Medical Management Manager
AmeriBen/IEC Group - Meridian, ID

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DESCRIPTION

If you are a Registered Nurse with management experience looking for a challenge beyond the traditional clinical environment, have a strong focus on people development and want to be part of a growing company with a values-based culture, this may be an opportunity for you. You'll have the opportunity to participate in the Company's management team. AmeriBen is a dynamic and entrepreneurial company with a proven history of success. Annual growth has averaged 15% over the past decade and 94% of employees' report they would recommend AmeriBen to others as a great place to work.

Provides leadership and supervision to a growing department whose primary services include utilization management, large case management, disease management, maternity management and wellness coaching. Provide clinical oversight and advice to AmeriBen. Builds processes and develops teams to ensure compassionate service, quality results, and maximum return on investment for our clients.

DUTIES

Key Result Areas
Essential
  • Create efficiencies while delivering accuracy, customer service, and timely turnaround (ACT) by ensuring the right amount of staff, equipment, training, and processes are available.
  • Supervise and mentor medical management department leads and nurses including hiring, firing, performance evaluations, training, work allocations and problem resolution.
  • Provides oversight and support to Compass team.
  • Compiles and prepares educational and marketing materials as necessary.
  • Reviews and evaluates the quality and appropriateness of Compass services.
  • Oversees all operational and administrative processes to ensure Compass Best Practices, compliance with industry standards, licensing and accreditation and certification boards.
  • Oversees the maintenance of Compass records for accuracy and maintenance of patient confidentiality.
  • Revises and/or compiles information for educational and marketing materials as needed.
  • Conducts weekly supervision meetings.
  • Prepares periodic reports on activities as required.
  • Supports revenue growth and provides input in regards to strategizing, pricing, packaging, identifying products/services, promoting, identifying/coordinating with channels of distribution, creating/giving sales presentations, etc.
  • Performs other duties as assigned or needed.
QUALIFICATIONS

Minimum Qualifications
  • Minimum of five years management experience.
  • Must have current RN license and CCM certification, HCQM preferred.
  • Utilization management and/or disease management preferred.
  • Ability to work efficiently, be organized, perform multi-tasking, prioritize tasks and meet tight deadlines.
  • Ability to efficiently and effectively perform the Essential Key Result Areas with or without a reasonable accommodation without posing a direct safety threat to others or self.
Must be willing to Relocate
Salary: Commensurate with experience

Founded in 1958, AmeriBen/IEC Group is a privately held, Boise-based Third Party Administrator (TPA) of medical benefits in the 95th percentile for gross revenue in the United States. Candidates must be able to represent AmeriBen/IEC Group's core purpose in the marketplace, "Changing lives by developing great leaders in family, business, community and the world". In union with our Core Values of Integrity, Initiative, Good Judgment and Teamwork, our "Cores" form the foundation of our culture and act as the compass by which we navigate the road in business.

Key Result Areas
Essential
  • Create efficiencies while delivering accuracy, customer service, and timely turnaround (ACT) by ensuring the right amount of staff, equipment, training, and processes are available.
  • Supervise and mentor medical management department leads and nurses including hiring, firing, performance evaluations, training, work allocations and problem resolution.
  • Provides oversight and support to Compass team.
  • Compiles and prepares educational and marketing materials as necessary.
  • Reviews and evaluates the quality and appropriateness of Compass services.
  • Oversees all operational and administrative processes to ensure Compass Best Practices, compliance with industry standards, licensing and accreditation and certification boards.
  • Oversees the maintenance of Compass records for accuracy and maintenance of patient confidentiality.
  • Revises and/or compiles information for educational and marketing materials as needed.
  • Conducts weekly supervision meetings.
  • Prepares periodic reports on activities as required.
  • Supports revenue growth and provides input in regards to strategizing, pricing, packaging, identifying products/services, promoting, identifying/coordinating with channels of distribution, creating/giving sales presentations, etc.
  • Performs other duties as assigned or needed.

AmeriBen/IEC Group - 22 months ago - save job - block
About this company
Founded in 1964 AmeriBen Solutions is one of the oldest benefit administration organizations in the country. For over 35 years we have...