Care Management Intake Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee daily Intake operations, which includes scheduling, workload allocation, and adherence to workflow protocols.

• Provide coaching, feedback, performance evaluations, and implement corrective or disciplinary measures.

• Engage in the recruitment, onboarding, and training processes for new Intake personnel.

• Administer corrective action procedures for performance-related concerns.

• Assess staff work for completeness, accuracy, and compliance with standards.

• Detect operational and performance challenges that need leadership attention and escalate them with appropriate context and recommendations.

• Develop and implement policies, procedures, and standard operating procedures (SOPs).

• Maintain staff engagement through continuous communication and educational initiatives.

• Ensure that documentation and timelines comply with URAC and NCQA standards for audit preparedness.

• Adhere to HIPAA regulations, confidentiality, and minimum necessary access protocols.

• Perform quality assurance audits and conduct performance evaluations.

• Act as the subject matter expert for non-clinical intake operations, documentation standards, and compliance requirements.

⛳️ Requirements

• An associate degree is mandatory.

• 1-2 years of experience in a supervisory or team lead role is required.

• A year of call center experience is preferred.

• Experience in TPA, health plans, medical management services, medical billing, hospital, or emergency services is beneficial.

• Familiarity with managed care, utilization review (UR), case management (CM), or disease management (DM) is preferred.

• Strong proficiency in Microsoft Word, Excel, and Outlook is necessary.

• A working understanding of medical claims processing and coding systems, including ICD-10, CPT, and HCPCS, is required.

• Experience with Teams, SharePoint, VPN, UM Web or Health Notes, El Dorado, Quick Links, GIAS, ADP, Confluence, headset-equipped phone systems, and Smartsheet is advantageous.

• Proficiency in Airtable and Power BI, along with experience in creating data-driven reports, dashboards, and workflows, is a plus.

• Knowledge of NCQA and URAC standards is essential.

• Familiarity with medical terminology and claims processes is important.

🏝️ Benefits

• Competitive base salary and benefits starting on day one.

• Comprehensive medical and dental coverage through our own health solutions.

• Unlimited paid time off (PTO).

• Mental health support services.

• Retirement planning assistance.

• Financial protection options.

• Opportunities for professional development with clear career advancement paths and learning budgets.

• A mission-driven culture that values diverse perspectives and creates a meaningful impact.

• Various wellness programs.

• Additional employee perks.