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Supvr, Provider Sys Info Admin
at Coventry Health Care, Inc. in Pennsylvania
Your Standard is Excellence
You've been looking for an opportunity to work with people who share your commitment to a higher standard. You imagine building a career and even enjoying your work.
Good News.
We've been looking for you, too!
Coventry Health Care is a leader in the managed care industry. Great people enable us to provide service that differentiates us from the competition. We offer a highly rewarding professional environment built around meaningful assignments, collaborative work environments and excellent training and development opportunities. We are a Fortune 500 company, and are proud to have also been named to Forbes Platinum 400 and Barrons 500.
At Coventry Health Care, you'll have the opportunity to collaborate with talented and dedicated professionals while developing and expanding your career. Consider building a career with us!
Supervisor, Provider System Information Administration
GENERAL SUMMARY
Guides and drives the development and activities of an organized team
responsible for analyzing, coding and building provider demographic and payment
information and/or client provider network information into the transactional
system and associated databases. Supervises the day to day operations of a team.
Serves as a consultant to the health plan and customer service/claims regarding
system capabilities and limitations.
ESSENTIAL RESPONSIBILITIES
- Supervises an organized team of cross-functional members to meet or exceed
service requirements.
- Independently examines and analyzes the team's performance against measured
goals; demonstrates ownership for overall team results; recommends and leads the
implementation of plan(s) of action to improve the team's service level.
Provides structured coaching and counseling as appropriate.
- Drives the team to identify and implement process improvements; encourages
ownership and group participation toward improvement initiatives (e.g.
auto-adjudication).
- Serves as technical consultant to health plans and customer service/claims
regarding highly complex data interpretation requests and in developing new
products and strategies.
- Leads and participates in cross functional task forces to identify and
document functional needs, work flow, information sources and distribution
paths, along with system specifications/enhancement requirements.
- Analyzes the impact of process or technical changes on existing processes and
interfaces, based on cross-functional knowledge of transaction systems and CSO
operations.
- Coordinates team resources to support health plan and customer service/claim
initiatives. Becomes directly involved with execution of team processes and
functions as required.
- Develops and conducts presentations and Billing Office Reviews and health
plan/CSO training including, but not limited to, contract and provider
maintenance process, policies and procedures, implementation tasks associated
with plan initiatives.
- Oversees the evaluation and installation of highly complex provider
demographic and payment information and/or client provider network information
into the transactional system and other databases.
- Extracts and interprets data from transactional system and departmental
databases for analysis, system set-up and plan initiatives.
- Performs other duties as required.
JOB SPECIFICATIONS
- High school degree or equivalent. Bachelor's degree preferred.
- Significant experience (4-6 years) in health care, with progressively more
complex responsibilities and accountabilities. 1-2 years supervisory experience
preferred.
- Demonstrated leadership and motivational skills.
- Strong skills required in critical thinking and analysis, meeting
facilitation, verbal and written communications and interpersonal interactions
(e.g., partnering, conflict management, consulting, etc.).
- Understanding of health care business and care delivery processes.
- Travel to health plans or CSO locations is required.
- Ability to work on cross-functional teams to drive change.
It's easy to build your career at Coventry.
Visit our website where you can view our open positions and learn more about your next opportunity with Coventry!
http://careers.cvty.com
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://coventry.contacthr.com/16263768
You've been looking for an opportunity to work with people who share your commitment to a higher standard. You imagine building a career and even enjoying your work.
Good News.
We've been looking for you, too!
Coventry Health Care is a leader in the managed care industry. Great people enable us to provide service that differentiates us from the competition. We offer a highly rewarding professional environment built around meaningful assignments, collaborative work environments and excellent training and development opportunities. We are a Fortune 500 company, and are proud to have also been named to Forbes Platinum 400 and Barrons 500.
At Coventry Health Care, you'll have the opportunity to collaborate with talented and dedicated professionals while developing and expanding your career. Consider building a career with us!
Supervisor, Provider System Information Administration
GENERAL SUMMARY
Guides and drives the development and activities of an organized team
responsible for analyzing, coding and building provider demographic and payment
information and/or client provider network information into the transactional
system and associated databases. Supervises the day to day operations of a team.
Serves as a consultant to the health plan and customer service/claims regarding
system capabilities and limitations.
ESSENTIAL RESPONSIBILITIES
- Supervises an organized team of cross-functional members to meet or exceed
service requirements.
- Independently examines and analyzes the team's performance against measured
goals; demonstrates ownership for overall team results; recommends and leads the
implementation of plan(s) of action to improve the team's service level.
Provides structured coaching and counseling as appropriate.
- Drives the team to identify and implement process improvements; encourages
ownership and group participation toward improvement initiatives (e.g.
auto-adjudication).
- Serves as technical consultant to health plans and customer service/claims
regarding highly complex data interpretation requests and in developing new
products and strategies.
- Leads and participates in cross functional task forces to identify and
document functional needs, work flow, information sources and distribution
paths, along with system specifications/enhancement requirements.
- Analyzes the impact of process or technical changes on existing processes and
interfaces, based on cross-functional knowledge of transaction systems and CSO
operations.
- Coordinates team resources to support health plan and customer service/claim
initiatives. Becomes directly involved with execution of team processes and
functions as required.
- Develops and conducts presentations and Billing Office Reviews and health
plan/CSO training including, but not limited to, contract and provider
maintenance process, policies and procedures, implementation tasks associated
with plan initiatives.
- Oversees the evaluation and installation of highly complex provider
demographic and payment information and/or client provider network information
into the transactional system and other databases.
- Extracts and interprets data from transactional system and departmental
databases for analysis, system set-up and plan initiatives.
- Performs other duties as required.
JOB SPECIFICATIONS
- High school degree or equivalent. Bachelor's degree preferred.
- Significant experience (4-6 years) in health care, with progressively more
complex responsibilities and accountabilities. 1-2 years supervisory experience
preferred.
- Demonstrated leadership and motivational skills.
- Strong skills required in critical thinking and analysis, meeting
facilitation, verbal and written communications and interpersonal interactions
(e.g., partnering, conflict management, consulting, etc.).
- Understanding of health care business and care delivery processes.
- Travel to health plans or CSO locations is required.
- Ability to work on cross-functional teams to drive change.
It's easy to build your career at Coventry.
Visit our website where you can view our open positions and learn more about your next opportunity with Coventry!
http://careers.cvty.com
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://coventry.contacthr.com/16263768
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