Case Management Core 2 Manager

2 days ago

GUAYNABO PR US Alivia Health Full time

Under the leadership of the Operations Director the main objective of this role is to provide ongoing oversight of the Case Management Core 2 Team which includes Inflammatory, Osteoporosis /Osteoarthritis, Floater and Zero refill resources. This team is accountable for initial interview and following up with patient or MD office to obtain additional information/documentation to be able to process claim. This team will also be responsible for working medication refills. The Manager will manage all aspects of the department functions, including personnel, systems, initial and on going training and employee development. 

Responsibilities include but are not limited to: 

  • Holds self and others accountable for measurable high quality and timely .
  • Develops/refines processes and procedures and ensures they are consistently applied across the Case Management Core 2 Team.
  • Leads Change – acts as a catalyst for organizational change and employee engagement.
  • Makes decisions that produce high quality results by applying technical knowledge, analyzing problems and calculating risks.
  • Partners with other Operations teams to ensure quick turnaround of referral
  • Assesses and analyses team performance, identifies performance gaps and provides feedback and coaching
  • Responsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of commercial excellence; engage in the selection and hiring process as needed. 
  • Administers company personnel policies and follows company staffing standards
  • Enforcing policies and procedures to include business standards, maintaining customer satisfaction levels and improving quality of service.
  • Collaborates with key business partners on process and or operational improvements to enhance efficiency and effectiveness of Case Management Core 2 team.
  • Monitoring and assessing staff's compliance with the Company's rules and procedures related to behavior with Patients and Co-workers, attendance, dress code, productivity standards and any other applicable instruction provided by Company's management. 
  • Performs other duties as assigned.

Minimum Requirements:

  • 2 years of leadership/people management experience is required
  • Demonstrated track record of meeting/exceeding goals
  • Prior experience working in Specialty Pharmacy preferred
  • Pharmacy Technician Associate Degree -Pharmacy license and registration
  • Bachelor's degree in healthcare or business-related field (preferred)

EEOC F/M/V/D

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