establish and maintain effective working relationships both internally as well as externally.
  • Flexibility, versatility, dependability.
  • Works independently with only administrative supervision onhighly complex projects with extensive latitude for independent judgment.
  • Is not limited to merely repeating what others have done but creates new, alternative ways to approach things.
  • Is comfortable in working in unstructured situations where creativity is needed
  • Brainstorms alternatives to a given problems.

PHYSICAL/EMOTIONAL DEMANDS & WORK ENVIRONMENT:

  • For roles located in office or home settings, this job is primarily sedentary and may involve repetitive motions; the employee is regularly required to sit, use hands and fingers, speak, and hear.

  • For roles located in the field, this job is primarily active; the employee is regularly mobile and must be able to utilize transportation (such as driving), sit, use hands and fingers, speak, and hear.

  • The employee is occasionally required to stand, walk, and lift objects (up to 10lbs weight; up to 4 ft. height).

  • Specific vision abilities required by this job include ability to see things from a close distance and ability to adjust focus

  • The work environment utilizes florescent lighting; noise level is moderate.

  • The emotional demand of the job may cause undue stress from, but not limited to, moderate/heavy workload.

  • Reasonable accommodations will be individually assessed and possibly made to enable individuals with disabilities to perform the essential functions of the position.

  • Please be advised this job description is subject to change at any time. 

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$115k-153k (estimate)

POST DATE

06/11/2023

EXPIRATION DATE

05/11/2024

WEBSITE

preferreddoctors.com

HEADQUARTERS

Woodland Hills, CA

SIZE

<25

INDUSTRY

Business Services

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