Senior Manager, Provider Escalation, Education

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Devoted Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare Insurance • Wellness

A Devoted Health é uma empresa de saúde que oferece planos Medicare Advantage projetados para fornecer cobertura de saúde abrangente com benefícios adicionais como cuidados dentários, óculos, associações a academias e medicamentos prescritos a preços competitivos. A empresa enfatiza o suporte e serviço ao membro, garantindo que os clientes possam navegar facilmente por seus benefícios e acessar os serviços de saúde necessários. A Devoted Health está comprometida em ajudar os clientes a economizar dinheiro e melhorar sua saúde e bem-estar por meio de um pacote completo de benefícios e suporte.

Descrição

• Ownership of Devoted’s Network Escalations function, including service levels, quality, provider experience, operational performance, compliance, and cost • Leading a team of subject matter experts that resolve network escalations • Running the current machine while designing, implementing, and owning the future-state machine • Defining and executing the roadmap for modernizing through AI, workflow automation, and self-service • Establishing clear visibility into units of work, productivity, quality, cost, and performance metrics • Meet with providers to resolve escalations and deliver proactive performance insights, actively engaging to understand their needs and challenges. • Building and operationalizing AI-enabled and human-in-the-loop workflows that improve quality, consistency, speed, and provider satisfaction • Managing the function through rigorous metrics, KPIs, scorecards, and performance dashboards, with clear accountability for outcomes • Partnering cross-functionally with Network and other health plan operations teams to solve upstream drivers of provider issues and improve end-to-end provider experience • Leading through significant evolution while creating confidence, momentum, stability, and strong culture through change • Raising the talent bar across the organization by setting the pace and modeling high standards.

🎯 Requisitos

• At least 5 years of leadership experience with a track record of delivering measurable outcomes in complex operational environments • Outstanding operational rigor with the ability to deploy technology to solve complex business challenges • Proven experience driving end-to-end initiatives from strategy through execution that materially improve quality, service levels, cost, compliance, or operational efficiency • Demonstrated ability to manage through metrics, establish ambitious targets, and drive teams to results with clear accountability • Exceptional attention to detail and precision, with a reputation for sweating the details and getting the hardest operational last mile right • Clear evidence of urgency, resilience, and the ability to move quickly while maintaining high quality standards • Proven ability to leverage complex data sets to inform strategic initiatives and team development, while articulating compelling, data-driven narratives that drive organizational vision and ensure alignment. • Expert at building relationships with a broad range of internal and external stakeholders (provider groups). • Conversational agility expertise demonstrated by the ability to reframe, refocus, and redirect conversations to realize accretive partnerships and desired outcomes. • Additionally, this individual needs to be able to condense complex concepts into simple explanations with clear and concise calls to action.

🏖️ Benefícios

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....