Supervisor – Provider File Management

Job not on LinkedIn

🔥 18 hours ago

🗽 New York – Remote

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💵 $62.4k - $106.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of LTHC

LTHC

2 - 10 employees

Founded 2016

🧘 Wellness

⚽ Sports

👥 B2C

Wellness • Sports • B2C

LTHC é a empresa que detém a Academia LIFT e pretende adquirir ou desenvolver outros espaços no mesmo âmbito. Foca‑se na experiência do cliente — conforto, interação com o espaço e objetivos pessoais — para atletas, praticantes ocasionais e profissionais, apoiando metas de bem‑estar físico, psicológico e desempenho competitivo. Opera como um espaço de fitness/treino com ênfase em culturismo, exercício e saúde.

📋 Description

• Direct the team responsible for maintaining provider file integrity and quality • Supervise technical and analytical work of assigned Provider File Management staff • Interview, select, train, monitor, and coach staff • Coordinate prioritization and scheduling of assignments and projects • Oversee provider file activity and day-to-day unit operations • Lead departmental analyses and process improvement strategies • Represent Provider Network Engagement in Azure DevOps request prioritization teams and Maintenance of Business work • Analyze and resolve errors and trends and correct provider affiliation issues • Serve as a subject matter expert for provider data management requirements • Prepare reports and detailed business documents • Ensure projects and provider data management tasks meet time, cost, and quality parameters • Identify and implement quality monitoring tools and processes • Drive process improvements and collaborate across stakeholders • Identify provider file/data quality trends through analysis • Interface with IT to implement new technology requirements • Maintain compliance with privacy policies, legislative and regulatory mandates, and corporate values • Conduct periodic staff meetings and distribute departmental and Ethics/Compliance information • Maintain regular and reliable attendance • Perform other duties as assigned

🎯 Requirements

• 3 years of relevant experience required • One year of relevant experience in a defined project lead and/or leadership role required • Bachelor’s Degree in Computer Science, Information Technology or related; alternatively, six additional years of relevant experience in lieu of degree • Demonstrated leadership and supervisory experience, including supervising/managing people and/or projects or indirectly leading teams • Ability to assess risk, prioritize activities, analyze complex issues, and make data-driven decisions with stakeholders’ input • Experience with project design, development, metrics creation, and governance processes • Knowledge of Health Plan operations, contract benefits, and provider databases • Expertise in structured systems analysis and design, data gathering techniques, and management information systems • Expertise in relevant configuration programming, job control languages, and structured configuration programming techniques • Strong project management and communication skills • Ability to work prolonged periods at a workstation and computer • Ability to work in a home office for continuous periods for business continuity • Ability to travel across the Health Plan service region for meetings and/or trainings as needed

🏖️ Benefits

• Group health and/or dental insurance • Retirement plan • Wellness program • Paid time away from work • Paid holidays • Opportunity for remote work, decided on a case-by-case basis

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