Healthcare Operations Manager

3 days ago


New York, New York, United States NYC Health Hospitals Full time
About NYC Health + Hospitals
NYC Health + Hospitals is a comprehensive health system committed to providing the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island. With a network of over 27,000 primary care providers, specialists and participating clinics, we strive to build strong relationships with our members and providers to enable New Yorkers to live their healthiest life.

Job Summary
The CMA Supervisor plays a critical role in ensuring the success of our Care Management program by overseeing the daily activities of the unit, managing staff, and promoting a multidisciplinary approach to coordinated care operations.

Key Responsibilities
  • Provides guidance to CMAs on new processes and workflows to support program operations.
  • Maintains mailing of determination letters within mandated time constraints and conducts reviews prior to mailing.
  • Ensures department productivity goals are met regarding quality, timeliness, and accuracy.
  • Manages, directs, and develops staff through feedback and coaching.
  • Administers performance reviews for staff.
  • Promotes a culture of regulatory compliance and best practices methodology.
  • Oversees clinical program training/retraining and updates departmental training tools and resources.
  • Serves as a subject matter expert for Care Management processes and protocols.

Requirements
  • Associate's Degree required; or High School Degree or evidence of having passed a High School Equivalency Program and 2 years of supervisory experience.
  • Bachelor's Degree preferred.
  • 2 years of experience in a managed care organization required; additional experience preferred.
  • Excellent communication and interpersonal skills.
  • Understanding of medical terminology.
  • General knowledge of managed care operational policies and procedures.
  • Excellent typing and computer literacy (Microsoft Word, Excel, etc.).
  • Able to handle large volumes of time-sensitive work.
  • Basic working knowledge of computer systems.

Salary and Benefits
This position offers an estimated annual salary of $80,000 - $100,000 based on experience, plus a comprehensive benefits package including health insurance, retirement plan, and paid time off.

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