Healthfirst Team Lead, Provider Operations in Lake Mary, Florida

Overview:

Healthfirst is a provider-sponsored health insurance company that serves more than 1.2 million members in downstate New York. With more than 4,000 employees, a network of nearly 30,000 providers, and revenues in excess of $8.6 billion, Healthfirst is one of the largest health plans in the New York City area. Our members are our North Star, and our mission is guided by their needs and preferences in ensuring a superior experience and access to the highest quality healthcare when and where they need it. Healthfirst’s commitment to quality and member satisfaction has helped us earn top ratings for HMO health plans in New York City. We know that employees shape our company and connect us to our communities, and we look to recruit and retain intelligent, driven leaders who are passionate about healthcare and embody our five culture drivers: - Dream Big, Plan Wisely - Break Down the Walls - Think Critically, Speak Up, Deliver with Pride - Inspire Through Trust, Lead By Example - Be Unstoppable Position Summary: The Provider Operations Team Lead is responsible for business process review and data analysis as relates to activities which ensure operational effectiveness. Incumbents will assist Management by analyzing data, identifying useful information, recommending and supporting decision making with the goal of departmental improvement. The position provides leadership and Supervision over daily activities and assignments of the Provider Operations Representatives including but not limited to performance evaluations, coaching, training, development, and operational support in handling urgent and/or escalated issues. The Team Lead will be responsible for creating Job Aids and other relevant materials as well as assisting with training to new and existing representatives on Provider Operations Policies and Procedures. Healthfirst is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity or expression, veterans, disability status or any other characteristic protected by law.

Responsibilities:

Duties & Responsibilities:

  • Ensuring team maintains or exceeds established production standards and meets deadlines set for all projects.

  • Ensures timely performance measurement and assists in the identification and implementation of improvement initiatives

  • Conducts ongoing coaching to the Provider Operations Representatives and Senior Provider Operations Representatives

  • Responds to Provider Operations Representatives' questions, researches issues, conducts root cause analysis and implements solutions

  • Identifies trends and conducts analysis, and collaborates with department Manager to implement changes to drive Quality improvements

  • Collaborates with other departments to maintain all Provider Operations Policies & Procedures and ensure educational and coaching materials are up-to-date.

  • Communicates all policy and procedural changes to Provider Operations Team in a timely and efficient manner

  • Attends and participates in internal and external meetings regarding department or unit's business

  • Additional duties as assigned

Qualifications:

Minimum Qualifications:

  • High School diploma or GED equivalent from an accredited institution.

  • Working experience in a Team Lead role

  • Work experience in coaching and development of front-line employees

  • Working experience with Microsoft Excel and Microsoft Word

  • Working experience using a corporate e-mail system (i.e. Microsoft Outlook, Lotus Notes, etc...)

  • Working experience in a production driven environment and knowledge of basic Key Performance Indicators

Preferred Qualifications:

  • Self directed, results driven and ability to work with minimal supervision to produce quality results

  • Work experience in a Data Entry role

  • Ability to maintain a high level of organization with various task to meet established deadlines

  • Ability to adapt quickly to change and communicates effectively with representatives in a timely manner

  • AA/AS from an accredited institution

Requisition ID 2017-15224

Job Locations US-FL-Lake Mary

Department Name Provider Operat and Reimb

Equal Opp Statement -

Healthfirst is an Equal Opportunity Employer and does not discriminated against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity or expression, veterans, disability status or any other characteristic protected by law.

Reasonable accommodation statement -

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 1-800-401-6000. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.