Unit Mgr Clinical Ops - NMCC

Full Time
Albuquerque, NM
Posted
Job description

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

Job Summary

This position is responsible for supervising staff involved in a variety of medical management operations. Responsible for hiring, training, performance reviews, pay administration, change management and ensuring staff meet/exceeds goals and initiatives. Implement processes, procedures and initiatives and monitor results, ensure delivery of effective customer service, ensure department is meeting government contracts, and work across the organization in delivery of services to the customer. Ability and willingness to travel including overnight stays.

**This is a work from home position located in New Mexico**

**You must live in New Mexico for this role**

JOB REQUIREMENTS:

  • Bachelor degree

  • 3 years of experience in one or more of these fields: managed care operations, case management, customer quality of care, public or government health sponsored programs

  • Leadership experience and skills

  • Knowledge of medical terminology and procedures

  • Knowledge of accrediting body requirements (i.e. NCQA, EQRO)

  • Verbal, written and interpersonal communication skills

  • Analytical skills and sound judgment.

  • PC proficiency to include Microsoft suite of applications

  • Ability and willingness to travel including overnight stays

JOB PREFERENCES

  • Knowledge of/ experience with managing Medicare benefits / programs i.e. traditional Medicare, dual eligible populations

  • 1 year supervisory/management experience

  • Experience in program development and driving results of managed care or related program(s)

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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