Sr Manager, Delegation Support (Remote)

Description

American Specialty Health Incorporated is seeking a Senior Manager, Delegation Support to join our Client Services – Clinical team. This position will oversee the servicing of ASH health plan clients as it relates to client delegation audits and related oversight activities.

Salary Range

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $71,996.00 to $78,000.00 Full Time Annual Salary Range .

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).

Responsibilities

• Oversees Delegation Support team to ensure external communications with clients are fully responsive, timely and preserve goodwill with clients while effectively representing company positions.
• Maintains confidentiality of all reports, files, schedules, databases, and documents; as well as all member, provider, and proprietary information and ensures the Delegation Support team does the same.
• Provides management support for internal compliance activities, as needed, based on direction from Director, CTC.
• Supports team in the accomplishment of assigned tasks, objectives, and projects.
• Assists staff in resolving day to day issues.
• Recognizes unique and/or problem situations within assigned area of responsibility, researches, and formulates solutions in conjunction with senior management.
• Supports CTC goals and objectives set out by department executive and works with team to ensure results meet/exceed department practices and standards.
• Manages team’s efforts to educate, coordinate activities, and resolve unique problems with recommended courses of action to internal stakeholders.
• Manages and provides high level service to clients as part of delegation audits and related oversight activities
• Establishes and maintains positive professional relationships with internal and external customers and ensures the Delegation Support team does the same.
• Develops spirit of cooperation and understanding among staff.
• Works with Director to plan and direct workflow to staff
• Develops, manages, evaluates and is responsible for all activities within assigned scope of authority. Ensures service, support, and efficiency achieves/exceeds company standards.
• Ensures high level of service to meet client expectations on a daily basis.
• Communicates with Director and EMT, on high level issues to ensure appropriate response and resolution.
• Supports recruitment of new staff members.
• At a minimum, acknowledges receipt of emails from clients within 24 hours of receipt.
• Provides management support, for audit coordination of onsite and desktop regulatory and client delegation audits, in a constantly changing environment.
• Evaluates performance, provides constructive feedback, and conducts counseling and training sessions.
• Evaluates staffing needs and makes recommendations to senior management.
• Accepts and/or returns phone calls from clients within the same business day of receipt, Monday through Friday, 8 A.M. to 5 P.M PST.
• Proactively engages internal customers and subject matter experts to effectively manage internal and external customer expectations and ensures the Delegation Support team does the same.

Qualifications

• Proven experience and developed customer service skills required, account management skills preferred.
• Prior experience managing staff preferred but not required
• Bachelor’s Degree or equivalent experience. If equivalent experience, high school diploma required.
• Proficient in MS Office with experience in database management, spreadsheet creation and data maintenance.
• Extensive experience of which 3 years have been as a Manager II, Client Services at ASH, or 3-6 years’ experience in an equivalent position in health care administration or client management. Specific experience in managed care, audit support is preferred
• Experience working with cross-functional teams and departments required.
• Experience servicing managed health care plans (HMO, PPO, POS, and related plans) required.
• Valid driver’s license with good driving record. Availability of automobile for on the job use and proof of insurance.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Ability to exercise strict confidentiality in all matters.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.

Mobility

Primarily sedentary, able to sit for long periods of time. Able to travel within and outside of the facility.

Physical Requirements

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

Please view Equal Employment Opportunity Posters provided by OFCCP here .

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.