Out of Network Mandate Supervisor

Job Summary

Overseeing the Out of Network Mandate program, the full-time Out of Network Mandate Supervisor will manage a business team to ensure compliance with State and Federal payment rules, while providing training and support to staff in a remote environment.

Key responsibilities:

• Supervises and coordinates the work of the business team to meet quality and productivity goals
• Provides guidance and training to team members, enhancing their performance and skills
• Monitors key performance indicators and prepares budget reports to ensure administrative cost objectives are met

Required qualifications:

• High School Diploma/GED required; Bachelor's degree preferred or relevant experience in lieu of degree
• Minimum of three to five years of experience in a professional business environment, with supervisory experience preferred
• Experience in the health insurance industry and medical claims processing is preferred
• Extensive knowledge of computers and software relevant to the business
• Ability to lead diversified tasks and demonstrate technical competence on systems used