Job Details

ID #52552263
Estado Carolina del Norte
Ciudad Raleigh / durham / CH
Full-time
Salario USD TBD TBD
Fuente Evolent Health
Showed 2024-09-20
Fecha 2024-09-21
Fecha tope 2024-11-19
Categoría Etcétera
Crear un currículum vítae
Aplica ya

Supervisor, Provider Services

Carolina del Norte, Raleigh / durham / CH, 27601 Raleigh / durham / CH USA
Aplica ya

Your Future Evolves HereEvolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.Join Evolent for the mission. Stay for the culture.What You’ll Be Doing:Evolent is looking for a Supervisor, Provider Services to play a pivotal role in leading our contact center team, ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential in upholding Evolent’s commitment to excellence in service delivery, optimizing processes, and supporting our mission to enhance the quality of care while reducing costs. The ideal candidate will bring strong leadership skills, a background in contact center management, and a passion for improving healthcare outcomes.Collaboration Opportunities:

Supervisor’s work directly with our Provider Service Associate team to assist with providing support to health plan members, providers and/or their representatives.

What You Will Be Doing:

Supervise, mentor, and develop a team of contact center representatives.

Conduct regular performance evaluations, provide constructive feedback, and address performance issues to maintain a motivated and high-performing team.

Oversee training and development programs to ensure staff are equipped with the knowledge and skills needed to excel in their roles.

Monitor daily contact center operations to ensure adherence to service levels and quality standards, in line with Evolent Health’s commitment to operational excellence.

Implement and manage processes that enhance efficiency and effectiveness in handling prior authorization requests.

Analyze call metrics and other performance indicators to identify trends, areas for improvement, and implement necessary corrective actions.

Ensure that representatives provide exceptional service to providers, members, and clients.

Manage escalated issues and complex cases, providing timely and effective resolutions to maintain high client satisfaction.

Collaborate with other departments to identify and implement improvements in the prior authorization process, contributing to our mission of delivering better care and reducing costs.

Develop and enforce procedures that enhance the accuracy and speed of the authorization process, driving continuous improvement in line with Evolent Health’s strategic goals.

Prepare and present regular reports on team performance, service metrics, and operational issues to senior management, providing insights that support our mission of operational excellence.

Utilize data and feedback to drive initiatives that optimize contact center performance and align with Evolent Health’s objectives.

What You’ll Bring:

Associate degree or higher in Business Administration, Healthcare Management, or related field preferred.

Minimum of 3-5 years of experience in a contact center environment, with at least 2 years in a supervisory role.

Experience in healthcare, insurance, or prior authorization services is highly desirable.

Strong leadership and team management skills.

Excellent communication and interpersonal abilities.

Proficient in contact center software and CRM systems.

Strong analytical and problem-solving skills.

Ability to handle high-pressure situations and maintain a positive attitude.

Ability to work flexible hours if needed to meet operational demands.

Commitment to maintaining confidentiality and adhering to healthcare compliance regulations.

Technical Requirements:We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [email protected] for further assistance.The expected base salary/wage range for this position is $50k. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!For more insights about Evolent Health, click on Life At Evolent (https://www.evolent.com/) to learn more!

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