Navitus Health Solutions · 3 hours ago

Supervisor, Technical Operations

United States

Full-time

Remote

Entry, Mid Level

$83K/yr - $101K/yr

2+ years exp

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Responsibilities

Leads a team responsible for monitoring compliance with regulatory requirements

Understands Government Programs Technical Operations, with emphasis on processes assigned to the Supervisor’s team. This includes being the process subject matter expert and performing functions to support Government Programs processes and translating them into documented process steps

As Process Owner, leads the Quality Oversight Meetings to ensure process compliance and reliability for all assigned processes. Is a self-directed leader ensuring appropriate action is taken for process defects, non-compliance, and/or inefficiencies for assigned processes

Ensures technical processes supporting government programs have the appropriate controls, oversight and reporting on the end-to-end process. If process controls are absent, the expectation is to identify, define, and implement new ones as needed

Develops and maintains clear and concise documentation for all assigned processes using proficient Technical Writing skills. Maintains process support documentation that other stakeholders may utilize to understand the complex processes performed by the team

Establishes processes that are scalable and efficient and ensures smooth transition to operational maintenance by the Technical Operations Staff. Identifies key metrics to monitor the compliance and accuracy of the process establishing oversight methods that are operationally efficient and effective. Provide SME assistance when process metrics indicate possible risk to compliance or accuracy and lead any corrective action

Seeks opportunities to initiate and manage projects to improve existing processes delivering enhanced quality and efficiency. Assists in review and analysis of special projects and may lead these projects as necessary

Reviews and develop a working knowledge of all new and existing client plan designs

Other duties as assigned

Qualification

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Computer ScienceHealthcare InsuranceMedicareMedicaidSupervisory ExperienceData ReportingCompliance KnowledgeTechnical WritingProject ManagementStatistical AnalysisBusiness ManagementFinancial RecoveriesCooperative Interaction

Required

B.S. degree in Computer Science, Financial Recoveries, Healthcare Insurance, management, business, statistics or related field or equivalent experience

Knowledge or experience in insurance processes and/or government programs such as Medicare or Medicaid will be an advantage

Participate in, adhere to, and support compliance program objectives

The ability to consistently interact cooperatively and respectfully with other employees