Overview

Daily supervision of the Data Coordinator/UM staff to ensure the highest level of customer service to the medical providers of the community.

Responsibilities

• Daily Supervision of Data Coordinator/UM staff and service workflow.
• Monitors call volume and participates in call rotation. Initiates solutions during periods of high volume.
• Maintains active participation in data entry of TARs and RAFs, and other related duties, adjusting assignments as necessary to meet other responsibilities.
• Reviews quality control audits with Team Manager/UM to ensure compliance within established department guidelines, policies and procedures.
• Identifies errors and deficiencies and Reports to Team Manager/UM any performance problems or issues when needed.
• Works with Team Manager/UM to develop corrective action and training plans for staff.
• Participates in the interview process for selection of qualified candidates for Data Coordinator Positions.
• Works with appropriate staff to develop and implement appropriate training and monitoring of new and existing staff.
• Collects and reviews time cards. Submits timecards to Team Manager/UM for signature.
• Reviews department policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate.

SECONDARY DUTIES AND RESPONSIBILITIES

• Serves as back up to other HS support staff during their absence.
• Participates in special projects, assignments and other tasks as necessary.

Qualifications

Education and Experience

Associate’s or Bachelor’s degree in Business or related field; Two (2) or more years experience in customer service supervision; or equivalent combination of education and experience.

Special Skills, Licenses and Certifications

Working knowledge of healthcare and healthcare systems preferred. Working knowledge of computer systems query languages and report writing skills. Familiarity with principles and practices of system analysis and design. Valid California driver’s license.

Performance Based Competencies

Strong written and oral communication skills. Ability to present data in a clear and understandable manner. Ability to articulate technical concepts with both technical and non-technical vendors, peers, and trainers. Analytical skills to rationally resolve simple and/or complex problems. Good organization skills to work on multiple assignments simultaneously, prioritize work, and complete projects within established time frames.

Work Environment And Physical Demands

More than 50% of work time is spent in front of a computer monitor. When necessary, ability to lift, carry, or move manuals and reports, weighing up to 25 lbs. Must be able to work in a fast paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and directions from multiple team members.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures as they may from time to time be updated.

HIRING RANGE:

$ 79,273.96 - $ 103,055.85

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.