Team Lead, Health Partner Life Cycle

Job Summary:

The role of the Team Lead, Health Partner Life Cycle (HPLC) is to perform supervision and support of the Health Partner Life Cycle team..

Essential Functions:

• Responsible for accurate and timely processing of provider additions, terminations, and changes to meet regulatory requirements and maintain provider panel information for CareSource products
• Provide direction/oversight of business processes to ensure accurate setup and maintenance of defined provider information in applicable systems, and ensure compliance with provider contract documents
• Assure that data entry activities are accurate, timely, and compliant with state and regulatory standards
• Monitor level of inventory; notify management of levels outside of established thresholds
• Create and update ongoing staffing plan to address issues that may impact service or provider/internal customer satisfaction
• Respond to calls and emails from internal/external customers
• Coordinate efforts with Health Partner Reps and HPLC peers to complete all applications missing components
• Continuously monitor all work queues to ensure Turn Around Times (TAT) are being met
• Actively participate in HPLC meetings as appropriate
• Ensure the confidentiality of provider information and ensure all provider files are securely stored in locked cabinets at the close of the business day
• Oversee orientation and training of new hires
• Assist with performance evaluations, hiring, and disciplinary action
• Maintain time sheets for non-exempt employees
• Coordinate data entry activities related to assignments, problem solving, and project management
• Supervise staff for quality review, performance feedback, disciplinary issues, and merit/bonus appraisal review
• Tracking and reporting of staff production and quality; review in monthly 1:1s
• Create, review, revise, and enforce company and departmental policies and procedures
• Provide mentoring, training, and ongoing education in regards to optimal performance and Standards of Excellence
• Perform any other job related duties as requested

Education and Experience:

• Associates Degree or equivalent years of relevant work experience is required
• Minimum of two (2) years of experience in a health care setting is required
• Previous supervisory/leadership experience or completion of the Caresource IC Leadership program is highly preferred

Competencies, Knowledge and Skills:

• Intermediate computer skills
• Knowledge of Windows-based programming and Microsoft Office
• Communication skills
• Ability to work independently and within a team environment
• Attention to detail
• Ability to effectively support diverse personalities and work styles
• Familiarity of the healthcare field
• Knowledge of Medicaid
• Critical listening and thinking skills
• Uses proper grammar
• Technical writing skills
• Time management skills
• Training/teaching skills
• Proper phone etiquette
• Customer service orientated
• Decision making/problem solving skills
• Knowledge of medical terminology

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time

Compensation Range:
$61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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