Exception Manager

This position is responsible for developing consistent, scalable business processes that reduce transaction costs, improve quality, enhance productivity and drive excellent internal and external customer service.

This role...

• Drives efficient flow of work throughput, with emphasis on cost improvement, cycle time (service) and production time reduction.

• Provides in-service training on how to use NET service effectively.

• Provides outreach regarding members, transportation, education and other subjects as needed to medical facilities.

• Provides guidance support for all exceptions process related questions.

• Provides guidance on the research and resolution to work that requires further actions.

• Manages the denial and appeal process within the department.

• Manages the department's phone activity (inbound and outbound) for quality and efficiency.

• Provides guidance on utilization investigations.

• May lead projects and perform other duties as assigned.

• Occasional business travel may be required.

• Determines appropriate resourcing of staff in order to achieve goals and objectives.

• Defines annual Key Performance Indicators aligned with corporate goals.

• Manages and mentors employees on performance gaps, career development opportunities, and strategies.

• Manages and coaches employees on all human resource related processes including onboarding, performance management, succession planning, employee relations, selection, terminations, compensation and rewards.

• Recognizes others’ contributions and share credit for success.

• Owns attainment of high employee satisfaction and retention; lead development of program and initiatives within group to attain high employee satisfaction.

• Prepares and manages budget as assigned; analyzes variances and initiates corrective actions to maximize operational performance.

We are excited to speak to individuals with the following...

• Bachelor's Degree required.

• Six (6) plus years experience.

• Two (2) plus years leadership responsibility.

• Or equivalent combination of education and/or experience.

• Excellent customer service and people skills.

• Ability to work independently or with a team.

• Ability to quickly learn new technology and processes.

• Ability to understand and follow complex instructions.

• Ability to read, write, and understand English fluently.

• Demonstrated ability to lead and positively influence a team.

• Ability to deliver clear, effective, and engaging oral presentations to a public audience.

• Proficient in Microsoft Suite products such as Word, Excel, PowerPoint, and Outlook.

• Excellent problem-solving skills; must be able to develop and implement action plans to address issues.

Pay: $52,900 - $71,400 annual

This role is bonus eligible based on individual and company performance