Ellet, Ohio
Hillsborough, North Carolina
Cary, North Carolina
Fredericksburg, Virginia
Wausau, Wisconsin
New York, New York
Bethlehem, Pennsylvania
Hershey, Pennsylvania
Smithfield, North Carolina
Posted: 07-Jan-25
Location: Los Angeles, California
Categories:
Internal Number: 145566499
Take on an important leadership role within an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
As a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train non-clinical coordinator staff as well as manage and monitor their production and quality performance. This position involves researching and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and take disciplinary action as necessary.
We’re seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with:
- High school diploma, GED or equivalent required
- Two or more years of experience managing staff in a healthcare environment
- Two or more years of managed care or health plan experience preferred
- Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired
- Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus
- Excellent critical thinking, organizational, and problem-resolution skills required
- Ability to work effectively across functional areas of the company.
- Computer proficiency with Microsoft Excel and Word
- Ability to multi-task and work with frequent interruptions
- Strong communication skills
- Ability to work well with ambiguity and stressful situations
- Ability to maintain confidentiality of patient and business records
UCLA Health is a world-renowned health system with
four award-winning hospitals and more than 260 community clinics throughout
Southern California. We’re also home to the world-class medical research and clinical
education capabilities of the David Geffen School of Medicine. Through the
efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care.
If you’re looking to
experience greater challenge and fulfillment in your career, you can at UCLA
Health.
