Managing Supervisor jobs at UnitedHealth Group - 319 jobs

**Resp & Qualifications** **PURPOSE:** The Inpatient Management Onsite Care Management Supervisor will direct and coordinate the activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles embedded at a partnering hospital. This role will assist leadership with the development and review of Care Management standards, program criteria, policies, and procedures to ensure quality of care and manage healthcare costs. The incumbent will function as a liaison working onsite at partner hospitals up to 5 days a week. Based on hospital assignments and admission volumes on a week-to-week basis, management may occasionally approve the onsite care management supervisor to perform limited functions telephonically, at its sole discretion.The candidate may also be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. **The candidate's primary residence must be within the greater Baltimore metropolitan area** . Bilingual - fluent in Spanish a big plus! This position may be eligible for a role-specific onsite payment differential, which does not apply to other positions. **ESSENTIAL FUNCTIONS:** + Provides direct onsite supervision, mentorship and support to care management staff, clinical navigators and other CareFirst nursing staff working onsite at assigned hospital facility. Oversees scheduling, workload distribution, and daily operations to ensure optimal staffing and coverage. + Oversees and participates in care coordination activities including case management and disease management to ensure effective transition across levels of care while collaborating onsite with hospital staff. + Assists the Manager and Director with the development, design, and implementation of new Care Management programs and initiatives. Participates in the evaluation of annual plans and Care Management initiatives to assist leadership in meeting the evolving needs in the organization, competitors and marketplace. + Collaborates with physicians, nursing and hospital leaders to ensure service expectations are being met. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** 3 years Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience with demonstrated leadership skills. **Knowledge, Skills and Abilities (KSAs)** + Ability to communicate effectively verbally and in writing. + Knowledge of health benefits industry, products, trends, consumer market, and competitive intelligence. + Knowledge and proficiency in use of metrics and measures in managing programs and services. + Strong organizational skills to manage multiple projects, issues and priorities. + Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits). + Knowledge of managed care principles and concepts including Health Plan Employer Data and Information Sheet (HEDIS) and knowledge of the standards of practice for case managers. + Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance, and implement strategies to improve individual and team-based performance as needed. + The incumbent will have an onsite hospital-based assignment and must be able to travel onsite to their hospital-based assignment up to 5 days per week, at managements sole discretion. The incumbent is required to have the vaccinations listed below and be appropriately screened (and cleared) for the items listed below. If the incumbent does not have the vaccinations or have been screened (and cleared), they must do so upon acceptance of offer:- TB screening (and repeat annually)- MMR-V Immunity- Influenza Vaccine (Seasonal)- COVID-19 + The incumbent is required to complete the following training as assigned by Management, including, but not limited to:Infection control basics- TB Awareness- Bloodborne Pathogens (and repeat annually)** Onsite hospital assignments are subject to change based on evolving business needs. **Licenses/Certifications** : Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required. Salary Range: $79,632 - $164,241 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Maryland Inpatient Onsite **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship. \#LI-SS1 REQNUMBER: 21359

**Resp & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. **ESSENTIAL FUNCTIONS:** + Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance of each team member, generates development plans and sets goals within the context of the corporate policies and procedures. Ensure appropriate usage of resources in order to facilitate the UM process. Educate staff as necessary to ensure consistent performance and adhere to standards. + Ensure compliance within applicable state program guidelines. Evaluate compliance policies and procedures and analyze/recommend enhancements. + Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements + Identify opportunities for process improvements necessary to facilitate department functions + Communicates in a timely manner to Manager appropriate information including, but not limited to, customer/case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Nursing or health care field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. **Experience:** 3 years Medical/surgical experience including, but not limited to, inpatient care, outpatient/home care and hospice care, and experience reviewing patient medical care. Demonstrated leadership skills. **Preferred Qualifications:** + 5+ years of UM experience in a lead or supervisor role with a healthcare payor organization. Experience working with both commercial and government programs lines of business. **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption and the use of data to drive decisions.Ability to balance quality, productivity, compliance and member/provider experience in daily decision-making. + Knowledge of accreditation standards and federal/state regulations and general principles relating to utilization review. + Computer skills, including Microsoft Office programs. + Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance, and implement strategies to improve individual and team-based performance as needed. + Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility. + Excellent analytical, problem-solving skills with ability to judge appropriateness of member services and treatments on a case-by-case basis. + Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $78,696 - $162,311 **Travel Requirements** **Estimate Amount:** 5% Able to travel to CareFirst sites for meetings and off-site Health Services meetings **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-SS1 REQNUMBER: 21522

**Resp & Qualifications** **PURPOSE:** Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We are looking for an experienced people leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. **ESSENTIAL FUNCTIONS:** + Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance of each team member, generates development plans and sets goals within the context of the corporate policies and procedures. Ensure appropriate usage of resources in order to facilitate the UM process. Educate staff as necessary to ensure consistent performance and adhere to standards. + Ensure compliance within