Supervisor Clinical Operations

Enterprise HCM; Chicago (IL); Remote; USD 54,000 - 122,000; Full time

Job summary

A health insurance firm is seeking a supervisor to join their team. In this remote role, you will manage staff who educate members on health care programs and support clinical activities. The ideal candidate will have a background in managed care or health insurance, with strong leadership and project management skills. Competitive compensation offered based on experience and location.

Qualifications

• Bachelor's degree and 3 years managed care/health insurance experience OR 7 years managed care/health insurance experience.
• Experience coordinating member medical related needs and providing assistance.
• Strong analytical skills to prepare reports.

Responsibilities

• Supervise staff contacting members about health care programs.
• Engage members in health plan conversations and inquiries.
• Support clinicians in medical management activities.

Skills

Leadership skills to train and motivate staff

Project management skills

Knowledge of medical terminology

Verbal and written communications skills

Analytical skills

Education

Bachelor degree in relevant field or equivalent experience

Tools

Microsoft Office applications

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for supervising staff accountable for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities. Responsible for implementing strategies and initiatives and ensuring staff meets/exceeds goals and standards.

Required Job Qualifications:

• Bachelor degree and 3 years managed care/health insurance experience OR 7 years managed care/health insurance experience.
• Leadership skills to train and motivate staff.
• Project management skills to develop project plans, implement plans, work across teams, and ensure completion of projects.
• Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs.
• Knowledge of medical terminology.
• PC proficiency including Microsoft Office applications.
• Verbal and written communications skills.
• Analytical skills and skills to prepare reports.

Preferred Job Qualifications:

• Supervisory experience.
• Clinical experience.
• Knowledge of reports and analyzing data.

This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

Compensation: $54,800.00 - $121,100.00. Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please visit https://careers.hcsc.com/totalrewards