Take on an important leadership role within an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
As a key leader within our Medicare Advantage team, you will be responsible for assisting with the day-to-day management of the UM department and coordinators. This will involve coordinating staff schedules to efficiently handle incoming referrals and phone call volume. You will develop workflows, desktop procedures, forms, training materials, and protocols for achieving team objectives and key performance indicators. You will hire and train non-clinical coordinator staff as well as manage and monitor their production and quality performance. This position involves researching and resolving simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and take disciplinary action as necessary.
Salary Range: $68,800 - $141,000/Annually
Qualifications
We’re seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with:
High school diploma, GED or equivalent required
Two or more years of experience managing staff in a healthcare environment
Two or more years of managed care or health plan experience preferred
Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior authorizations desired
Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus
Excellent critical thinking, organizational, and problem-resolution skills required
Ability to work effectively across functional areas of the company.
Computer proficiency with Microsoft Excel and Word
Ability to multi-task and work with frequent interruptions
Strong communication skills
Ability to work well with ambiguity and stressful situations
Ability to maintain confidentiality of patient and business records
UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California. We’re also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles’ trusted provider of exceptional, compassionate patient care. If you’re looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.
