Care Management Intake Manager

Job not on LinkedIn

🔥 45 minutes ago

🇺🇸 United States – Remote

💵 $58k - $64.5k / year

⏰ Full Time

🟢 Junior

👔 Manager

👻 Ghost score 0%

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Personify Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2023

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Personify Health is the first personalized health platform company, designed to empower individuals and organizations to achieve better health outcomes through tailored solutions and services. They offer a comprehensive range of solutions including wellbeing navigation, care management, and health plan administration, catering to employers, health systems, health plans, and brokers. Their goal is to simplify healthcare experiences and enhance engagement, ultimately helping businesses optimize their investment in employee health and wellbeing.

📋 Description

• Lead daily Intake operations, including scheduling, workload distribution, and workflow adherence • Deliver coaching, feedback, performance audits, and corrective or disciplinary action • Participate in hiring, onboarding, and training new Intake staff • Manage corrective action processes for performance issues • Review staff work for completeness, accuracy, and compliance • Identify operational and performance issues requiring leadership visibility and escalate them with context and recommendations • Create and roll out policies, procedures, and SOPs • Keep staff current through ongoing communication and education • Ensure documentation and timeliness meet URAC and NCQA requirements for audit readiness • Uphold HIPAA, confidentiality, and minimum necessary access requirements • Conduct quality assurance audits and performance reviews • Serve as the subject matter expert for non-clinical intake operations, documentation standards, and compliance expectations

🎯 Requirements

• Associate degree required • 1-2 years of supervisor or team lead experience • 1 year of call center experience preferred • Background in TPA, health plan, medical management services, medical billing, hospital, or emergency services • Managed care, UR, CM, or DM exposure preferred • Proficiency in Microsoft Word, Excel, and Outlook • Working knowledge of medical claims processing and ICD-10, CPT, and HCPCS coding • Experience with Teams, SharePoint, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, phone systems with headset, and Smartsheet • Proficiency in Airtable and Power BI, with experience building data-driven reports, dashboards, and workflows, a plus • Knowledge of NCQA and URAC standards • Familiarity with medical terminology and claims processes

🏖️ Benefits

• Competitive base salary and benefits effective day one • Comprehensive medical and dental through our own health solutions • Unlimited PTO • Mental health support • Retirement planning • Financial protection • Professional development with clear career progression and learning budgets • Mission-driven culture where diverse perspectives drive real impact • Wellness programs • Other employee perks