Health Plan Liaison Manager (Hybrid)

***While this role is hybrid remote, the candidate MUST live in the Tampa/surrounding area as occasional travel to our corporate office is required.***

Our mission is Better Health. Our passion is helping others.

What’s Your Why?

• Are you ready to join a growing team that shares your mission?
• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?

Why Join Our Team: At Votion, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! We don’t just talk the talk - we believe in it and live by it. Our core value is always to deliver 5-star service. And by doing so, we successfully achieve our mission of Better Health. We support our providers with all the necessary tools and resources they need to deliver the care all patients deserve. Be part of a team that is rebuilding sick care into Better Health Care. We take great care of our team, patients, providers, and affiliates because together, we can achieve: Better Care. Better Outcomes. Better Health.

Responsibilities

Health Plan Liaison Manager, Core Operations will directly support the Votion Team. They will be expected to perform within the following scope, as well as other assigned duties and activities that aid and leverage our Team function. Responsibilities include and are not limited to:

• Conducting performance reviews of Team Members
• Distributing weekly tasks based on priorities
• Task Management
• Quarterly audit of randomly selected providers to confirm data is accurate in all systems and trackers
• Attend and participate in Core Operations team meetings, 1:1 meetings with the Director of Core Operations, and interdepartmental meetings as required
• Support Anion Credentialing Team by ensuring the accuracy of submissions and acting as the point of contact for resolving questions
• Communicating progress, needs, and updates to higher-level staff
• Health Plan JOC process
• Overseeing the completion of the membership review process until resolution
• Team Coaching and Development
• Foster strong relationships with health plan partners, acting as a trusted advisor and point of contact for their operational needs
• Creating department goals
• Health Plan onboarding and support service area expansions
• Organize annual review of Provider Directory to confirm accuracy prior to printing
• Daily review of team member tasks to ensure completion
• Weekly audit of tasks complete the previous week
• Clarifying department and individual expectations
• Annual AEP process
• Humana members are assigned to the correct PCP within one week of receiving the updated monthly roster
• Maintain tasks in the project management system to reflect any updates or changes to Core Operations processes
• Confirm that the following processes are completed accurately and on time:
• Health Plan Resources documents and quick reference guides
• Confirm that requests submitted or emailed to Core Operations are addressed by the team within 48 hours
• Review tasks for accuracy that require manual data entry
• Responsible for managing and maintaining beneficial working relationships with health plans, vendors, PCP offices, and internal teams
• Coaching, counseling, and disciplining Team Members.
• Act as the point of contact for escalations to resolve PCP office-specific issues
• Create panel status changes tracker and distribute to Provider Operations and VIPcare leadership teams to review and make changes; follow up until completed
• Enforcing company policies
• Recruiting and training new Team Members
• Other designated or operational tasks as assigned to leverage Votion's goals

Key Attributes:

• Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
• An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
• Has a contagious and positive work ethic, inspires others, and models the behaviors of our core values and guiding principles
• Is able to work within our Better Health environment by facing tasks and challenges with energy and passion.
• Demonstrated ability to handle data with confidentiality

Additional Education & Skills Preferred:

• MUST be results oriented with a focus on quality execution and delivery.
• Demonstrated resourcefulness, initiative, and results-oriented capabilities
• Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
• Ability to shift focus, multi-task, and prioritize in a rapidly changing environment.
• Bachelor’s degree in Healthcare Administration or related field preferred
• Proven ability to work with Google Suite software or equivalent (MS Excel and MS Powerpoint)
• STRONG reasoning and critical thinking are required.
• Must be able to work professionally with confidential information
• Ability to work cross-functionally with multiple teams
• Excellent written and verbal communication skills.
• Ability to work in a shifting and fast-paced environment
• Ability to work independently with minimal supervision

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