Team Lead

1 month ago

Sterling, United States Sparks Group Full time
Job DescriptionJob DescriptionJob Summary/Company: Sparks Group has partnered with a leader in healthcare services that has an immediate need for experienced Team Leads to manage a team of Medical Reimbursement Analysts for a 5 month contract. These roles are fully onsite in Sterling, VA. If you have 2+ years of direct industry experience , love coaching and building teams, and working in a fast paced environment this may be the perfect opportunity for you. Apply today and call 703-620-6444

Responsibilities:
  • Stakeholder Management: Cultivate strong relationships with internal and external stakeholders, including providers, payers, PBMs, sales representatives, and senior-level client contacts.
  • Reimbursement Expertise: Conduct in-depth research and analysis of moderate to complex reimbursement policies and procedures.
  • Case Management: Review and manage patient cases, interacting with patients, healthcare providers, payers, and pharmaceutical/biotech sales teams.
  • Insurance Verification: Assess patient insurance coverage prior to prescription triage, ensuring optimal pharmacy options for client-specific products.
  • Program Documentation: Accurately document all program activities in the CRM database, adhering to strict timelines and utilizing standardized templates.
  • Payer Analysis: Monitor and update payer prior authorization requirements and coverage policies for specified client programs.
  • Reporting: Prepare and/or assist with the preparation of specific reports.
  • Patient Assistance: Review and process documentation to determine patient eligibility for client patient assistance programs.
  • Team Leadership: Coach and develop case managers and intake coordinators, conducting quality monitoring and assurance activities.
  • Client Engagement: Attend client meetings, off-site training, and conferences, with an estimated travel time of 10%.

Qualifications/Background Profile:
  • Education and Experience: Bachelor's degree or equivalent work experience in healthcare. At least four years of recent healthcare experience, with a minimum of two years in direct patient care preferred.
  • Technical Expertise: Advanced knowledge of medical insurance (both public and private), billing and coding, and related healthcare terminology.
  • Senior Case Reimbursement Analyst: Proven experience as a senior case reimbursement analyst with at least 3-5 years of hub experience.
  • Proficient in Microsoft Office Suite.
  • Demonstrated excellence in customer service, preferably with call center experience.
  • In-depth knowledge of payer and PBM processes to guide team members in improving patient access.
  • Strong problem-solving, research, and analytical abilities.
  • Excellent written and verbal communication skills.
  • Proven ability to multitask and manage time effectively.
  • Preferred experience interacting with clients

------------------------------------------------------------------

This job is In-Person.

We offer several comprehensive benefits package including health and life insurance, paid and unpaid time off, and retirement and savings plans to qualifying employees.

Download the Sparks Group mobile app from Apple App Store or Google Play.

------------------------------------------------------------------

Sparks Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, pregnancy, citizenship, family status, genetic information, disability, or protect veteran status.

  • Care Team Lead

    4 weeks ago

    Sterling, Colorado, United States Devonshire Acres Care Full time

    Job Title: Care Team LeadWe are seeking a compassionate and organized Care Team Lead to join our team at Devonshire Acres Care. As a key member of our nursing staff, you will be responsible for providing exceptional care to our residents and ensuring the smooth operation of our healthcare services.Key Responsibilities:Assign nurses to patients and ensure...

  • Engineering Team Lead

    2 weeks ago

    Sterling, United States Govcio LLC Full time

    Overview: GovCIO is currently hiring for an Engineering Team Lead with an active Secret clearance to lead delivery of IT support services for core enterprise systems, networking, engineering, and security. This position will be located in Sterling, Virginia and is a fully remote position. Responsibilities: Lead delivery of IT support services for core...

  • Engineering Team Lead

    4 weeks ago

    Sterling, United States Govcio LLC Full time

    Overview: GovCIO is currently hiring for an Engineering Team Lead with an active Secret clearance to lead delivery of IT support services for core enterprise systems, networking, engineering, and security. This position will be located in Sterling, Virginia and is a fully remote position. Responsibilities: Lead delivery of IT support services for core...

  • Engineering Team Lead

    6 days ago

    Sterling, United States Govcio LLC Full time

    Overview: GovCIO is currently hiring for an Engineering Team Lead with an active Secret clearance to lead delivery of IT support services for core enterprise systems, networking, engineering, and security. This position will be located in Sterling, Virginia and is a fully remote position. Responsibilities: Lead delivery of IT support services for core...

  • Team Lead

    4 weeks ago

    Sterling Heights, United States Entech Staffing Solutions Full time

    Entech Staffing is a seeking a dynamic and results-oriented Production Team Lead to oversee and optimize our production operations. The ideal candidate will possess strong leadership, problem-solving, and organizational skills. This role involves leading a team of production associates to achieve daily production targets while maintaining high-quality...

  • Team Lead

    4 weeks ago

    Sterling Heights, United States Entech Staffing Solutions Full time

    Entech Staffing is a seeking a dynamic and results-oriented Production Team Lead to oversee and optimize our production operations. The ideal candidate will possess strong leadership, problem-solving, and organizational skills. This role involves leading a team of production associates to achieve daily production targets while maintaining high-quality...

  • Team Lead

    4 weeks ago

    Sterling Heights, United States Entech Staffing Solutions Full time

    Entech Staffing is a seeking a dynamic and results-oriented Production Team Lead to oversee and optimize our production operations. The ideal candidate will possess strong leadership, problem-solving, and organizational skills. This role involves leading a team of production associates to achieve daily production targets while maintaining high-quality...

