J177640 Additional Location: Full time JOB SUMMARY ESSENTIAL RESPONSIBILITIES Supervises the daily operations and workforce work distribution to ensure that standards are met for all contracts. Collaborates with other management staff to prioritize and adjust work assignment throughout the day depending on aging and influx of work. Provides oversight direction for the quality control program to ensure that all accuracy standards are met. Ensures that the appropriate sampling is performed, provides employees with routine, timely updates on performance. Provides positive feedback and suggests methods to enhance performance when appropriate. Develops a corrective plan of action, including additional training, if accuracy standards are not met. Works to expedite the resolution of employee issues and technical/systems problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for priority Congressional and Department of Defense inquiries and appeals. Performs administration tasks such as leave approvals and functions as a lead/participant in meetings as the department representative. Works on projects and assists with Government and internal audit as needed. Other duties as assigned or requested. EDUCATION Required High School Diploma/GED Substitutions No Substitutions Preferred None EXPERIENCE Required 1 – 3 years' experience supervising or functioning as a lead/mentor in a fast-paced production environment Experienced at problem solving and motivating employees Knowledge of dental policy and contract standards, requirement, policies and procedures Knowledge of enrollment and billing, claims and/or customer service telephone and written correspondence processes and systems applications Experience utilizing workforce and inventory management tools and reports to ensure contract standards are consistently met Due to Department of Defense (DOD) contract requirements, the incumbent who fills this position must be a US citizen, and must also pass a background check Preferred None LICENSES or CERTIFICATIONS Required None Preferred None SKILLS Strong understanding and able to apply dental policy and operational policies and procedures, preferably Government business Strong interpersonal and personnel management skills Knowledgeable in enrollment and billing, claims, and telephone customer service and written correspondence processes and applications Strong listening, verbal and communication skills; competent to lead meetings and assist with projects Language (Other than English): None Travel Requirement: 0% – 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company?s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee?s responsibility to comply with the company?s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. —————————————————————————————- Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. Orientation/Gender Identity ( Total Rewards Program In addition to competitive pay rates and flexible career growth, we show our employee appreciation through a comprehensive Total Rewards package, including: Medical and prescription drug, dental and vision coverages for your and your eligible dependents Health Saving and Flexible Spending Accounts Life, AD&D and disability insurance Employer-sponsored 401(k) plan Paid time off, including paid holidays Tuition reimbursement Volunteer opportunities Voluntary benefits Employee discounts Wellness Resources and Programs Employees have access to the following wellness programs and resources: 24/7 telephone access to health and wellness coaching to achieve personal goals Access to chronic condition management programs when enrolled in the employer-sponsored medical plan 100% coverage for preventive exams, including flu shots Incentive program that rewards employees Secure bicycle parking at major campuses ABOUT PITTSBURGH VIBRANT PITTSBURGH Career Path » M F 14 14
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