Job Description

: Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues. Position Overview The primary

: Provide comprehensive healthcare management to facilitate delivery of appropriate quality healthcare, promote cost effective outcomes and improve program/operational efficiency involving clinical issues. Position Overview The primary role is to meet the service level agreement of the process by coaching the CSRs/Nurse Associates to meet their monthly goals. They develop and mentor their direct reports to expand their capabilities and reach their full potential. They work with a team of Assistant Managers and Support staff to maintain effective team working relationships hence ensuring high level of engagement and morale in their respective teams. The Assistant Manager is responsible for management of CSRs/medical services staff including the organization and development of high performing teams Works closely with managers ensuring consistency in care management interventions Facilitates effective interfaces among team members, as well as across teams, providers and departments Responsible for the day-to-day implementation of medical management services policies and procedures Accountable for meeting the financial, operational and quality objectives of the unit Essential Overview: Operational Efficiency Articulate performance expectations and team objectives while collecting and interpreting balanced measure to evaluate individual staff and team performance Assesses developmental needs and collaborates with the support team to identify and implement action plans that support the development of high performing teams Initiate root cause analysis and monitor action plans for identified opportunities Provide effective coaching and feedback to Nurse Associates that enable them to improve their performance Work closely with the Nurse Associates to identify areas for improvement and gaps in the process to create individualized and feasible action plans Monitor efficiency and initiate control measures to minimize variances in workload over time Executive monthly, quarterly, and annualperformance review ofNurse Associates and consequent development processes effectively Ensures the team's understanding and use of information system capability and functionality Ensure implementation and monitoring of best practice approaches and innovations to better address the Case Manager and Utilization Management Nurse Consultant needs across the continuum of care Ensure compliance with internal policies and procedures, external regulations and information security standards Effectively forecast and manage the process volume, allocation, and staffing following the Statement of Work on a daily basis Maintain accurate reporting and cascading of information to internal and external stakeholders Update mandatory process trackers and files for compliance purposes Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking Oversee and facilitate implementation of updates management and training for new hires and/or team members Lead calibration sessions to ensure process knowledge alignment Monitor random transactions on an ongoing basis and take corrective steps where necessary or make incremental improvements May have responsibility for their own case load work People Management Select staff using clearly defined requirements in terms of education, experience, technical and performance skills Formulate individualized plan with the CSRs/Nurse Associates to fully understand their career aspirations Develop a strong succession plan to encourage organic growth and facilitate 'role ready' resources to ensures leadership continuity internally Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance Initiate engagement activities such as Monthly Townhall, Team building, andInternal group sessions to promote camaraderie within the department Lead change efforts while managing transitions within a team Accountable for maintaining compliance with Human Resource policies and procedures and implements them at the employee level Client Satisfaction Supervise the implementation of contact center management services Ensure business goals are met and compliance with policies and procedures is maintained Protects the confidentiality of member information and adheres to company policies regarding confidentiality Handle client feedback and escalations Promotes communication, both internally and externally to enhance effectiveness of medical management services Produce monthly or weekly dashboard/business reviews in partnership with support teams Client interaction such as touch base, business reviews, and calls where Assistant Manager involvement is required 1. Operational Efficiency (40%) a. Aggregate Productivity b. Aggregate Quality 2. People Management (40%) a. Aggregate Attrition (10%) b. ESAT (20%) c. Aggregate Team Absenteeism (10%) 3. AM Competency (20%) a. Coaching Compliance (10%) b. Admin Compliance (5%) c. Compliance (5%) Reports to: Lead Assistant Manager/Operations Manager/Senior Operations Manager Supervises: Executive and Senior Executives and Subject Matter Experts Collaborations to: Other Assistant Managers Lead Assistant Managers QCA/QC AM Process Trainer MIS and WFM Enabling Function Staff (HR Personnel, IBMS Staff, IT Resource, Clinic Staff) HCA Staff Stateside Counterparts Process owners Case Managers Supervisors/Team Leads Product Customer Providers from Doctor's Office and Facilities Representatives from Plan Sponsors Members 1. Position requires expertise with computer skills which includes navigating multiple systems and keyboarding 2. Computer literacy in order to navigate through internal/external computer systems, including Microsoft Office - Power Point, Word Document, One Note 3. Average working knowledge in Excel 4. Essential knowledge in internet usage and efficient email handling based on graded virtual simulation 5. Basic familiarity in use of projector, sound system and online-based training 6. Minimum of 40 wpm typing speed with 100% accuracy 7. Minimum of 80% Computer Proficiency, Logical Reasoning, and Handling & Interpreting Data 8. Competent Data Management 9. Requisite background in contact center management administration Process Specific Skills 1. Domain expertise is a must 2. Demonstration of profound familiarity and technical skill relevant to the process 3. Understanding and demonstrating the knowledge of end-to-end processes and appreciation of critical parameters 4. Able to identify with and comprehend data and new information 5. Planning and Organizing skills - ability to prioritize the tasks and deliver assigned task per deadlines 6. Execution of providing customer service 7. Must have experience in handling teams 8. Must have experience in handling escalations 9. Familiarity with basic medical terminology and concepts used in care management 10. Knowledge with US healthcare set up is a plus 11. Ability to effectively participate in a multi-disciplinary team including internal and external participants 12. Keen on details essential for clinical documentation 13. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Soft Skills Coaching and mentoring skills Above average presentation skills Listening and time management skills Self-disciplined and results oriented Strong motivation and willingness to step up and accept the challenge of the role Flexibility and urgency to handle pressure Ability to discharge the responsibilities in a conflicting environment Problem identification and analytical ability Ability to multi task Interpersonal Skills Customer Service Focus Team Work and Adaptability Ability to work with cross-cultural staff Management principles, human resources procedures, customer service and computer skills Verbal and written communication skills of at least B1 CEF level