Verisma

Supervisor, Health Plan Requests

Verisma United States
No longer accepting applications

Supervisor, Health Plan Request

Summary Of Position

The Health Plan Request (HPR) Supervisor leads a team of Intake Specialists who handle a high volume of requests from Health Plan Requestors. This role involves organizing the HPR team's workload, ensuring deadlines and volume targets are met. The HPR Supervisor is part of a centralized team that coordinates with Health Plan Requestors and Client Operations Teams to manage health plan requests from intake through to release. The ideal candidate is organized, detail-oriented, and serves as a key contact for both internal and external clients, while also being responsible for training the team and effectively communicating any changes.

Duties & Responsibilities

  • Facilitate the intake process for audit requests through their entire lifecycle, including client/vendor communication, data entry, fee schedule management, and internal tracking/forecasting, with specific requestor accounts assigned to the Supervisor
  • Support team on weekly requestor calls addressing inventory roadblocks and progress
  • Ensure the team processes inventory accurately and provides timely status updates to requestors, including responding to support emails
  • Assist with monitoring the fee approval requests sent to our general inbox
  • Collaborate with the Operations and Bench teams to meet due dates and escalate requests as needed to prevent any downtime for the Bench
  • Maintain professional communication in accordance with established standards and metrics
  • Assist the manager in identifying areas for improvement, team development needs, and necessary process changes, while also managing site list updates and implementing client-requested process adjustments
  • Develop expertise in the Health Plan Request field to provide support to field teams as needed
  • Maintain positive relationships with clients and requestors
  • Performs other duties, as assigned, to ensure effective operation of the department and the Company
  • Live by and promote Verisma core values

Minimum Qualifications

  • Minimum high school diploma or GED equivalent, required
  • Must possess strong logical thinking, problem-solving skills, attention to detail and patience in issue resolution
  • Ability to multi-task and utilize multiple resources to follow facility protocols
  • Excellent project management abilities
  • Capability to work effectively and independently in high-volume, fast-paced environments
  • Commitment to improving processes for sustainable, robust systems
  • Proficiency in Microsoft Office Suites, with a strong focus on Excel
  • Exceptional interpersonal skills and the ability to build effective relationships with colleagues and clients

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities maychange at any time with or without notice.

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  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Health Care Provider
  • Industries

    Hospitals and Health Care

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