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Shield Healthcare
Valencia, CA | Full Time
$107k-136k (estimate)
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Utilization Management Team Lead
Shield Healthcare Valencia, CA
$107k-136k (estimate)
Full Time | Retail 1 Week Ago
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Shield Healthcare is Hiring an Utilization Management Team Lead Near Valencia, CA

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.
Shield HealthCare is looking for a Utilization Management, Team Lead for our Valencia, CA corporate office. The primary function of this position Assist Supervisor in managing daily task and department workflow.


JOB RESPONSIBILITIES:

  • Assist in various processes throughout the department
  • Communicate trends with health plans to Supervisors
  • Assist with gathering daily stats as needed
  • Troubleshooting issues with accounts
  • Delegating tasks and making adjustments in order to meet EOM Metrics
  • First line of support for UM Rep questions
  • Respond to questions from various departments related to documentation
  • Problem identification and resolution of issues as presented by staff
  • Assists with training of new personnel on all aspects of job responsibilities.
  • Miscellaneous project as assigned by management
  • Other duties as assigned


QUALIFICATIONS:

  • Prior Lead experience preferred
  • Strong aptitude for reporting
  • Analytical thinker and ability to problem solve
  • Leadership capabilities and interpersonal skills
  • Work independently with the ability to make appropriate decisions
  • Detail oriented and strong organizational skills


SALARY & BENEFITS:

  • $17.00-19.00 per hour team lead differential
  • Medical, Dental, and Vision (available first day)
  • 401(k) with Company Match
  • Sick and Vacation Days
  • Flexible Spending Account
  • Life & Disability Insurance
  • Education Assistance

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Retail

SALARY

$107k-136k (estimate)

POST DATE

05/06/2024

EXPIRATION DATE

05/07/2024

WEBSITE

shieldhealthcare.com

HEADQUARTERS

VALENCIA, CA

SIZE

200 - 500

FOUNDED

1957

CEO

JAMES W SNELL

REVENUE

$10M - $50M

INDUSTRY

Retail

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About Shield Healthcare

With 60 years of pharmacy and medical supply experience, Shield is a leading provider of incontinence, urological, ostomy, enteral nutrition, breastfeeding and wound care supplies. Our mission is to serve the medical supply needs of patients at home with excellence, compassion and exceptional service. We offer direct billing to Medi-Cal, Medicaid, Medicare and managed care plans. Shield HealthCare benefits include on-staff product experts, including Registered Dietitians and Lifestyle Specialists to support patients and their families. Since 2007, Shield HealthCare has been granted formal accr...editation status by the Community Health Accreditation Program's (CHAP) Board of Review. From our 2016 annual customer survey of more than 4,000 active customers conducted by Press Ganey Associates Inc., we are proud to say that 99% of our customers would recommend us to friends and family. Shield HealthCare is firmly committed to community involvement, supporting a variety of health organizations and causes each year. We also advocate for and support our customers by: Engaging advocates for legislative support for home care benefits Participating in Medicare advisory groups in all regions Emphasizing compliance with insurance carrier regulations Taking leadership in state supplier associations Dedicated to employee achievement, Shield HealthCare provides over 20,000 hours of ongoing employee training every year. We also support health care professionals and the caregiving community through educational in-services, nursing education days, webinars, educational materials, and more than 1,200 articles and videos featured in our vibrant, interactive online communities. For more information on joining our team, visit www.shieldhealthcare.com/careers. More
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