Description
We are seeking a Quality Team Lead to oversee a team of Quality staff, including organization and development of high-performing teams. The successful candidate will work closely with functional area managers to ensure consistency in monitoring and reporting activities, manage performance and resources for monitoring needs, and build and maintain a solid team through selecting, training, coaching, and developing staff.
Responsibilities:
- Oversight of Quality staff, including organization and development of high-performing teams
- Collaborate with functional area managers to ensure consistency in monitoring and reporting activities
- Manage performance and resources for monitoring needs
- Build and maintain a solid team through selecting, training, coaching, and developing staff
- Validate effectiveness of the team through scorecards and monitoring
- Facilitate and present at meetings within the Appeals team
- Mentor the team regarding processes, problem resolution, and critical thinking
- May act as a liaison with other key business areas
- May assist in development and facilitating new training
- Participate in the hiring process of staff
- Create a positive work space by recognizing team contributions, soliciting input, and assisting as needed
Requirements:
- 5+ years Medicare Appeals background
- Microsoft Office experience
- Knowledge of Appeals job aids/workflows
- Strong Communication skills - ability to provide and receive feedback
- Excellent time management skills
- Requires working knowledge of regulatory and accreditation requirements, benefit plan and/or contractual arrangements
Preferred Qualifications:
- 2+ years Quality experience
- QuickBase experience
- Training or leadership/management experience
- Knowledge of CMS guidance
Education:
- High school diploma, Associate degree preferred
Salary: $46,988.00 - $102,000.00 per year