Supervisor, Claims
Posted on: 19 Jan 2021
Farmington, MO
Job Description
Position Purpose:
Oversee the day to day work functions of the assigned area, provide support to staff and exercise cost control in order to accurately and timely process members medical claims.
* Hire, inspire, motivate, coach, counsel and supervise staff.
* Monitor performance of employees
* Assess and allocate work volumes on a daily basis.
* Special project work as assigned.
* Ensure task completion and performance goals are met, such as Quality, Adherence, service levels
* Identify and resolve operational problems
* Accountable for daily/weekly/monthly activities of all team members
Education/Experience:
Associates degree in related field or equivalent experience. 2+ years of claims processing, healthcare, customer service, or supervisory/lead experience. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
WellCare
Tampa, FL
WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.
The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.
The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.
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IndustryHealthcare
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No. of Employees12, 000
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Website
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Jobs Posted917
