Manager Dedicated Units Jobs

Company :

United Concordia Dental

:

GENERAL OVERVIEW:

Manage and develop all direct and indirect reports with responsibility for handling inquiries, adjustments and other workloads for customer segments. Direct personnel responsible for assuring timely and accurate response to telephone, written, internet, self service and walk-in inquiries from clients, members, and various other entities. Directs personnel responsible for assuring the timely and accurate processing of claims and claim adjustments. Supports strategic planning under the direction of the Director.

ESSENTIAL RESPONSIBILITIES:

• Other duties as assigned or requested.
• Ensure workload standards are met through efficient utilization of staff in collaboration and support of the command center, regular audits of relevant systems as well as up to date statistics and reports.
• Communicate effectively,
• Provide functional area staff coaching.
• Analyze issues specific to functional area and create business cases to support recommendations on further development of the current processes, procedures and staffing.
• Daily monitor, observe, and evaluate various work processes and individual skills applied in the work place to achieve optimum performance and model behavior.
• Evaluate trends, customer feedback and business initiatives and changes to ensure appropriate planning, training and allocation of resources to successfully achieve desired performance objectives.
• Manage preparation and implementation of area objectives and ensure these are met in accordance with strategies.

QUALIFICATIONS:

Minimum

• 5 years experience in large operations environment
• High School Diploma or GED
• 3 years experience with insurance products principles, industry practices and processes
• 3 years of management or leadership experience

Preferred

• Bachelors degree

Knowledge, Skills and Abilities

• Have an in-depth understanding of the system in which that work is performed – the process, tools and the people – and be able to cost effectively produce the highest levels of high quality output and throughput. This includes knowing how the inputs and outputs of the process area they manage impacts upstream and downstream processes.

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$67,500.00

Pay Range Maximum:

$124,800.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

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