Utilization Management Team Lead

1 month ago


Valencia, United States Shield California Health Full time

Since 1957, Shield Healthcare has provided high-quality healthcare services while focusing on customer satisfaction and employee achievement. We are dedicated to fulfilling the medical supply needs of consumers and the caregiving community while maintaining a 99% overall customer satisfaction rating. Over the years, Shield HealthCare has expanded nationally with current service locations in California, Colorado, Illinois, Ohio, Texas and Washington.

Shield HealthCare is looking for a Utilization Management, Team Lead for our Valencia, CA corporate office. The primary function of this position Assist Supervisor in managing daily task and department workflow.

JOB RESPONSIBILITIES:

  • Assist in various processes throughout the department
  • Communicate trends with health plans to Supervisors
  • Assist with gathering daily stats as needed
  • Troubleshooting issues with accounts
  • Delegating tasks and making adjustments in order to meet EOM Metrics
  • First line of support for UM Rep questions
  • Respond to questions from various departments related to documentation
  • Problem identification and resolution of issues as presented by staff
  • Assists with training of new personnel on all aspects of job responsibilities.
  • Miscellaneous project as assigned by management
  • Other duties as assigned
QUALIFICATIONS:
  • Prior Lead experience preferred
  • Strong aptitude for reporting
  • Analytical thinker and ability to problem solve
  • Leadership capabilities and interpersonal skills
  • Work independently with the ability to make appropriate decisions
  • Detail oriented and strong organizational skills
SALARY & BENEFITS:
  • $17.00-19.00 per hour + team lead differential
  • Medical, Dental, and Vision (available first day)
  • 401(k) with Company Match
  • Sick and Vacation Days
  • Flexible Spending Account
  • Life & Disability Insurance
  • Education Assistance

Career-minded individuals will find our business challenging and our reputation for excellence just one of the rewards we have to offer. To further enhance this tradition of excellence, our employees participate in continuous training and development programs in a variety of disciplines.
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