  • Team Lead

    4 weeks ago

    Sterling Heights, Michigan, United States Magna Powertrain Full time

    Job SummaryMagna Powertrain is seeking a skilled Team Lead to lead and engage all team members effectively to achieve established business targets and improvements of OEE results. The ideal candidate will have excellent communication skills, a positive attitude, and a passion for driving innovation and excellence in the workplace.Key ResponsibilitiesEnsure...

  • Maintenance Team Lead

    4 weeks ago

    Sterling Heights, Michigan, United States LanceSoft Full time

    Job Title: Maintenance Team LeadLocation: LanceSoftDuration: 9+ monthsDescription:The Professional Maintenance Lead directs skilled trades employees to meet the objectives of the maintenance department in a fast-paced, high-volume, unionized, manufacturing environment. The selected candidate will coordinate safety, quality, delivery, cost, and morale...

  • Engineering Team Lead

    4 days ago

    Sterling, VA, United States Govcio LLC Full time

    Overview: GovCIO is currently hiring for an Engineering Team Lead with an active Secret clearance to lead delivery of IT support services for core enterprise systems, networking, engineering, and security. This position will be located in Sterling, Virginia and is a fully remote position. Responsibilities: Lead delivery of IT support services for core...

  • Customer Service Team Lead

    4 weeks ago

    Sterling Heights, Michigan, United States PetSmart, Inc. Full time

    Customer Service Team LeadAt PetSmart, Inc., we're committed to delivering exceptional customer experiences. As a Customer Service Team Lead, you'll be responsible for ensuring our customers receive the highest level of service, whether it's over the phone, in-store, or online. Your key responsibilities will include: Responding to customer concerns and...

  • Team Lead

    4 weeks ago

    Sterling Heights, MI, United States Entech Staffing Solutions Full time

    Entech Staffing is a seeking a dynamic and results-oriented Production Team Lead to oversee and optimize our production operations. The ideal candidate will possess strong leadership, problem-solving, and organizational skills. This role involves leading a team of production associates to achieve daily production targets while maintaining high-quality...

  • Care Team Lead/ Shift Supervisor

    3 months ago

    Sterling Heights, United States Serene Gardens of Sterling Heights Full time

    We are looking for Shift Supervisors and Team Leads to join our growing team! The right candidate will have previous experience in caregiving and be efficient in the skills of working as a team/leading a team, medication administration, time management, and providing direct care. BENEFITSCompetitive PayFlexible Working HoursHealth InsurancePTO...

  • Sage Intacct Accounting Team Lead

    4 weeks ago

    Sterling Heights, Michigan, United States UHY LLP Full time

    Job SummaryAs a Client Accounting Team Lead at UHY LLP, you will play a crucial role in overseeing and managing a team of accountants to ensure the accurate and timely completion of client engagements. Your expertise in accounting principles, team management, and client relationships will contribute to the success of the team and the delivery of high-quality...

  • Senior UI/UX Designer and Team Lead

    3 weeks ago

    Sterling Heights, Michigan, United States Verite Group Full time

    Senior UI/UX Designer and Team Lead OpportunityWe are seeking a highly skilled and experienced Senior UI/UX Designer and Team Lead to join our team at Verite Group. As a Senior UI/UX Designer and Team Lead, you will be responsible for designing and developing rich and engaging graphical user interfaces and user experiences for web applications using React,...

  • BIM Modeler

    1 month ago

    Sterling Heights, Michigan, United States LEAD Staffing Full time

    Job OverviewWe are seeking a highly skilled BIM Modeler to join our team at LEAD Staffing. As a BIM Modeler, you will be responsible for creating and managing 3D models and drawings for construction projects.Key ResponsibilitiesDevelop and maintain 3D models and drawings using Revit softwareCollaborate with project teams to ensure accurate and complete...

  • Care Team Lead/Shift Supervisor

    4 weeks ago

    Sterling Heights, Michigan, United States Serene Gardens of Sterling Heights Full time

    We are seeking a highly skilled and experienced Care Team Lead/Shift Supervisor to join our team at Serene Gardens of Sterling Heights. The ideal candidate will have a strong background in caregiving and leadership, with the ability to provide direction and instruction to caregivers during their shift.Responsibilities:Provide direction and instruction for...

  • Senior BIM Modeler

    3 weeks ago

    Sterling Heights, Michigan, United States LEAD Staffing Full time

    Job DescriptionLEAD Staffing is seeking a highly skilled Senior BIM Modeler to join our team. As a key member of our technical team, you will be responsible for providing modeling efforts for project delivery and standards.Key Responsibilities:Work closely with our Family Development Team to revise standards and meet project needs.Lead and supervise modeling...

  • Lead Cashier

    3 months ago

    Sterling, United States Ulta Beauty Full time

    Ulta Beauty - 24630 Dulles Landing Drive #160 [Retail Cashier / Team Member] As a Lead Cashier at Ulta Beauty, you'll: Promptly acknowledge and warmly greet each guest entering the store; Complete select register open and close functions; Courteously handle sales, refunds and exchanges; Recommend additional and complementary products and/or services based on...

  • Lead Cook

    2 days ago

    STERLING, United States Wegmans Food Markets Full time

    Schedule: Full timeAvailability: Morning, Afternoon, Evening (Includes Weekends). Age Requirement: Must be 18 years or olderLocation: Sterling, VAAddress: 45131 Columbia PlacePay: $21.75 - $22.50 / hourJob Posting: 11/19/2024Job Posting End: 12/17/2024Job ID:R0230200EARN A BONUS UP TO $1,500! Hiring immediately!we are a food market where you make the...