Group Health Operations Manager

April 12

Dane Street

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National Provider of IME and Medical Peer Review Services

IMEs • Physician Advisor Reviews • Peer Reviews • Drug Utilization Reviews

51 - 200

Description

• Oversee and ensure the overall profitability of the regional operations center. This includes but is not limited to reaching and exceeding financial & referral goals, properly managing staffing efficiencies throughout the team, managing performance expectations & improvements for existing staff. Present management with regular reporting on any topic requested by the management team. • Driving Revenue Growth - The Operations Manager drives revenue growth by delivering excellent Customer service. - This includes meeting scheduling best practices and turnaround time requirements. - Ensuring the timely delivery of high quality reports. - Managing client inquiries in a timely manner. • Optimizing Physician cost - Ensuring that client invoices adhere to the agreed upon fee schedule. - Overseeing the proper selection of physicians. - Specifically ensuring that the team selects the most appropriate physician based on the claimant’s location, the required specialty, and the most appropriately priced physician based on the client’s fee schedule. - Building relationships with key physicians to ensure panel retention. • Manage Staff Performance and Capacity - Monitor key performance metrics of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists. - Ensure the team meets or exceeds 85% of output goals for scheduling and Quality Assurance targets. - Responsible for hiring new staff members based on increased referral volume and/or the addition of new clients. - Conducts performance evaluations that are timely and constructive. - Handles discipline and termination of employees as needed and in accordance with company policy. • Client Interaction - The Operations Manager may be requested to join the Sales staff for client visits on an as needed basis. • Responsible for the overall production, performance, and quality of the assigned region. - Plans and organizes daily activities related to production and operations. - Measures productivity by analyzing performance data, financial data, and activity reports. - Coordinates with other support departments such as human resources, finance, and IT and BA to ensure successful production operations. - Determines labor needs to meet production goals. • Oversee the deposition process at the request of the client or defense counsel. • Other duties & special projects, as assigned and based on business needs.

Requirements

• Associate’s Degree or Bachelor’s Degree is preferred. • Business experience in a healthcare and/or insurance setting is preferred. • Business experience in a Worker’s Compensation and/or Auto insurance setting is preferred. • Present exceptional communication skills with a clear understanding of company business lines. • The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential. • Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work. • Supply and support their own internet services. • Maintaining an uninterrupted internet connection is a requirement of all work from home position.

Benefits

• 100% REMOTE