What are the responsibilities and job description for the Senior Manager, Service Coordination - QUEST position at HMSA?
Job Summary
Note: Individuals typically begin between the minimum to middle of the pay range
Leads, develops, and directs managers and staff to ensure appropriate performance in outcome results and service delivery.
Minimum Qualifications
- Hybrid Work Environment - Must reside in Hawaii **
Note: Individuals typically begin between the minimum to middle of the pay range
Leads, develops, and directs managers and staff to ensure appropriate performance in outcome results and service delivery.
Minimum Qualifications
- Master's degree and six years of related work experience; or equivalent combination of education and work experience.
- Three years of supervisory or management experience.
- Effective communication skills.
- Basic knowledge of service coordination processes.
- Basic working knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.
- Valid, unrestricted RN, LCSW, LSW, LMHC license issued by the state of Hawaii.
- Reliable transportation to perform in person (Face to Face) meetings or in alternative settings.
- Leadership
- Manages managers in the Integrated Health Management Services (IHMS) Department.
- Mentors and coaches staff, as needed, in order to achieve expected results and/or professional development goals.
- Collaborates with Managers in IHMS to recruit, hire, and maintain staff, while encouraging a culture of engagement, accountability, and innovation.
- Oversees and manages workflows to ensure that services and requests are handled consistently, effectively, and efficiently in order to minimize risks to members and the organization.
- Oversees and manages workflows to assure that contract compliance (QUEST, Medicare, commercial) is maintained related to IHMS.
- Conducts performance reviews and handles any related adjustments to salary or job description.
- Prepares and analyses reports summarizing operational and financial performance of the team.
- Works in collaboration with community partners (i.e., hospitals, physicians, nursing facilities, agencies, etc.) to assure that HMSA members receive services to maintain or improve health.
- Program Management and Strategy
- Works with leadership on strategy development to ensure maximum success for the IHMS department. Presents recommendations and leads discussions with all levels of management including SVP/EVP. Provides thought leadership and ad-hoc strategic advisement to Director. Leads key projects to drive the company's overall strategy for QUEST Integration.
- Structures work plans and project scope to deliver business impact on high priority issues.
- Guides quantitative analysis to drive business decision making by utilizing reports to determine staffing and operational adjustments.
- Supports the Quality Improvement department by assuring compliance with accreditation guidelines.
- Manages relationships with consultants/venders as needed to complete special projects.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
Salary : $86,500 - $179,500
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