Supervisor, Referrals
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
JOB SUMMARY
The Supervisor, Referrals leads a team of referral coordinators that are responsible for supporting Centrum referral management function. The team will assist in the processing and coordination of referrals. Necessary actions may include data entry, health plan escalation, notification of determinations and coordination of clinic referrals. The Supervisor position will provide guidance, training and oversight to a group of referral coordinator inquiries directly. This individual will serve as a role model for team members, assuring both members and providers have a positive experience with the services they receive. The Supervisor, Referrals ensures all related initiatives meet all applicable health plan regulatory requirements.
DUTIES & RESPONSIBILITIES
The Supervisor, Referral job description is intended to point out major responsibilities within the role, but it is not limited to these items.
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Provide leadership and direction to a team of referral coordinators, inclusive of training and performance oversight.
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Support staffing and scheduling plans to meet departmental objectives as provided by leadership, including meeting specified service levels.
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Monitor operational key performance indicators to track service delivery against targets.
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Enforce policies and procedures to ensure compliance with state and federal agencies as well as accreditation standards.
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Support the development and maintenance of standard operating procedures related to corresponding program functions.
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Participate in the development of operating models to execute utilization management solutions.
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Other duties and responsibilities as assigned.
EDUCATION AND PROFESSIONAL EXPERIENCE
(LICENSURES AND CERTIFICATIONS)
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High School Diploma or GED required, bachelor’s degree in a related field preferred.
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Three (3) or more years of supervisory experience within a consumer support function
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Two (2) or more years of healthcare related experience
PROFESSIONAL COMPETENCIES
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Approaches challenges calmly and objectively to identify the best solution.
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Capable communicator that can interact with others at multiple levels within the organization, customers, and providers.
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Leads through influence and example.
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Strong operational mindset and uses data to draw insights.
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Thrives on driving results in a collaborative environment.
WORK ENVIRONMENT
The majority of work responsibilities are performed in remote setting, carrying out detailed work sitting at a desk/table and working on the computer.
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