Manager, Network Access Coordination (Hybrid - Strong Internal) 2024-1372 at Managed Care Advisors in Dublin, Ohio

Job Description:

Position Title: Manager, Network Access Coordination (Hybrid - Strong Internal) 2024-1372

Location: Dublin, OH, USA

Job Category: Operations

Job Type: Full Time

Description:

Overview - Manager, Network Access Coordination (Hybrid- Strong Internal)

Manager, Network Access Coordination (Hybrid - Strong Internal)

Are you ready to make a significant impact on the World Trade Center Health Program? Are you a manager that can lead innovative strategies to enhance provider interactions and improve member experiences? Do you have what it takes to drive efficiency and excellence in this vital role? Apply now and be part of a transformative team!

As a Sedgwick Government Solutions team member the Manager, Network Access Coordination will be responsible for leading cross-organizational strategies to improve how SGS business units engage with the provider network on behalf of members of the World Trade Center (WTC) Health Program. Specifically, the Lead will create, deploy, and supervise standardized approaches to locate, vet, educate, schedule, and interact with network providers leading to improved efficiencies and member experience,

Responsibilities

• Responsible for the day-to-day management of the Provider Engagement and Scheduling team.
• Responsible for the implementation and ongoing management of team functions described above.
• Responsible for interacting with providers and members to ensure compliance with any regulatory and/or client-specific requirements
• Responsible for the Quality Assurance aspect of the functions described above
• Maintain productivity and quality standards for the team and create methods to improve quality and productivity
• Produce management reports for Senior Management
• Collaborate with other departments, including but not limited to Provider Network Management, Case Management, Diagnostics, Member Services, and Provider Services to ensure a systems approach to addressing challenges and bottlenecks.
• Serve as the process owner for all aspects of provider vetting, outreach, education, and scheduling.
• Assist with special projects and events as assigned
• Offer regular feedback through coaching sessions and evaluations to help employees develop necessary skills and enhance their performance.
• Resolve employee conflicts using problem-solving and conflict management strategies, making informed decisions and communicating them clearly.
• Counsel employees on performance and behavior, apply disciplinary procedures, and coordinate terminations with HR.

Qualifications

• Bachelor’s degree required. Marketing degree a plus.
• Clinical, business, or operations degree or professional certification as applicable to line of business preferred.
• Four (4) years of administrative and/or customer service experience or equivalent combination of education and experience required.
• One (1) year of direct experience supporting the World Trade Center National Provider Network program is preferred.
• Experience working in a Call Center and/or Provider Relations environment is required.
• Demonstrated leadership acumen and problem-solving skills required.
• PC literate, including Microsoft Office products and Care Conduit is required.
• Excellent oral and written communication skills.
• Strong investigation and organizational skills.
• Demonstrated ability to influence without authority through the employment of strong interpersonal skills.
• Ability to work in a team environment
• US Citizen

For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets—their employees, and their customers. At Sedgwick Government Solutions, caring counts®. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (range). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

To be considered for this position, please submit a resume, and complete the application.

The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Important Information

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire.

Search Firm Representatives

Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.

Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact Government Solutions regarding accommodations.

Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person’s relatives, friends or associates.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

About Sedgwick

Sedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts®; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy | Sedgwick Terms and Conditions | Sedgwick

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