Supervisor Clinical Intake & Correspondence

Job Description

Overview

Supervisor Clinical Intake & Correspondence

Lewiston, ID; Seattle, WA; Burlington, WA; Salt Lake City, UT; Medford, OR; Tacoma WA; Portland, OR

Bring your experience to a role where you will:

• Supervise and acts as a resource for non-clinical staff.
• Coordinate activities that support business objectives related to Utilization Management, Case management, Disease Management.
• Ensure quality and timely requirements are met in accordance with accrediting agency requirements, contract requirements, and state and federal regulations.

At Cambia, our values are fundamental to achieving our Cause of transforming the health care industry. They guide our actions and bring diverse perspectives together to improve the health care journey better for those we serve. All eight values are equally important and linked to the others: Empathy, Hope, Courage, Trust, Commitment, Collaboration, Innovation, and Accountability. These values are not just words on paper - we live them every day.

Achieving our ambitious Cause requires exemplary leadership. In addition to the Cambia values listed above, our leaders demonstrate the following leadership attributes: Cambia leaders think big, push boundaries, envision possibilities, inspire and empower others. They build collaborative relationships beyond their functional area and create workplaces which are just and transparent. Our leaders must be lifelong learners, develop others and act as role models for their teams, colleagues, external partners and—most importantly—our current and future members.

Responsibilities & Requirements

• Ability to listen and communicate effectively, verbally and in writing with internal staff and with members, employer or provider groups.
• Ability to effectively develop, lead, and manage teams that work in multiple locations and via telecommuting technology.
• Familiarity with health insurance industry trends and technology.
• Demonstrated analytical skills, ability to use data to identify problems, trends; develop solutions and implement a course of action.
• Demonstrated competency in setting priorities for a team and overseeing work outputs and timelines.
• Demonstrated experience in recognizing problems and effectively resolving complex issues.
• Demonstrated proficiency in MS Office, i.e. Word, Excel and experience using healthcare systems.
• Knowledge of applicable State and Federal regulations and mandates.
• Knowledge of medical terminology

Normally to be proficient in the competencies listed above:

• Supervisor Clinical Intake and Correspondence would a bachelor’s degree, 3 years leadership experience and 5 years of customer service, claims processing or membership experience, preferably in the health care industry or the equivalent combination of education and experience.

About Us

Regence employees are part of the larger Cambia family of companies, which seeks to drive innovative health solutions. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

Regence is 2.2 million members, here for our families, co-workers and neighbors, helping each other be and stay healthy and provide support in time of need. We've been here for members more than 90 years. Regence is a nonprofit health care company offering individual and group medical, dental, vision and life insurance, Medicare and other government programs as well as pharmacy benefit management. We are the largest health insurer in the Northwest/Intermountain Region, serving members as Regence BlueShield of Idaho, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Regence BlueShield (in Washington). Each plan is an independent licensee of the Blue Cross and Blue Shield Association. If you’re seeking a career that affects change in the health care system, consider joining our team at Cambia Health Solutions. We advocate for transforming the health care system by making health care more affordable and accessible, increasing consumers’ engagement in their health care decisions, and offering a diverse range of products and services that promote the health and well-being of our members. Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access and free-standing health and wellness solutions.