Job details
Job type full-time
Full job description
* position is eligible for remote / work from home opportunity *
Department: part b medical review
Telecommuting: yes
Paygrade: e11
Job title
Supervisor operations
Job summary
The supervisor operations provides guidance, leadership, planning and reporting to appropriate individuals, oversees frontline staff, and works with human resources on staffing needsThis position provides guidance, resources, and support to ensure the business unit is administering the contract requirements while providing quality service, maintaining expectations, and ensuring performance metrics are all within time and budget constraintsThis position promotes business unit collaboration to ensure cross-department efficiencies and communication occur.
Essential functions
Key duties/responsibilities/accountabilities
Coaches, develops, and recognizes staff by encouraging growth and ensuring staff are meeting expectations
Conducts performance management tasks such as recruitment of staff, monitoring staff performance, addressing performance issues, and providing feedback to further develop staff
Ensures team quality and training program are effective
Initiates process improvement such as innovative enhancements to operations processes or operational systems and technologies
Leads by example through promoting teamwork, recognition, and leadership while demonstrating company values
Responds to and implements change in a flexible, positive manner
Serves as the area subject-matter expert to support responsiveness to our internal and external customers
Effectively communicates (verbally and written) accurate, concise information internally and externally
Participates in budget process for area
Maintains and provides a strong analytical understanding of the systems used to manager various lines of business and the interrelationships between teams on system usage
Implements appropriate internal controls to ensure contractual obligations and performance standards are met
Serves as a resource point for internal and external customers and centers for medicare & medicaid services (cms)
Collaborates with operations coordinator on training, developing, directing, and coaching staff
May manage technical issues and technical projects
May work with information technology (it) staff, vendors, and multiple business partners
May provide guidance on evaluating the circumstances of cases related to suspected fraud to support potential investigations and fraud prevention procedures
Non-essential duties and functions
Other duties as assigned
Minimum qualifications
High school diploma or ged
Specific contracts may require: compliance, investigation and fraud prevention experience requiredCertified fraud examiner (cfe) or accredited healthcare fraud investigator (ahfi) required.
Specific contracts may require: bachelor`s degree in business administration, management or closely related field, or equivalent work experience as determined by hr and 5 years relevant fraud experience.
Previous leadership or healthcare experience
Ability to research, evaluate/analyze, resolve, and present solutions to problems
Strong pc skills including advanced knowledge of microsoft office programs
Strong written and verbal communication skills
Attention to detail
Ability to coordinate activities among team, problem solve, and develop problem solving skills in others
Ability to motivate and manage a large group of people
Ability to direct and maintain a productive and conducive working environment
Ability to build effective interpersonal relationships within the workplace
Preferred qualifications
Above requirements and the following:
Associates degree in a business-related field
2 years` healthcare experience
3 years` leadership experience
2 years` experience with medicare/medicaid rules and regulations
Ability to create and conduct presentations
Strong analytical skills
Experience and/or knowledge in technical or medical applications
Experience in large scale project management
Environment and cognitive/physical demands
Office environment
Ability to read, hear, speak, keyboard, reason, communicate effectively and problem solve
Requires prolonged sitting and telephone use
Requires the use of office equipment such as computer terminals, telephones, copiers, and printers
Infrequent lifting to 15 pounds
Infrequent stooping
Segregation of duties
Every employee is responsible to perform their duties and responsibilities in accordance with noridian values, policies and procedures, including but not limited to: segregation of duties principles, hipaa, security and privacy, cms requirements, the noridian compliance program and any other applicable laws, rules and regulations.
Statement of other duties
This document describes the essential functions, requirements, and responsibilities of this job, and is not intended to be a complete list of all tasks and functionsEmployees may be requested to perform job related tasks other than those specifically listed in this description and may be required to perform any task requested by the supervisor or management.
Total rewards package:
Health, dental and vision insurance, voluntary insurance plans, health savings and flexible spending accounts, 401k and company match, company-paid life insurance, education assistance program, paid sick leave, paid holidays, increasing pto accrual plan, medical/parental/disability leave, workers compensation, retiree benefits, severance package, employee assistance program, financial and health wellness benefits, casual dress, open office setting, and online learning system.
Cms access compliance and regulation contingency statement
Some positions require compliance with (i) federal and agency specific regulations and related clauses included in noridian prime contracts with the government, (ii) background checks, and (iii) eligibility for a government-issued identification card.
Equal employment opportunity
Equal opportunity employer of minorities, females, protected veterans, and individuals with disabilities as well as sexual orientation or gender identity.
Other information
Job posting policy 6.05: new employees with noridian healthcare solutions will be eligible to apply for positions within their assigned department after successfully completing a 90-day reviewFor positions outside their department, they must attain a minimum of six months of service before they can apply.
Notice to colorado applicants:
Per colorado’s equal pay transparency rules act, below is the salary range for potential new hires that will be working/residing in the state of colorado.
Colorado salary range: $53,265.41 - $88.227.50
Other compensation: incentive plan
This job will be closed 10/08/2021 at 4:00 pm cstNo further applications will be considered.
Equal opportunity employer/protected veterans/individuals with disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicantHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information41 cfr 60-1.35(c)
