Ops Manager/Supervisor - Senior

  • Location
    Metairie, Louisiana
  • Job type
  • Category
    Medical & Science - Administration

Adecco is currently assisting a local client in their search to fill Ops Manager/Supervisor - Senior – Metairie, LA
Apply now if you meet the qualifications listed below!
Job summary:

1. Assist the A&G and Health Plan team with contacting members, providers and internal matrix partner in order to resolve Grievances.
2. Assist the Health Plan Transportation team with resolving member transportation issues.
3. Documenting issues into the Health Plan complaints tracking log located on the HP SharePoint.
4. Assist with the completion of State Monthly Reports.
5. Claims and Clinical documentation research knowledge
6. Able to work with a SharePoint, Healthcare Management Authorization systems, Claims processing systems, and other software applications (CSP Facets, Sales Force, NDB)

Must have qualifications/experience:
1. Knowledge of working in Microsoft Office (Outlook-Email, Word, PowerPoint and Excel)
2. Knowledge of operating a Copier and Fax Machine
3. Claims research and processing knowledge
4. Excellent verbal and written communication skills
5. Working with cross-function team members from Health Plan Operations, Health Services, Appeals & Grievances, Member, Provider Customer Service, Dental, Behavior Health,
Transportation Vendor, Vision, and Compliance.
6. Able to manage multiple projects across multi-functional teams.

• 1-2+ years of experience in healthcare management, marketing or a related field
• 1-2+ years of successful experience in managed care
• 1-2+ years knowledge of current managed care preferably Medicaid and Government Programs
Preferred Qualifications:
• Bachelor's Degree
Shift Start/End Time: 8:30 a.m. – 5 p.m. (Mon. -Fri.)

Dress Code: Business Attire

What type of education will this candidate need - Degree preferred
Is this person part of a team – yes, Health Plan Operations Team
What software skills are needed - (Outlook-Email, Word, PowerPoint and Excel
Will you be interviewing (face to face or phone) yes
Please confirm the worksite location – Metairie, LA (May have opportunity to work from home 1 -2 days a week) IMPORTANT: This position is being recruited for by Adecco’s National Recruitment Center, not your local Adecco Branch Office. To be considered for this position, you must use the “apply now” button to submit your resume. If you have questions about the position, you may contact the recruiter recruiting for this position listed above. For other opportunities available at Adecco go to www.adeccousa.com.

If you have any questions surrounding the application process, please feel free to reach out to Yulia Le Good, Yulia.legood@adeccona.com, tel. 631-844-2804

The Adecco Group is a global leader in HR services. Our group connects over 700,000 associates with our business clients each day through our 6,600 offices in over 70 countries and territories around the world. We offer employment opportunities at any stage in your professional career. Contact us today to discuss available contract and direct hire positions. Adecco Group provides one of the most comprehensive benefits packages in the industry to contract workers to include Holiday, 401(k) and Insurance Benefit Plans.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled

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Reference number US_EN_2_022862_399285