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Clinical Quality Call Center Nurse Manager - Remote
This job is now closed
Job Description
- Req#: 2287889
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $176,700 annually
- Comprehensive benefits package including equity stock purchase and 401k contribution
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Supportive and collaborative work environment
- Chance to make a positive impact on health outcomes and community well-being
What to Expect (Job Responsibilities):
- Supervise and coordinate a team of supervisory leaders, ensuring compliance with regulatory initiatives and performance targets
- Handle escalated calls from members and assist them with inquiries
- Conduct performance reviews and support leadership with presentation development
- Monitor metrics to ensure target goals are met for STAR performance
- Participate in clinical quality improvement initiatives and perform other related duties as assigned
What is Required (Qualifications):
- Undergraduate degree or equivalent experience
- 5+ years of managerial experience, preferably in a healthcare setting
- Extensive knowledge of Medicare Part D, including pharmacy record review and reimbursement rules
- Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements
- Demonstrated general writing skills with attention to detail
How to Stand Out (Preferred Qualifications):
- Master’s degree or equivalent experience
- Experience in Pharmacy Benefit Management (PBM)
- Call center management experience
- Bilingual abilities
#HealthcareServices #ManagementOpportunity #RemoteWork #CareerGrowth #ClinicalQuality
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