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Hours Full-time, Part-time
Location Albuquerque, NM
Albuquerque, New Mexico

About this job

Up for the challenge of a lifetime? Join and lead a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of our millions of customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our health care system. Ready? It's time to do your life's best work.SM


 


In this role, you will supervise and motivate a work team to achieve team objectives, including meeting the company's standards of production and quality while maintaining applicable turnaround times and standards. You will lead by example with a positive attitude and demonstrate the fundamentals of being a team player.


 


What makes your clinical career greater with UnitedHealth Group? You'll work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.


 


Primary Responsibilities:



  • Ensure a timely acknowledgement and response to all authorization documents received providing appropriate feedback to address processing issues

  • Administer the process for handling authorizations received from non-participating providers

  • Respond to provider inquiries that have been received by the escalation and case resolution department in a timely manner

  • Communicate with provider and/or office staff, various health plans administered and/or other employees to research and verify information provided on authorization documents when appropriate using a professional, courteous and cheerful manner

  • Supervise the process for accurate additions of new patients to the patient database

  • Facilitate team staff meetings in order to review and implement processes that allow for smooth and efficient operations

  • Review with management individualized reports reflecting daily production and quality in order to accurately measure and monitor predetermined company, position and individual goals

  • Work together with all staff members, as well as other departments, to resolve issues and assist each other

  • Demonstrated leadership/management skills

  • Strong interpersonal communication skills

  • Organizational skills

  • Demonstrated ability to adapt to change

Requirements

Required Qualifications:



  • High School Diploma/GED

  • 2+ years of Supervisory experience

  • 5+ years of Customer Service experience

  • Intermediate (or higher) level of proficiency with Microsoft Office

 


Preferred Qualifications:



  • Associate's or Bachelor's Degree

  • Managed Care experience in a Care Coordination role

  • Call Center experience

  • Previous experience supervising remote employees

 


Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.SM


 


Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


 


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


 


Job Keywords: supervisor, Albuquerque, New Mexico, Medicaid, clinical, care advocate supervisor