Health Services Supervisor

About the role

The Operations Supervisor is responsible for supervisory, fiscal, and administrative workflow functions, applicable to reimbursement support programs. This position will give direction, resolve problems and be accountable for setting deadlines to ensure timely completion of work and performance guarantees. This position is responsible for addressing escalated reimbursement questions from patients, insurance companies, providers, and clients specific to pharmaceutical products. Interacts with both internal and external business partners to achieve optimal coverage and reimbursement for pharmaceutical products.

Responsibilities

• Provides daily operations support to frontline staff to effectively respond to escalated issues and complex cases referred to by Healthcare Providers and Patients.
• Makes sure workload is monitored and frontline staff are assigned daily tasks to ensure productivity levels are achieved.
• Makes sure telephone calls are monitored and case documentation is reviewed to ensure quality and accuracy of frontline staff output.
• Evaluates current policies and procedures and develops improved standardized processes related to Reimbursement services to maximize productivity and quality excellence thus achieving department objectives.
• Coaches and manages direct reports to ensure their development.
• Interacts with various departments, as needed, to support ongoing Reimbursement activities and quality improvement efforts.
• Administers company and local business unit policies in a consistent and fair manner.

Requirements

• Typically requires 3+ years of subject matter experience including exhibiting leadership capabilities.
• Education: Bachelor’s Degree.
• Critical Skills: 3 years of reimbursement healthcare and supervisory/management related experience and 2-3 years of call center experience preferred. Strong organizational and time management skills. Must be able to analyze specific data and prepare written reports for management and client communications. Strong problem solving and decision-making skills. Ability to effectively handle multiple priorities within a changing environment. Experience in the healthcare industry including, but not limited to, Medicare and/or Medicaid program administration, insurance verification, physician’s office, pharmacy and/or pharmaceutical manufacturers.

Benefits

We not only care about the wellbeing of our patients, customers and the communities we serve — we care about you. That’s why we provide our employees with a comprehensive support system for all aspects of Your Care: physical, emotional, financial and social.