applicable state program guidelines. Evaluate compliance policies and procedures and analyze/recommend enhancements. + Assist with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements + Identify opportunities for process improvements necessary to facilitate department functions + Communicates in a timely manner to Manager appropriate information including, but not limited to, customer/case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Nursing or health care field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. **Experience:** 3 years Medical/surgical experience including, but not limited to, inpatient care, outpatient/home care and hospice care, and experience reviewing patient medical care. Demonstrated leadership skills **Preferred Qualifications** : + 5+ years of UM experience in a lead or supervisor role with a healthcare payor organization. Experience working with both commercial and government programs lines of business. + Bachelors degree in Nursing **Knowledge, Skills and Abilities (KSAs)** + Oversight of Utilization Management clinicians while championing process improvement, change adoption and the use of data to drive decisions.Ability to balance quality, productivity, compliance and member/provider experience in daily decision-making. + Knowledge of accreditation standards and federal/state regulations and general principles relating to utilization review. + Computer skills, including Microsoft Office programs. + Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance, and implement strategies to improve individual and team-based performance as needed. + Ability to multitask, prioritize and maintain a dynamic personal organization system that allows flexibility. + Excellent analytical, problem-solving skills with ability to judge appropriateness of member services and treatments on a case-by-case basis. + Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $78,696 - $162,311 **Travel Requirements** **Estimate Amount:** 5% Able to travel to CareFirst sites for meetings and off-site Health Services meetings. **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: ************************* **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-SS1 REQNUMBER: 21523

Resp & Qualifications PURPOSE: The Inpatient Management Onsite Care Management Supervisor will direct and coordinate the activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles embedded at a partnering hospital. This role will assist leadership with the development and review of Care Management standards, program criteria, policies, and procedures to ensure quality of care and manage healthcare costs. The incumbent will function as a liaison working onsite at partner hospitals up to 5 days a week. Based on hospital assignments and admission volumes on a week-to-week basis, management may occasionally approve the onsite care management supervisor to perform limited functions telephonically, at its sole discretion.The candidate may also be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. The candidate's primary residence must be within the greater Baltimore metropolitan area. Bilingual - fluent in Spanish a big plus! This position may be eligible for a role-specific onsite payment differential, which does not apply to other positions. ESSENTIAL FUNCTIONS: * Provides direct onsite supervision, mentorship and support to care management staff, clinical navigators and other CareFirst nursing staff working onsite at assigned hospital facility. Oversees scheduling, workload distribution, and daily operations to ensure optimal staffing and coverage. * Oversees and participates in care coordination activities including case management and disease management to ensure effective transition across levels of care while collaborating onsite with hospital staff. * Assists the Manager and Director with the development, design, and implementation of new Care Management programs and initiatives. Participates in the evaluation of annual plans and Care Management initiatives to assist leadership in meeting the evolving needs in the organization, competitors and marketplace. * Collaborates with physicians, nursing and hospital leaders to ensure service expectations are being met. SUPERVISORY RESPONSIBILITY: This position manages people. QUALIFICATIONS: Education Level: Bachelor's Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 3 years Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience with demonstrated leadership skills. Knowledge, Skills and Abilities (KSAs) * Ability to communicate effectively verbally and in writing. * Knowledge of health benefits industry, products, trends, consumer market, and competitive intelligence. * Knowledge and proficiency in use of metrics and measures in managing programs and services. * Strong organizational skills to manage multiple projects, issues and priorities. * Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits). * Knowledge of managed care principles and concepts including Health Plan Employer Data and Information Sheet (HEDIS) and knowledge of the standards of practice for case managers. * Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance, and implement strategies to improve individual and team-based performance as needed. * The incumbent will have an onsite hospital-based assignment and must be able to travel onsite to their hospital-based assignment up to 5 days per week, at managements sole discretion. The incumbent is required to have the vaccinations listed below and be appropriately screened (and cleared) for the items listed below. If the incumbent does not have the vaccinations or have been screened (and cleared), they must do so upon acceptance of offer: * TB screening (and repeat annually) * MMR-V Immunity * Influenza Vaccine (Seasonal) * COVID-19 * The incumbent is required to complete the following training as assigned by Management, including, but not limited to: Infection control basics * TB Awareness * Bloodborne Pathogens (and repeat annually) Onsite hospital assignments are subject to change based on evolving business needs. Licenses/Certifications: Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required. Salary Range: $79,632 - $164,241 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Maryland Inpatient Onsite Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: ************************* Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship. #LI-SS1

