ECM Supervisor

Serene Health; San Diego (CA); On-site; USD 40,000 - 45,000; Full time

Benefits offered by this job

Medical, Dental, & Vision

401(K)

Paid Vacation and Sick Leave

Paid Holidays

Employee Referral Program

Job summary

Optima Medical Management Group seeks a capable LCM Supervisor to streamline department operations and uphold quality standards. You will perform clerical and administrative tasks while guiding staff to deliver excellent member care.

The role requires coordinating with the Site Manager, auditing quality, and supporting onboarding and training initiatives to drive performance and satisfaction across health plan partners.

Qualifications

• High school diploma or GED required.
• Bachelor's degree preferred.
• Minimum two years of supervisory or management experience in a health care setting, including employee reviews and coaching.

Responsibilities

• Oversee daily workflow of the department.
• Provide and deliver timely performance evaluations.
• Audit LCMs to ensure quality and contract standards.
• Develop and implement corrective and quality improvement plans.
• Identify staff training needs and coordinate with Site Manager.
• Ensure members have timely access to care and resolve issues efficiently.
• Troubleshoot technical issues and escalate systemic matters as needed.
• Attend health plan training, webinars, and internal meetings.
• Assist with onboarding new hires and coordinate with HR.
• Prepare meetings and provide administrative support.
• Communicate effectively with offices, districts, and health system partners.
• Assist in completing reports requested by Site Manager.

Skills

Communication skills

Interpersonal skills

Organizational skills

Independent work

Problem solving

Confidentiality

Microsoft Office

Education

High school diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office

Job description

Empowering Wellness, Transforming Lives

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.

Empowering Wellness, Transforming Lives

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.

As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.

Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.

A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

Job Summary

The LCM Supervisor facilitates the efficient operation of the assigned department by performing a variety of clerical and administrative tasks.

Supervisory Responsibilities

• Oversees the daily workflow of the department.
• Provide constructive and timely performance evaluations.

Duties/Responsibilities

• Conduct audits of each LCM to ensure quality assurance is met according to contract standards.
• Assists with the development and implementation of corrective and quality improvement plans that contain content and strategies to address identified problem areas.
• Identify the training needs of staff and communicate with the Site Manager to ensure proper training is provided.
• Ensure members have an amazing experience including timely access to the care they need (appointments, visits, messages, and calls) and resolving their issues quickly, with minimal waste and friction.
• Engage with the team to troubleshoot any technical issues, local problems, or escalating systemic matters to your manager or central teams.
• Attend health plan training, webinars, internal meetings, continuing education.
• Assist with onboarding new hires in coordination with Human Resources.
• Manage meeting preparation, and other administrative support.
• Manage communication, with context, between the offices and other districts and health system partnerships.
• Aide in the completion of reports requested by the Site Manager.
• Performs other duties as assigned.

Education and Experience

• High school diploma or GED required. Bachelor's degree preferred.
• Minimum two years working in a professional Health Care environment as a supervisor or manager to include employee reviews, performance management, timekeeping, and coaching.
• Prior experience in health care, case management, or Q&A preferred.
• A valid Driver's License, reliable daily vehicle and active CA auto insurance are required.

Required Skills/Abilities

• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Proficient in Microsoft Office Suite or related software.
• Excellent organizational skills and attention to detail.
• Ability to work independently.
• Ability to problem-solve and maintain confidential information.

Physical Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Must successfully complete and maintain current Tuberculosis (TB) testing and clearance in accordance with company policy and applicable local/state health regulations as a condition of employment.
• Must be able to lift up to 10 pounds at times.

Pay range: $29 USD - $32.50 USD

Benefits

• Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
• Short & Long-Term Disability Benefits: Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support when life throws challenges your way.
• 401(K): Building your financial future with us. Effective after 1 year of employment.
• Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
• Paid Holidays: Quality time to enjoy celebrations.
• Employee Referral Program: Share the opportunities and reap the rewards.
• Company Discount Program: Enjoy savings on everyday expenses and memberships.

Equal Employment Opportunity

Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.

Pre-Employment

Optima Medical Management Group is a drug‑free workplace. Employment is contingent upon a successful pre‑employment drug screening and background check.