Provider Data Maintenance Team Leader

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Pacific Source is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. Pacific Source values the diversity of our community, including those we hire and serve.

We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Supervise and provide guidance to assigned team members regarding company policies, procedures, and workflow. Set goals and implement strategies to ensure team members are effectively assisting providers with internal processes. Responsible for hiring process of various Operations staff. Demonstrate effective leadership by coaching to improve individual performance and develop teamwork. Evaluate team member performance. Oversee provider data production and quality.

• Maintain broad knowledge of all positions assigned to lead and develop programs to assure ongoing training and coaching to assigned staff.
• Supervise and evaluate data production and quality performance of team members. Conduct and submit performance evaluations on a timely basis.
• Conduct regular 1:1 with assigned staff
• Assist Manager in analyzing and determine staffing, training, and process improvement needs related to department goals.
• Assist manager in assessment, development, and oversight of department budget.
• Responsible for the creation, and evaluation of Operations production and data quality metrics to measure.
• Supervise creation around development and maintenance of Provider Network job aids, policies and procedures.
• Serve as liaison with all Pacific Source departments to coordinate optimal provision of service and information.
• Attend and lead various enterprise work groups related to provider data scalability and quality outcomes. Document and report any pertinent communications back to the manager, team, or department.
• Lead continuous improvement efforts for both enterprise and team processes to ensure department and company outcomes are met.
• Responsible for fostering a positive work environment (virtually and in person), offering constructive feedback and promoting continuous learning and department development goals.
• Work collaboratively with various Pacific Source leadership teams to develop best practices and address issues across various enterprise wide processes.
• Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees.
• Investigate and settle issues with provider data as needed. Relay information for resolution to Manager, Director, appropriate departments, and personnel.
• Responsible for the oversight and compliance of provider data quality related to various regulatory and marketability standards. Including but limited to NCQA, OHA, CMS, WAOIC, etc.

• Meet department and company performance and attendance expectations.
• Follow the Pacific Source privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

Minimum of three years of experience in closely related insurance field or three years' supervisory experience required.

Requires high school diploma or equivalent.