VIVA HEALTH, ranked one of the nation's Best Places to Work, is looking for a Supervisor, Care Management, to join our team in Birmingham, AL! VIVA HEALTH knows that nursing is not just a job; it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights and weekends. This way, you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package, including tuition reimbursement for employees and dependents, 401(K), paid parental leave, and paid day for community service, just to name a few! Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! The Supervisor, Care Management will provide direct supervision to Care Management staff as assigned. This position will support staff and provide clinical oversight and clear directives of objectives and goals for the assigned team. This role will measure outcomes as directed. This individual serves as the primary liaison between assigned front-line staff and management to communicate the daily activities and departmental progress toward meeting goals. This position may travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. REQUIRED: Graduate of a professional program of nursing, ADN/BSN Five years in a clinical setting, acute or post-acute Current RN License in good standing with the State of Alabama Board of Nursing Valid Driver's License in good standing May require significant face-to-face member contact with duties regularly performed away from the principal place of business Willing to submit to vaccine testing and screening Strong professional level of knowledge in the adult population and chronic disease management Excellent written and verbal communication skills Strong organizational and time management skills Ability to manage and direct personnel in a positive and effective manner Good computer and data entry skills Ability to be flexible, adaptable, and able to work effectively in a variety of settings PREFERRED: Knowledge of Microsoft Word and Excel Knowledge of community resources, Medicare and Medicaid regulations Bachelor's degree Certified Case Manager Experience in disease case management, home health care, or care management with SNP population

Under the supervision of the Manager, Integrated Care Management (ICM), the Supervisor, ICM, is responsible for the daily oversight of Care Management teams, providing clinical direction, organization, and monitoring of all care management services. Responsible for direct supervisory oversight of staff conducting care coordination, complex care management, and other supportive functions. Assists in carrying out the plans and daily operations of the Care Management unit. Provides unit and departmental leadership. Ensures that staff receive appropriate orientation and training on organizational and departmental policies and procedures, and ensures that staff have the necessary clinical expertise to perform assigned duties. Works collaboratively with the Manager to prepare reports and conduct analysis of operations/services as required by departmental, corporate, and/or regulatory requirements. Participates in current process review and development of new and/or revised work processes, policies, and procedures **Responsibilities:** + Excellent oral and written communication skills. + Must have prior supervisory or leadership experience. + Attention to detail and ability to meet deadlines. + Ability to define problems, collect information, recommend solutions, and use nursing judgement. + Excellent collaboration skills. + Ability to plan, organize, and manage multiple priorities. + Ability to promote and support a positive team environment. + Ability to advocate for member/ member family needs. + Excellent decision-making, assessment, and follow-up skills. + Self-directed. + Ability to interface with all levels of management. + Strong clinical and organizational skills. **Work Arrangement:** + This is a remote position, but you will be required to live Pennsylvania. + Hours are Monday-Friday, 8:30 am-5:00 pm **Education/Experience:** + Registered Nurse (BSN preferred) + 3 to 5 years of clinical practice experience + Pediatric nursing experience preferred + Prior experience in care management and Medicaid. + Must have 2 years of supervisory or leadership experience. + Certified Care Manager or working toward certification and must be certified within the first year. **Licensure:** + An unrestricted RN license to practice nursing in PA. **Skills & Abilities:** + Proficiency with Microsoft. Office Suite (Word, Excel, PowerPoint). + Consistent word processing speed and accuracy of 50 or more words per minute. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at ************************** **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

FLSA Status: Exempt Department: Health Services Reports To: Manager, Utilization Management The Supervisor of Utilization Management (UM) is responsible for the direct oversight of daily operations of utilization management activities, providing assistance with the development and implement of new programs and related workflows, policies, procedures for all lines of business, and serving as a resource for internal departments, members, providers, delegates, and community partners. In addition, the Supervisor of UM is responsible for supervising nurses and coordinators to ensure that all administrative UM processes are performed in accordance with all applicable state and federal regulatory requirements, SCFHP policies and procedures and business requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. 1. Collaborate with the Manager of Utilization Management to implement and supervise all UM processes for continuous and sustained compliance with all applicable state, federal and NCQA regulatory requirements, SCFHP policies and procedures and general business requirements including key performance indicators of MCAS, HEDIS, and CMS Stars for all lines of business. 2. Monitor and provide continuous analysis and quality monitoring of all policies and procedures to evaluate UM staff and delegate performance and ensure regulatory compliance, including the development and implementation of effective, measurable corrective action plans to meet targeted strategic outcomes. 3. Ensure the integration of UM operations such as prior authorization, concurrent review, Transitional Care Services (TCS), and discharge planning into other internal and external teams/departments including Quality & Process Improvement, Case Management, Community Based Programs, Pharmacy, and Behavioral Health. 4. Perform oversight and assignment of caseload across various utilization management functions including routine and ad hoc audits and monitoring of corrective action plans. 5. Establish and maintain effective interpersonal relationships with all SCFHP staff, members and/or their authorized representatives, providers and other program or agency representatives. 6. Resolve or facilitate resolution of problematic and/or complex issues by escalating to appropriate management/leadership person. 7. Ensure Utilization Management Committee preparedness. 8. Attend off-site meetings, events, or facility census review as necessary. 9. Perform other related duties as required or assigned. SUPERVISORY/MANAGEMENT RESPONSBILITIES Carries out supervisory/management responsibilities in accordance with the organization's policies, procedures, applicable regulations and laws. Responsibilities include: 1. Recruiting, interviewing, and hiring. 2. Developing a high performing department culture and staff. This includes setting the standard for staff/peers and motivating employees to maximize organizational goals and objectives. 3. Effectively assimilating, training and mentoring staff and (when appropriate), cross training existing staff and initiating retraining. This includes coaching to help increase skills, knowledge and (if applicable) improve performance. 