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Operations Coordinator I
Kapolei, HI
Job Description
- Coordinate and monitor daily workload of MM operations staff to ensure all applicable performance standards/expectations are met. Act as primary point of contact and back up for certain tasks as assigned.
- Evaluate and document the accuracy of various work processes through monitoring/audits. Identify training needs and report to management. Develop, document, and communicate workable, positive solutions, processes, and/or workflows taking into account regulatory, accreditation, service level agreements and the "whole" company perspective.
- Handle non-routine inquiries/requests and write/audit provider and member letters.
- Coordinate and/or conduct department and inter-departmental activities related to
claim recoupment and replacement for cost savings/cost avoidance. Ensure that MM
systems are updated accurately and timely and review relevant reports. - Provide accurate and timely information to MM operations staff on new and updated processes/procedures/workflows. Document and disseminate materials to staff.
- Other duties as assigned.
#LI-Hybrid
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
Open
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