Dec 13, 2019

Sr Manager Operations - Digital Implementation & Adoption

  • Professional Diversity Network
  • Tampa, FL, USA
Full-Time Management

Job Description

WellCare Health Plans

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and local communities in which they live while helping them lead better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us in a career that inspires passion and purpose across all levels and disciplines within our award-winning organization.

Position plans and directs activities for the business function (or multiple functions) within Operations, including internal and/or external. Process improvement and project management are key aspects of this position. Assignments are broad in nature, usually requiring considerable creativity, originality and ingenuity.

Reports To: Director, Customer Service

Department: Operations, Provider Communication

Location: Tampa, FL

Essential Functions:

  • Develops and directs the implementation of strategies to substantially improve efficiencies and service provided while reducing costs.
  • Facilitates the development and implementation of goals and performance standards.
  • Manages processes and projects that are aligned directly to operational goals and budgets.
  • Works closely with the appropriate parties to implement high level quality and performance management initiatives.
  • Manages and develops direct reports who include other management or supervisory personnel and/or exempt individual contributors.
  • Plans, conducts and directs work on complex projects/programs necessitating the origination and application of new and unique approaches.
  • Ensures corporate initiatives are implemented to achieve optimum results.
  • Establishes objectives, schedules, and cost data of business function being managed.
  • Applies a comprehensive knowledge of a particular field of specialization to the completion of assignments.
  • Advises management in long-range planning for areas of specialization.
  • Provides technical direction to functional supervisors, managers and other management.
  • Directs, develops and implements appropriate changes in area(s) policy and procedures under the guidance of the Directors of Operations.
  • Sets integration priorities, develops growth strategies, and manages resources for new business opportunities.
  • Has an understanding of compliance activities and can interpret and apply regulatory requirements to an operating unit
  • Responsible for managing and oversight of training and reference materials including content, work instructions, and tools necessary for associate consumption
  • Serves as primary contact for compliance and audit related activities. Ensure compliance issues are tracked and resolved
  • Manage process improvement initiatives
  • Other Duties As Assigned
Additional Responsibilities:

Candidate Education:

  • Preferred A Bachelor's Degree in business or equivalent directly related to experience
  • Preferred Other MBA or equivalent
Candidate Experience:
  • Required 7 years of experience in a related field based on Operational areas
  • Required 3 years of experience in progressively responsible management
  • Required Other Strong experience in the related area of Operations at management level
  • Preferred Other Compliance, Regulatory and Audit Experience
Candidate Skills:
  • Intermediate Demonstrated leadership skills
  • Intermediate Ability to lead/manage others
  • Intermediate Demonstrated analytical skills
  • Intermediate Demonstrated interpersonal/verbal communication skills
  • Intermediate Ability to communicate and make recommendations to upper management
  • Intermediate Other In-Depth functional knowledge and broad multi-functional knowledge
  • Advanced Other Solid understanding of managed care and its place in the health care industry
  • Advanced Other Strong understanding of interrelationships between Call Center, Health Services, Provider Relations, Sales, Vendors, and Claims and their impact on the success of the health plan as a whole
  • Advanced Other Strong knowledge of modern call center systems and ability to utilize them to their maximum potential
  • Advanced Other Strong knowledge of call center planning and the ability to create and implement a capacity plan that meets goals

About us
Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.



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