4. Setting goals and planning, assigning, and directing work consistent with said goals. This includes responding to employees' needs, ensuring they have the necessary resources to do their work. 5. Appraising performance, rewarding and disciplining employees, addressing complaints and resolving issues. This includes providing regular and effective feedback to employees and completing timely and objective performance reviews. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. * Unrestricted professional RN licensure in the state of California. (R) * Minimum two years of progressively responsible experience in a supervisory or lead capacity in case management, utilization management, discharge planning and/or quality improvement in a managed care related setting. (R) * Understanding and/or experience with Utilization Management. (R) * Must be knowledgeable of DHCS, CMS, DMHC regulations and NCQA Population Health Management standards. (R) * Ability to consistently meet accuracy and timeline requirements to maintain regulatory requirements. * Working knowledge of and the ability to efficiently operate all applicable computer software including computer applications such as Outlook, Word, Excel, and specific case management programs. (R) * Ability to use a keyboard with moderate speed and high level of accuracy. (R) * Excellent written, verbal, and interpersonal communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, members, providers and outside entities over the telephone, in person or in writing. (R) * Ability to comply with all SCFHP policies and procedures. (R) * Ability to think and work under pressure and effectively prioritize and complete tasks within established timeframes. (R) * Ability to assume responsibility and exercise sound judgment when making decisions within the scope of this position including performing job safely and within respect to others, to property and to individual safety (R) * Maintenance of a valid California Driver's License and acceptable driving record in order to drive to and from offsite meetings or events; or ability to use other means of transportation to attend offsite meetings or events. (R) PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: * Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) * Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) * Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) * Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) * Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) * Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels.

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives. Responsibilities Provides daily leadership, direction, resources, training, evaluation, coverage and program support to assigned staff. Performs supervisory functions such as timecard management, staff scheduling to meet business requirements and directing work activities. Provides performance feedback to utilization management staff and conducting annual reviews. Participates in the interviewing, hiring and on-boarding processes of new staff. Maintains active participation with inbound and outbound provider reporting and other related duties, adjusting assignments as necessary to meet business needs and/or regulations. Documents and maintains patient-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees, workgroups and/or multidisciplinary teams to support Partnership's strategic plan, organizational goals, and/or business needs. Facilitates meetings with Partnership community provider partners as a part of utilization management process. Develops and maintains positive working relationships with all business partners to ensure optimum member care and provider satisfaction. Reviews department desktops, policies and procedures, recommends changes for more efficient operations, and communicates changes and updates to staff when appropriate. Researches and responds to provider issues or barriers ensuring successful outcomes and superb customer service. Audits medical records as appropriate for accuracy, workflow evaluation, staff feedback and process improvement activities. This position, in addition to his or her own case load, may be assigned cases in the area of oversight as deemed necessary to provide coverage. Evaluates appropriateness of care through interpretation of benefits as outlined in Title 22, Medi-Cal Provider Manual, DMHC CMS regulatory requirements, Partnership Policies and Procedures, and medical necessity criteria for each product line. Researches and responds to provider issues or barriers, ensuring successful outcomes and superb customer service. Participates in special projects and assignments as required. Qualifications Education and Experience Associate or Bachelor's degree in nursing. RN with 3-5 years' experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special Skills, Licenses and Certifications Current California RN license. RN Supervisor will be supervising both RN and LVN staff. Case Management certification preferred. Strong knowledge of nursing requirements in a clinical setting. Knowledge of utilization management programs as related to use of pre-set criteria and protocols. Familiarity with business practices and protocols with ability to access data and information using automated systems. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California Driver's License and proof of current automobile insurance compliant with Partnership's policies are required to operate a vehicle and travel for company business. Performance Based Competencies Desired competencies (ex: Knowledge of DHCS, Medi-Cal, CMS, medically necessary criteria, CalAIM and/or NCQA regulations. Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and deadlines. Strong organizational skills required. Computer literacy and proficiency. Excellent written and verbal communication skills in English. Demonstrated experience and ability to build effective working relationships and to represent the department effectively in order to accomplish goals. Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload. Ability to assist individuals in recognizing and solving problems. Ability to supervise, train, motivate, provide guidance to staff. Work Environment And Physical Demands Ability to use a computer keyboard. Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. Ability to function effectively with frequent interruptions and direction from multiple team members. More than 50% of work time is spent in front of a computer monitor. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. Some travel required (up to 25%) including occasional overnight. