Operations Manager (Quality of Care/Immediate Advocacy) - Remote

Description

Operations Manager - Remote

• Are you an experienced Operations Manager looking for a new challenge?
• Do you value care management and quality improvement?
• Are you motivated, energetic, and excited to become part of the Kepro team?

If so, you might be our next new team member!

Who We Need

The Operations Manager is responsible for the day-to-day management and oversight of review operations, including developing and enforcing operational policies and procedures, managing staff, monitoring and managing to SLAs, correspondence between stakeholders and KEPRO, and operational status reporting to Kepro leadership.

Why us?

Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.

People Focused. Mission Driven.

Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise.

We do this through our people.

At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career.

Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more.

What You'll Do

• Oversee the daily operations and carries the authority to make decisions.
• Assures timely completion of all review related contract deliverables.
• Functions as contract/provider liaison and contact/resource person for customer service issues and problem resolutions.
• Foster and maintain strong communications links with internal and external customers.
• Provide oversight for Supervisors and Lead workers.
• Conduct ongoing activities to ensure the contract and staff meets deliverables.
• Participate in continuous quality improvement efforts.
• Participate in hiring and training activities for new staff.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

What You'll Need

Required Qualifications

• Bachelor's degree from an accredited college or university, or an Associate degree, an additional two (2) years of relevant experience (for a total of five (5) years), or four (4) additional years of relevant experience will be accepted (for a total of seven (7) years).

Knowledge, Skills, Abilities

• Customer-focused, results-oriented and capable of building and maintaining relationships with internal and external customers.
• Knowledge of CQI tools preferred.
• Organizational skills, ability to plan and prioritize multiple assignments essential.
• Computer proficiency in Microsoft Office applications and other software programs preferred.
• Ability to work within KEPRO's decision-making and organizational structure.
• Skill in examining and re-examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Knowledge of U.S. healthcare industry, preferably with experience in both public and private sector.
• Knowledge of Federal statutes, legislative initiatives and regulations, as well as CMS policies that may impact appeal operations.
• Demonstrated understanding and appreciation of management concepts and practices, including: performance measurements, quality initiatives, coaching and mentoring, career path development, staff development, diverse learning styles, and the unique demands of frontline staff.

Experience

• 5 years of clinical experience required.
• 3 years of utilization review experience required.
• Previous workload management experience preferred.

Thank You!

We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Kepro and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Kepro Talent Acquisition Team

Mental And Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

EOE AA M/F/Vet/Disability

Kepro is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.