HireDiversity

Description:
Coventry Health Care is seeking a dynamic Director of Medicare Operations in our Houston, TX service center. The successful candidate will be responsible for managing a moderately-sized service center to meet or exceed customer service
requirements and business objectives.

ESSENTIAL RESPONSIBILITIES:
•Develops strategic, operational and tactical business plans to achieve desired business goals for service center.
•Builds and maintains collaborative relationships and alliances with internal and external customers including, but not limited to, employer groups, provider groups, members, brokers, marketing, finance and medical management to achieve business goals.
•Reviews and directs service operations performance to meet or exceed business goals.
•Develops and manages the budget; controls expenses while meeting operational, financial and service requirements.
•Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions including employment, termination, performance reviews, salary reviews, and disciplinary actions.
•Maintains a positive work environment and structure that supports self-directed teams and optimizes the experience, skill, knowledge and capability of the teams.
•Performs other duties as required.

Qualifications:

Basic Qualifications:
•Bachelor’s degree or equivalent, with 7 - 9 years in managed care with management responsibility.
•Significant inbound call center experience.
•Knowledge of queuing theories, work force scheduling, and telecommunications.
•Ability to create, design and communicate overall strategies for servicing internal and external customers.

Preferred Qualifications:
•Six Sigma certification.
•Experience with government programs.
•Working knowledge of Medicare and CMS regulations.
•Experience managing cross-functional and self-directed teams.
•Strong project management experience including implementing process improvements.
•Proficient with MS Office applications and automated systems databases (i.e. Access, Excel, MMC, and/or CMS systems).

Other:
•Excellent leadership and motivation skills.
•Expert analytical, technical, process & project management skills.
•Effective communication, consulting, interpersonal, and presentation skills.
•Ability to travel 20% of time.

Coventry Health Care is a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members. 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 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.

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 consultant role dealing with business partners across the corporation and division.


Please apply directly to http://jobs.coventryhealthcare.com and refer to Req#1310513,  Dir, Service Center Operations.


Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.



Job: Executive/Senior Level Officials and Managers
Primary Location: Houston, TX, US
Organization: 10750 - Service Center - Central Admin
Schedule: Full-time
Job Posting: 2013-02-08 00:00:00.0
Job ID: 1310513