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan's policies and procedures, as they may from time to time be updated. HIRING RANGE: $136,296.78 - $177,185.82 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Job Description BMI-PacWest, Inc. has a long tradition of excellence, proudly serving its customers for over 100 years!! We continue our legacy by providing high-quality preventive maintenance and commercial HVAC services throughout California and the Central Coast. In 2014, our company was honored as the "Family Business of the Year" at the Annual California Family Business Awards. We are seeking a dedicated Commercial HVAC Service Supervisor to join our growing team in Ventura, CA. In this role, you will provide technical support to technicians in the field, job site leadership, and day-to-day management to ensure that our service teams deliver outstanding work safely, efficiently, and to the highest standards of quality. This position requires to be on-call during after hours and on weekends if necessary. Main Job Duties: Lead and support a team of Service Technicians in the field. Repair, maintain & install commercial HVAC equipment Check on accounts and inspect work being performed Provide field service reports to the Operations Manager Oversee service projects from start to finish Take calls after hours and weekends as necessary. Ensure projects are completed on time, within budget, and meet planned gross profit goals. Ensure compliance with all codes, standards, and safety regulations. Support sales efforts by identifying opportunities, generating leads, and assisting the sales team when needed. Our Benefits: 88% Employer Covered Medical & Dental Insurance for Employee 88% Employer Covered Medical & Dental Insurance for Dependents after 3 years' service 25% 401K Match with an Annual Discretionary Gift Company-paid life insurance 9 Paid Holidays throughout the year Paid Time Off: 1 week in year 1, 2 weeks in year 2, 3 weeks following 10 years of service Company take-home vehicle and fuel card Company credit card for operations use Pay Scale: $45-$60 per hour, depending on experience Required Qualifications: HS diploma or equivalent Associate degree or Technical/Business training is a plus 7+ years of hands-on commercial HVAC experience EPA Universal and 508 certifications are required A2L refrigeration knowledge is a plus Managerial experience is preferred Ability to plan, prioritize, and direct complex projects and teams. Excellent leadership, problem-solving, and communication skills. Commitment to outstanding customer service and long-term relationship building.

As the world's largest university-based biorepository, Infinity BiologiX has been perfecting the science of biobanking, bioprocessing and analytics since 1999. By utilizing a technologically advanced infrastructure and the highest quality biomaterials, IBX scientists work to convert precious biosamples into renewable resources thereby extending research capabilities. IBX understands that research goals and objectives vary from project to project so we give each client individual and customized attention to ensure “best fit” service.As the world's largest university-based biorepository, Infinity BiologiX has been perfecting the science of biobanking, bioprocessing and analytics since 1999. By utilizing a technologically advanced infrastructure and the highest quality biomaterials, IBX scientists work to convert precious biosamples into renewable resources thereby extending research capabilities. IBX understands that research goals and objectives vary from project to project so we give each client individual and customized attention to ensure “best fit” service. Job Description POSITION SUMMARY: Reporting to the Manager, Sample Processing Services of IBX. Hours: Tuesday - Saturday 2PM - 10:30PM. This position provides managerial, high-level technical/scientific support in the operation of the IBX Cell Laboratory. The responsibilities of the position also include the training and supervision of technical staff and student workers, organizing and overseeing lab operations and new projects that require the implementation of new services, overseeing production and QC of media, working with the IT group to build workflows and database queries and generating weekly reports for upper management,. An important component of the position is high level supervision of daily and weekend processing, including coordinating team efforts and ensuring that weekend staffing meets processing demands PERFORMANCE GOALS: · This position works with the Manager and/or director of the Cell Lab to help coordinate in the following areas o Review reports/data on processes occurring in the lab for clients and other stakeholders o Help build, validate and implement SOPs for new services o Has primary responsibility for coordinating the efforts of the Cell Lab team in daily biomaterial processing, reporting to the Director and Manager of the Cell Lab on all operational aspects of management of the lab. · This position works with the Manager of the Cell Lab to ensure the smooth operation of their team such as Developing and/or implementing processes for recording data resulting in the lab, including cell culture growth, quality control test results, storage recording, and distribution tracking Submitting samples for quality testing and making decisions of resulting quality based on these results Examining chain of custody for samples, quality of reagents used in processing, laboratory conditions and technical performance. Within their own team a supervisor is responsible for o Prioritizing daily tasks Making decisions about the course of action to be taken in processing a sample o Resolving routine conflicts and issues Ensuring that staff follow standard operating protocols (SOPs) and maintain accurate data entry procedures in LIMS. o Ordering supplies and ensuring that stock inventories are maintained for all essential reagents, and overseeing ordering and installation of new equipment as well as ensuring that all equipment is maintained on appropriate schedules. o Documenting deviations and overseeing event resolutions in the QMS system Work in the lab as necessary to meet daily lab operation expectations in the event of a staffing shortage Troubleshooting processing issues including ones related to poor cell growth and culture contamination Ensuring that the team remains up-to-date on training, including but not limited to SOP training, competency training, regulatory training and safety training Qualifications COMPETENCIES: Must be proficient in all aspects of blood processing and cell culture, passaging and cryopreservation. Must be well-organized Ability to conduct and organize laboratory based business enterprise efficiently and expeditiously while maintaining a high level of accuracy and attention to detail. · Works independently with minimal supervision. QUALIFICATIONS: Requires a Bachelors or Masters degree in a Life Sciences field with 5 or more years of experience in advanced laboratory operations. Masters degree in a life science is preferred Must have several years experience supervising and managing a high volume complex laboratory of 5 or more individuals that coordinates activities with multiple other divisions and external laboratories. Detailed working knowledge of cell biology and cell culture techniques. This knowledge is essential for training, supervision and evaluating technical staff. Additional Information All your information will be kept confidential according to EEO guidelines.

