Care Advocate Supervisor

prominence health

Mcallen, TX

JOB DETAILS
SKILLS
Acute Care, Ambulatory Care, Behavioral Health, Brokerage, Budgeting, Call Center Management, Coaching, Communication Skills, Compensation and Benefits, Computer Systems, Corrective Action, Cost Control, Customer Support/Service, Data Analysis, English Language, Establish Priorities, Federal Laws and Regulations, Health Insurance, Health Maintenance Organization (HMO), Health Plan, Health Plan Membership, Healthcare, Healthcare Management, Hospital, Insurance, Medicare, Microsoft Office, Microsoft Outlook, Organizational Skills, Outpatient Care, Performance Reviews, Prescription Drugs, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Product Planning, Quality Management, Service Delivery, State Laws and Regulations, Statistics, Student Loans, Trend Analysis, Writing Skills
LOCATION
Mcallen, TX
POSTED
1 day ago

Job DescriptionProminence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 3, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 4. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.Learn more at:Job SummaryThe is responsible for first level of response and provide resolution to escalated issues to ensure high level customer service. This will be dedicated to the delivery of benefits and services provided to Health Plan members, Potential New Members, employer groups, brokers, insurance carriers, providers, and their office staff.As we expand our footprint in Nevada, Florida and Texas, we're looking for an organized, self-starter individual who understands how to navigate a shifting software stack, complex subject matter and a team working on-premises and remotely. Compassion and passion to help others is needed for this position.Supervisors are responsible to manage and be accountable for a group of Care Advocates by setting priorities for the team to ensure tasks are completed and the team is performing accordingly by providing coaching, feedback, and annual performance reviews as well as formal corrective action.Benefit HighlightsLoan Forgiveness ProgramChallenging and rewarding work environmentCompetitive Compensation & Generous Paid Time OffExcellent Medical, Dental, Vision and Prescription Drug Plans(K) with company match and discounted stock planSoFi Student Loan Refinancing ProgramCareer development opportunities within UHS and its + Subsidiaries! More information is available on our Benefits Guest Website: benefits.uhsguest.comAbout Universal Health ServicesOne of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.Qualifications and RequirementsAt least two years of healthcare management experience including increasing levels of responsibility preferred.At least two years' experience working with health plans insurance products or employer healthcare benefits programs preferred.At least two years of experience in customer service with proven ability to de-escalate situations and provide resolution to customer issues preferred.Associate's degree or equivalent experience.Knowledge of State and Federal regulations as they pertain to the health insurance industry.Previous call center management experience preferred.Previous experience reviewing and analyzing statistical data to identify trends as well as potential problems/opportunities for improved service quality.Excellent verbal and written communication skills as well as public speaking and training abilities and experience.Ability to effectively communicate in English, both verbally and in writing.Knowledge of various computer systems including all Microsoft Office systems, Outlook, and budgetary, time and attendance type software systems.Strong processes improvement skills necessary to get things doneKnows how to organize people and activitiesUnderstands how to separate and combine tasks into efficient work flowKnows what to measure and how to measure itCan see opportunities for synergy and integration where others can'tCan simplify complex processesGets more out of few resources#J-18808-Ljbffr

About the Company

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prominence health