Role

PROVIDER SERVICES SUPERVISOR - E2E (IC)

Level

Supervisor (Blended/Hybrid Role)

Reporting Line

Provider Services Assistant Manager

Customer Type

Maxicare Providers and Members

Position Accountability Statement

The Supervisor plays a critical role in ensuring the smooth functioning of the overall Inpatient Team and has a direct impact on the efficiency of the overall Inpatient Team's processes. This will improve service delivery, uphold the quality and reliability of our services for Maxicare members, and support our Partner Providers.

Responsibility Highlights

• Minimal to zero supervision to review, evaluate, and process Letters of Authorization (LOA) following established procedures and professionally explain coverage and non-coverage details during Member's Availment Guide (MAG) discussion with admitted members.
• Analyze escalations and address concerns related ...