As the world's largest university-based biorepository, Infinity BiologiX has been perfecting the science of biobanking, bioprocessing and analytics since 1999. By utilizing a technologically advanced infrastructure and the highest quality biomaterials, IBX scientists work to convert precious biosamples into renewable resources thereby extending research capabilities. IBX understands that research goals and objectives vary from project to project so we give each client individual and customized attention to ensure “best fit” service.As the world's largest university-based biorepository, Infinity BiologiX has been perfecting the science of biobanking, bioprocessing and analytics since 1999. By utilizing a technologically advanced infrastructure and the highest quality biomaterials, IBX scientists work to convert precious biosamples into renewable resources thereby extending research capabilities. IBX understands that research goals and objectives vary from project to project so we give each client individual and customized attention to ensure “best fit” service. Job Description POSITION SUMMARY: Reporting to the Manager, Sample Processing Services of IBX. Hours: Tuesday - Saturday 2PM - 10:30PM. This position provides managerial, high-level technical/scientific support in the operation of the IBX Cell Laboratory. The responsibilities of the position also include the training and supervision of technical staff and student workers, organizing and overseeing lab operations and new projects that require the implementation of new services, overseeing production and QC of media, working with the IT group to build workflows and database queries and generating weekly reports for upper management,. An important component of the position is high level supervision of daily and weekend processing, including coordinating team efforts and ensuring that weekend staffing meets processing demands PERFORMANCE GOALS: · This position works with the Manager and/or director of the Cell Lab to help coordinate in the following areas o Review reports/data on processes occurring in the lab for clients and other stakeholders o Help build, validate and implement SOPs for new services o Has primary responsibility for coordinating the efforts of the Cell Lab team in daily biomaterial processing, reporting to the Director and Manager of the Cell Lab on all operational aspects of management of the lab. · This position works with the Manager of the Cell Lab to ensure the smooth operation of their team such as Developing and/or implementing processes for recording data resulting in the lab, including cell culture growth, quality control test results, storage recording, and distribution tracking Submitting samples for quality testing and making decisions of resulting quality based on these results Examining chain of custody for samples, quality of reagents used in processing, laboratory conditions and technical performance. Within their own team a supervisor is responsible for o Prioritizing daily tasks Making decisions about the course of action to be taken in processing a sample o Resolving routine conflicts and issues Ensuring that staff follow standard operating protocols (SOPs) and maintain accurate data entry procedures in LIMS. o Ordering supplies and ensuring that stock inventories are maintained for all essential reagents, and overseeing ordering and installation of new equipment as well as ensuring that all equipment is maintained on appropriate schedules. o Documenting deviations and overseeing event resolutions in the QMS system Work in the lab as necessary to meet daily lab operation expectations in the event of a staffing shortage Troubleshooting processing issues including ones related to poor cell growth and culture contamination Ensuring that the team remains up-to-date on training, including but not limited to SOP training, competency training, regulatory training and safety training Qualifications COMPETENCIES: Must be proficient in all aspects of blood processing and cell culture, passaging and cryopreservation. Must be well-organized Ability to conduct and organize laboratory based business enterprise efficiently and expeditiously while maintaining a high level of accuracy and attention to detail. · Works independently with minimal supervision. QUALIFICATIONS: Requires a Bachelors or Masters degree in a Life Sciences field with 5 or more years of experience in advanced laboratory operations. Masters degree in a life science is preferred Must have several years experience supervising and managing a high volume complex laboratory of 5 or more individuals that coordinates activities with multiple other divisions and external laboratories. Detailed working knowledge of cell biology and cell culture techniques. This knowledge is essential for training, supervision and evaluating technical staff. Additional Information All your information will be kept confidential according to EEO guidelines.

