Mgr Network Ops

Company Name:
ValueOptions, Inc., a Beacon Health Options company
ValueOptions, Inc., a Beacon Health Options company
ValueOptions is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.
Position Location: NJ - Mt. Laurel, NJ - Newark
AAP Reporting Location: NJ - Roseland
ID: 32928
Job Family: Network Contracting and Provider Relations
FTE Status: Full time
Scheduled Weekly Work Hrs: 40
Workday Schedule: Weekdays Only
Workday Start Time: 8am
Workday End Time: 5pm
Variable Work Schedule:
We are currently seeking a dynamic Manager, Network Operations to join our team at our office in Newark or Mt Laurel, NJ. The Manager, Network Operations will be responsible for leading a team of credentialing specialists, providing day to day supervision, guidance and support. The incumbant is responsible for the distribution of work/projects amongst the staff and for monitoring all work/projects to ensure that all internal and external timeframes are met or exceeded. The Manager will be the primary contact for the client (Horizon) in this area.
Position Responsibilities:
1. Responsible for understanding and communicating client performance guarantees and internal standards to staff.
2. Monitor workloads on daily basis to ensure assignments are appropriately aligned with goals
3. Develop and implement action plans for improvement where necessary. Evaluate and control workflow within the team.
4. Work with Training to develop training programs to address specific individual and team needs to enhance skills.
5. Continually assess the processes looking for improvements in streamlined workflows or system enhancements and implement any that show an ROI.
6. Participate in client implementations and other special projects as assigned.
7. Contribute to a team environment by maintaining good interpersonal skills related to peers and management and demonstrate flexibility and support in meeting departmental goals.
8. Monitor TAT, receipts, and follow through of all Functions.
Provide staff support including:
1. Mentoring/coaching
2. Performance Monitoring
3. Performance Appraisals
4. Time sheets and leave requests
5. Ensure that the staff receives training and remedial training as needed for all job functions associated with their positions
6. Uphold and enforce all HR policies
7. Ensure that the work environment is safe, comfortable and productive
8. Ensure that Management policies are communicated, understood and upheld
9. Provide Technical support
1. Perform other job related duties as dictated by business needs.
Position Requirements:
Education : An Associate's Degree is required, Bachelor's degree preferred
Licensure : none required
Relevant Work Experience: Minimum of four years' experience in health care/health insurance, in a provider and business analysis setting is required.
Strong computer skills with knowledge of Excel, Word, Access, Powerpoint and Intranet applications is preferred

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