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Supervisor Provider Network Operations
AmeriHealth Caritas
Remote, USA
Full-time
Mid
Remote
Discovered 2 weeks ago
Service Level Agreements (SLAs)
Free
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Service Level Agreements (SLAs)
Role Overview
The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements.
Key Skills for This Role
Service Level Agreements (SLAs)
Full Job Posting
Role Overview
The Provider Network Operations Supervisor supports the daily operations of the Provider Network Operations team by overseeing staff performance, ensuring operational efficiency, and maintaining compliance with internal policies and contractual requirements.
Work Arrangement
Remote - This position is fully remote; the candidate must be located in Michigan (MI) and attend monthly meeting as needed in Southfield, MI.
Requires reliable high-speed internet (minimum 50 Mbps download / 5 Mbps upload)
Internet reimbursement may be available where required by law or contract
Responsibilities
- Supervise, coach, and monitor staff performance to ensure quality and timely completion of work
- Support the Manager in implementing departmental initiatives and process improvements
- Ensure operational processes align with internal policies, contractual obligations, and service level agreements (SLAs)
- Oversee and support the resolution of provider inquiries and complaints, ensuring timely and effective outcomes
- Monitor provider data maintenance and/or claims-related activities, providing feedback and recommendations for improvement
- Research and resolve complex claims issues and operational discrepancies
- Identify operational challenges and recommend solutions to improve performance and compliance
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