Blue Cross and Blue Shield of Kansas is looking to add to our Finance team and has an opportunity for a Manager Corporate Finance and Decision Support. This position Support plays a pivotal role in the development and execution of the Financial Planning and Analysis (FP&A) function. Leading a team of financial analysts, this position provides strategic financial guidance and analysis to drive data-driven decisions at the executive level. The manager collaborates with cross-functional teams to develop comprehensive financial strategies, ensure effective budgeting and forecasting, and support business growth initiatives. This position works closely with the Director of FP&A to align financial planning efforts with the company's overall strategic goals and objectives. “This position is eligible to work hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.” Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas. Why Join Us? Lead and Inspire: Guide and mentor your team to achieve their full potential and success. Family Comes First: Total rewards package that promotes the idea of family first for all employees. Professional Growth Opportunities: Advance your career with ongoing training and development programs. Trust: Work for one of the most trusted companies in Kansas Compensation $116,000 - $145,000 Exempt Grade 18 Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts. What you'll do Collaborate with finance business partners to manage the annual budgeting process, gather financial insights from divisional leaders, and develop accurate and realistic corporate budgets and forecasts. Ensure alignment with the company's strategic objectives. Prepare, synthesize, and present comprehensive financial reports and presentations to senior management and key stakeholders. Highlight key findings, trends, and actionable recommendations for business performance improvements. Monitor financial performance against corporate targets and budgets. Conduct in-depth analyses of financial data to identify trends, risks, and opportunities for improvement. Address discrepancies and work with teams to implement corrective actions where necessary. Partner with the Business Intelligence team to develop KPIs and other decision-support measures to guide business strategy. Ensure that analytics and reporting frameworks provide the insights necessary for executive decision-making. Build and maintain scalable financial models that generate actionable insights for business and investment decisions. Leverage scenario analysis to evaluate potential opportunities and risks, providing the executive team with data-driven recommendations. Support the development of business cases and financial strategies for key growth initiatives, including mergers and acquisitions (M&A), product launches, market expansion, and margin improvement efforts. Analyze financial impacts and recommend strategies that drive sustainable growth. Stay informed on general economic, competitive, and market conditions, communicating relevant financial implications to stakeholders. Provide actionable insights on how these factors could impact business operations. Ensure compliance with financial regulations and corporate policies. Collaborate with external auditors and regulatory bodies as needed to ensure adherence to best practices and legal requirements. Partner with the Financial Information Systems team to improve Adaptive Insights functionality. Drive initiatives to automate reporting processes, streamline financial planning systems, and continuously improve forecast and budgeting models. Drive improvements to financial models and reporting processes as the business evolves. Develop repeatable, scalable processes for financial planning, reporting, and forecasting to enhance accuracy and efficiency. What you need Bachelor's degree in accounting, finance or related field required 3 years leadership experience required Knowledge/Skills/Abilities Exceptionally strong analytical abilities, with a track record of identifying insights from financial information and translating into business analytics and recommendations Proficiency in accounting software and ERP systems; experience with Adaptive Insights preferred. Strong analytical and problem-solving skills Strong interpersonal and communication skills, with the ability to work collaboratively across departments. High level of integrity and strong attention to detail. Bonus if you have 5 years of progressive experience in financial planning and analysis role; substantial financial modeling and/or scenario planning experience preferred Benefits & Perks Base compensation is only one component of your competitive Total Rewards package Incentive pay program (EPIP) Health/Vision/Dental insurance 6 weeks paid parental leave for new mothers and fathers Fertility/Adoption assistance 2 weeks paid caregiver leave 5% 401(k) plan matching Tuition reimbursement Health & fitness benefits, discounts and resources Our Commitment to Connection and Belonging At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

Department: CASE MANAGEMENT Job Type: Regular Employment Type: Full-Time Salary Range: $123,588.00 - $123,588.00 Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 40 years, MetroPlusHealth has been committed to building strong relationships with its members and providers. Position Overview Under the direction of the Director of Medicaid, the Medicaid Care Manager Team Lead ensures that staff adhere to the Medicaid contractual requirements, policies and procedures, and workflows established to manage the vulnerable Medicaid population. The Medicaid Care Manager Team Lead manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes in the delivery of member-centered case management including reduction in emergency room visits and hospital admissions, improved member satisfaction, improved member health, and cost effectiveness. Work Shifts 9:00 A.M - 5:00 P.M Duties & Responsibilities * Provide clinical guidance and supervision to assigned Care Managers and clinical support staff to promote efficient and effective delivery of care management services * Supervise day to day activities to make certain that case management services are provided in accordance with clinical guidelines, established processed and MetroPlusHealth organizational standards. * Supervise the entire care management workflow including case referrals, assignments, interventions and goal setting, follow-up/follow-through activities, documentations, and escalations. * Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care. * Review, develop