Personify Health
We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including: 3-5 years’ experience in a lead or supervisor role is required Associate degree required or LVN/LPN licensure or social work degree Bachelor’s degree preferred Minimum 3 years of experience in medical management services, medical billing, hospital or emergency services or any combination of medical experience is required to meet the needs of job duties Minimum of 2 years of supervising a call center preferred Minimum 1 year of compliance related experience preferred Managed Care experience preferred in UR, CM or DM You also take pride in offering the following Core Skills, Competencies, and Characteristics: Strong written, verbal and presentation communication skills Microsoft Office and other computer skills Flexible and able to prioritize day-to-day position requirements Strategic thinking with proven ability to communicate a vision and drive results Proficient in analysis and interpretation of clinical data Comfortable with multiple accountabilities and matrix management Proven record of strong relationships and collaborating with diverse teams Demonstrated ability to work independently with excellent judgment Strong interpersonal skills necessary to effectively communicate with medical personnel and members Analytical and problem-solving skills necessary to identify and review pertinent information The ability to incorporate analytical data into new or existing clinical programs to enhance quality of care Ability to maintain a very high level of confidentiality Able to successfully manage competing priorities Experience in the Utilization Review and Case Management Intake Process Knowledgeable of the Federal, State and ERISA regulations
Responsible for the overall intake and administrative duties of the Care Management Team. Supervise daily activity of Case Management intake team personnel including participating in interviewing, hiring, and training employees; plan, assign, and direct work; appraise performance; rewarding and disciplining employees; addressing complaints and resolving problems. Keep team informed of department updates. Work in conjunction with Directors to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives. Use appropriate judgment in upward communication regarding department or employee concerns. Maintain and improve UR and/or CM team’s operations by monitoring system performance; identify and resolve problems; audit and analyze staff performance; prepare and complete action plans; assist in managing system and process improvement and quality assurance programs as it relates to clinical management and plan language interpretation.
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