Supervisor-Government Programs Outreach- Medicare

Now hiring a Supervisor-Government Programs Outreach- Medicare!

Presbyterian is seeking a Supervisor-Government Programs Outreach- Medicare to manages outreach team by objectively measuring contact performance, diagnosing problems, assessing solutions, and creating improvement plans. Develops and maintains a coaching model used to track employees development and performance (quality, production, attendance, etc.) and gives feedback accordingly. Monitors program performance statistics and works closely with the Manager to apply them in managing staff performance. Is available to the staff to answer questions, take escalated calls, and monitor performance measures. Provides support for customer acquisition, education, and retention initiatives. Motivates and encourages representatives through positive communication and feedback. Interviews and supports the hiring process for work unit staff. Assesses member and prospective member contact venues to ensure safety and feasibility. Serves as the lead for development and implementation of customer and staff education materials. Responsible for intake, tracking and coordinating requests from governmental agencies (such as CMS,HSD,MAD) and key community advocates for information or research and directs such inquiries to the appropriate operational area or staff for responses. Monitors process to ensure that internal responses are accurate, complete, and timely. Oversees compliance with all policies and regulatory and contractual requirements.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

Full Time - Exempt: Yes
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
• Remote: Open to remote applicants in the United States, except for the following states: Wyoming, North Dakota, and Ohio

Preferred Qualifications:

Bachelor's degree + 5 years expereince

• Bachelors degree required or relevant years of experience in lieu of degree.
• New Mexico Department of Insurance Health Insurance License and MOSAA certification required or obtained within 90 days of hire.
• Three to five years experience in the managed care field required. Prefer two years supervisory experience in a customer outreach environment.
• Excellent PC skills: MS Office/Windows, Project, Visio, and other relevant Presbyterian integrated healthcare data management systems.
• Ability to learn other software programs as needed. This position requires expert writing, editing, proofreading, and organizational skills. Bilingual preferred

• Administers performance management for the work unit to achieve positive department and organizational performance results. Conducts routine performance audits to ensure compliance with departmental, organizational, and regulatory policies and procedures. Develops collaborative coaching plans and delivers positive feedback to provide growth opportunities and mentoring to each team member.
  
  
• Conducts community outreach and customer education events, effectively communicating the program attributes, benefits, services available, product changes, and regulatory requirements to a variety of audiences.
  
  
• Develops, implements and maintains departmental policies, procedures, measurement standards and quality assurance standards.
  
  
• Demonstrates and transfers product and process knowledge to the outreach staff with a focus on continuous learning. Anticipates and addresses staff needs through development of job aids, training material and instructions for work unit.
  
  
• Serves as lead for the development and research process of member education material production. Facilitates team feedback for creation of education materials. Responsible for timely and accurate drafting of communications, reports, and PowerPoint presentations including writing, editing, analyzing and interpreting pertinent data, and preparing charts/graphs. Ensures written member materials are compliant with regulatory requirements.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.