and modify day to day workflows to ensure timely follow up. * Perform ongoing quality review of cases to ensure accuracy and compliance. * Evaluate and document staff performance; coach staff to improve both quality and quantity of skills attaining optimal performances. * Utilize data to track, trend and report productivity and outcome measures, work with the management team to implement necessary improvement strategies. * Coordinate Interdisciplinary Care Team rounds with providers, care managers and care management associates, this include scheduling meetings, identifying members for presentation, and ensuring completion and documentation of follow up activities. * Collaborate Behavioral Health to develop strategies and best practices that lead to desired goals and objectives for members who are co-managed. * Use expert verbal and non-verbal communication skills to motivate and gain co-operation of members and their caregivers. * Resolve issues and mitigate conflict encountered during daily operations, appropriately escalate issues to the Director of Medicaid * Identify and report potential risk, operational opportunities, and barriers encountered. * Conduct monthly audits for the purpose of departmental/organizational reporting and providing formal feedback to case management staff. * Create and submit operational weekly/monthly/quarterly reports. * Work with the leadership team to develop and implement ongoing training and development efforts. * Actively participate in staff training and meetings. * Encourage regular communication and inform staff of relevant departmental and organizational updates. * Develop and maintain collaborative relationships with clinical providers, facility staff and community resources. * Ensure staff comply with orientation requirements, annual and other mandatory trainings, organizational and departmental policies, and procedures. * Perform other duties as assigned by Director. Minimum Qualifications * Bachelor's Degree required, Master's in nursing preferred. * A minimum of 5 years of Care Management experience in a health care and/or Managed Care setting required. * Minimum of 2 years managerial/leadership experience in a Managed Care and/or healthcare setting required. * Proficiency with computers navigating in multiple systems and web-based applications. * Must know how to use Microsoft Office applications including Word, Excel, and PowerPoint and Outlook. * Ability to proficiently read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions required * Valid New York State license and current registration to practice as a Registered Professional Nurse (RN) Issued by the New York State Education Department (NYSED). * Integrity and Trust * Customer Focus * Functional/Technical Skills * Confident, autonomous, solution driven, detail oriented, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive. * Strong verbal and written communication skills including motivational coaching, influencing, and negotiation abilities. * Holds themselves to high standards of excellence * Time management and organizational skills. * Strong problem-solving skills. * Ability to prioritize and manage changing priorities under pressure. * Ability to work closely with member and caregiver. * Ability to form effective working relationships with a wide range of individuals. #MPH50 #LI-Hybrid Benefits NYC Health and Hospitals offers a competitive benefits package that includes: * Comprehensive Health Benefits for employees hired to work 20+ hrs. per week * Retirement Savings and Pension Plans * Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts * Loan Forgiveness Programs for eligible employees * College tuition discounts and professional development opportunities * College Savings Program * Union Benefits for eligible titles * Multiple employee discounts programs * Commuter Benefits Programs

Key Objective: Responsible for leading a team of billing specialists in our Philadelphia office and assist in the oversight of our offshore processes to ensure timely and efficient collection of U.S. Producer Billed insurance premium and providing best in class customer service. Responsibilities: Manages the collection lifecycle to ensure receivables are collected within established timeframes, and all escalation procedures are followed by specialists. Assist in redesign of team alignment and work assignment for onshore and offshore teams. Establish productivity metrics for all team members and performance reporting. Identify opportunities for redesign and automation of processes to reduce manual work effort and increase capacity within the team. Develop and implement training and development plans for onshore staff to ensure understanding of all billing systems and workflow tools. Act as a liaison to top broker contacts and relationship managers to identify any billing related issues and work to improve our broker partnerships. Ensure that internal and external customer emails are responded to within established timeframes and that responses are accurate. Work with IT on business requirements for new products or systems and participate in testing to identify any impact on billing. Conduct weekly meetings with offshore managers to review productivity reports, identify and analyze trends, identify training needs, and provide training solutions. Conduct periodic meetings with offshore team to review trends in quality control analysis and help answer any questions. Provide leadership and direction to onshore and offshore teams . Ensure staff understands, accepts, and supports their role in achieving CSSC goals. Function as a liaison between our offshore team and CHUBB business leaders. Provide support, direction, and answer questions or concerns from our business leaders. Conduct meetings with our business partners to address receivables trending, escalate issues to resolution or enhance processes and procedures. Travel to India, if necessary. Bachelor's degree in Finance, Accounting, or equivalent work experience. Prior supervisory experience in a financial services company is preferred. Excellent verbal and written communication skills with a demonstrated ability to effectively communicate and influence people at all levels of the organization. Demonstrated ability to effectively manage multiple tasks and diverse work priorities. Superior organizational skills Capable of analyzing financials and using findings to improve results. Energetic and easily adaptable to change. Understanding of insurance principles, underwriting functions, and processing workflow is highly desired