Coventry Health Care is seeking a Manager of Provider Systems Administration in our West Sacramento, California Service Center. As a strategic member of the Customer Service Operations (CSO) leadership team, the successful candidate will be responsible for the management, coordination and implementation of a broad range of projects and programs in direct support of the service center management team as well as the day-to-day management of service or business units. We are looking for someone with a proven track record of growing and improving a department
We are committed to constantly improving our low-cost platform so that we can deliver the products and services that our customers want at a price they can afford. Coventry has the expertise, the experience, and the agility to craft the new products, the new processes, and the new service needed to make healthcare more accessible to all Americans.
Coventry Health Care , a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry Health Care, we are driven to ensure that every person and organization we serve receives the greatest possible value for their health care investment. We do this by providing a full range of competitive products through our seven core businesses – Commercial Risk, Medicare Advantage, Medicare Part D, Medicaid, Workers' Comp Services, Federal Employees Health Benefits Plan and Network Rental.
We offer a competitive salary, excellent benefits (401K with company matching, comprehensive benefits including medical, dental, and tuition reimbursement), vacation and sick time. This is a highly visible role dealing with business partners across the division and corporation, and being a part of motivating a dynamic team!
We are committed to constantly improving our low-cost platform so that we can deliver the products and services that our customers want at a price they can afford. Coventry has the expertise, the experience, and the agility to craft the new products, the new processes, and the new service needed to make healthcare more accessible to all Americans.
Coventry Health Care , a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry Health Care, we are driven to ensure that every person and organization we serve receives the greatest possible value for their health care investment. We do this by providing a full range of competitive products through our seven core businesses – Commercial Risk, Medicare Advantage, Medicare Part D, Medicaid, Workers' Comp Services, Federal Employees Health Benefits Plan and Network Rental.
We offer a competitive salary, excellent benefits (401K with company matching, comprehensive benefits including medical, dental, and tuition reimbursement), vacation and sick time. This is a highly visible role dealing with business partners across the division and corporation, and being a part of motivating a dynamic team!
ESSENTIAL RESPONSIBILITIES
- Oversees the day-to-day management of technical and non-technical staff responsible for analyzing, coding and building provider demographic and payment information and/or client provider network information into transactional systems and databases.
- Manages all operational aspects of provider/client data processes and inventory management including data loads and updates, coding of contracts, fee schedules, implementation of provider demographics, pended claim analysis and issue resolution, and provider/client network setups or panels.
- Manages all aspects of provider/client data analytics. Utilizes this information to drive business decisions.
- Develops comprehensive business cases with cost, service, benefit dimensions of proposed provider/client systems information projects that are used at executive levels for funding and scope decisions.
- Provides leadership in facilitating and conducting information gathering, structured documentation and presentation of findings to meet the needs of business partners.
- Serves as a technical consultant regarding highly complex data interpretation requests to business partners regarding system capabilities and limitations.
- Manages and leads cross-functional task forces to identify and document process requirements, work flow, information sources and distribution paths, and system specifications.
- Rewards employees based on the development and utilization of required skills and competencies that contribute to the achievement of business objectives.Maintains a positive work environment and structure that supports self-directed teams and optimizes the experience, skills, knowledge and capability of the team.
Qualifications:
Basic Qualifications:
- Bachelor’s degree or equivalent experience.
- 7-10 years experience in health care or related industry with management responsibility.
- 1–3 years supervisory or project lead experience.
Preferred Qualifications:
- Bachelor’s degree preferred.
- Experience in managing cross-functional, self-directed teams
- Knowledge of health care and/or related products, medical terminology, diagnosis and procedure coding, and coordination of benefits.
- Basic working knowledge of MS Office.
Other:
- Highly self-motivated and able to work well under stress in a fast-paced environment.
- Demonstrated excellence in analysis, documentation, inventory management, and presentation tools.
- Excellent skills in critical thinking and analysis, meeting facilitation, verbal and written communications, and interpersonal interactions (e.g., partnering, conflict management, consulting, etc.)
- Strong listening and interpersonal skills; skilled at developing and maintaining effective working relationships.
- Demonstrated leadership and motivation skills with the ability to drive change.
Please apply directly to http://jobs.coventryhealthcare.com/ and refer to Req# 1310465, Mgr, Provider Systems Information Administration.
Job: First/Mid Level Officials and Managers
Primary Location: West Sacramento, CA, US
Organization: 10750 - Service Center - Central Admin
Schedule: Full-time
Job Posting: 2013-02-06 00:00:00.0
Job ID: 1310465