ClearwaterRecruiter Since 2001
the smart solution for Clearwater jobs

Member Provider Services Supervisor

Company: People Premier
Location: Clearwater
Posted on: January 8, 2021

Job Description:

Overview:Summary:Member Provider Services Supervisor provides leadership and coordinates activities of the Member Provider Services department.Responsibilities:Essential Duties and Responsibilities:

  • Analyzes reports and statistical data to identify training needs; helps develop training programs in coordination with the Continuous Quality Improvement Department (CQI).
  • Helps develop and implement departmental policies and procedures for all programs
  • Monitors achievement and maintenance of goals and objectives per state mandates, carrier, reinsurer and program manager's requirements and company standards
  • Monitors quality assurance program results to ensure company objectives are met
  • Investigates complaints, grievances and appeals and resolves in accordance with documented policy and procedures by program
  • Communicates with Program Partners regarding MPS related matters
  • Work closely with call center sales managers
  • Reviews and keeps up-to-date on applicable program, plan and policy provisions to include creating program specific scripts for Provider Relations Representatives to follow.
  • Assists Member/Provider Service and Provider Relations Representatives with difficult calls
  • Monitors and manages Call Tracking System
  • Maintains Call Center Productivity Indicators
  • Develop and maintain creative production and quality incentive programsOther Responsibilities:
    • Adheres to the policies and procedures of Premier Administrative Solutions
    • Maintains strict confidentiality of client, company and personnel information
    • Demonstrates a strong commitment to the mission and values of the organization
    • Adheres to company attendance standards
    • Performs other duties as assignedSupervisory Responsibilities: Over 10-20 employees.Qualifications:Competencies:
      • Strong organizational, interpersonal and motivational skills
      • Excellent written and verbal communication skills
      • Detail oriented
      • High level of reasoning and analytical skills
      • Ability to multi-task and work independentlyQualifications:
        • A minimum of three (3) years previous Supervisory experience in a Call Center Environment
        • Deep knowledge of inbound and outbound call center experience to include sales of health insurance related products
        • Prefer a minimum of five (5) years in the Health Insurance industryEducation and/or Experience:
          • A Bachelors Degree in Business or related field is strongly preferred.
          • Knowledge of medical and dental coding, insurance billing and/or claimsComputer Skills:Proficiency using a Windows XP computer platform; Proficient in word processing and spreadsheet software.Environmental Factors/Physical Demands:Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.

Keywords: People Premier, Clearwater , Member Provider Services Supervisor, Other , Clearwater, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Senior Product Designer
Description: Some Recent Projects We've Been Working On IncludeStack Overflow exists to serve developers. Whether we're helping them get answers to their questions or find a new job, we build products that millions (more...)
Company: Stack Overflow
Location: Sarasota
Posted on: 01/17/2021

Life Enrichment Assistant
Description: Legend Senior Living is proud to be recognized as a Certified Great Places to Work Windsor Reflections Memory Care is proud to be part of the Legend Senior Living family and we are hiring A career with (more...)
Company: Legend Senior Living
Location: Bradenton
Posted on: 01/17/2021

Tool Rental Associate
Description: Join Our Team Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to (more...)
Company: Sunbelt Rentals, Inc.
Location: Bradenton
Posted on: 01/17/2021


Transmission Specialist
Description: Automotive Transmission RebuilderPosition Responsibilities Diagnose, rebuild and repair automotive transmission systems to specifications- knowledge of electrical and computer systems
Company: AAMCO Transmissions and Total Car Care
Location: Port Charlotte
Posted on: 01/17/2021

RN / Registered Nurse / Florida / Any / Travel RN-Cardiovascular Opera
Description: Specialty: Family Nurse PractitionerLocation: Western TexasStart Date: ASAP - OngoingSchedule: 12/21-12/24, Monday - Friday 9:00AM-6:00PM
Company: All Medical Personnel
Location: Port Charlotte
Posted on: 01/17/2021

Guest Experience Lead (GEL)
Description: This job posting is for a position in a restaurant owned and operated by Tiny Dancer Inc. and notMcDonald's USA.--Tiny Dancer Inc. owns a license to use McDonald's logos and food products, for example, (more...)
Company: McDonald's
Location: Bradenton
Posted on: 01/17/2021

Mortgage Banker
Description: Now Hiring Experienced Mortgage Bankers, and Sales Managers in the Saraosta Area The Federal Savings Bank is a veteran-owned, federally chartered private bank with loan production offices nationwide. (more...)
Company: The Federal Savings Bank
Location: Sarasota
Posted on: 01/17/2021

Active Living Assistant
Description: Merrill Gardens, a privately-owned family company with a proud history of success is currently hiring an--Active Living Program Assistant--at Community Name in City, State. Apply now to join one of the (more...)
Company: Merrill Gardens
Location: Bradenton
Posted on: 01/17/2021

Primary Care Opportunity in Southwest Florida - Near Tampa, Sarasota &
Description: Primary Care Opportunity in Southwest Florida - Near Tampa, Sarasota Ft. Myers It is a small community nestled along Florida's Southwest Gulf Coast,
Company: DOCTORS CHOICE PLACEMENT SERVICES, INC.
Location: Sarasota
Posted on: 01/17/2021

Residential Loan Underwriter
Description: Job DescriptionJoin a reputable mortgage company that offers a direct hire, six-figure income opportunity
Company: Caliber Home Loans
Location: Pinellas Park
Posted on: 01/17/2021

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Clearwater RSS job feeds