22 days old

Medical Policy Support Supervisor

Austin, TX 78759

Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the worlds largest delivery network Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 425,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com.

People in our Client Delivery & Operations career track drive delivery and capability excellence through the design, development and/or delivery of a solution, service, capability or offering. They grow into delivery-focused roles, and can progress within their current role, laterally or upward.
The Medical Policy Implementation Supervisor will be responsible for the following:
Serves as the departmental subject matter expert to providers and staff providing appropriate and timely responses to inquiries and concerns
Oversees the daily operations provider relations functions to insure contractual obligations are met
Contributes to the annual recruitment planning process and provider education plan
Responds to escalated inquiries within specified due dates
Performs liaison role between business operation departments and IT from project initiation to post implementation on responsibilities include the overall planning, organizing, directing, controlling and delivery of all projects prioritized in alignment with the customer s expectations and business needs
Champions creative and innovative ways to engage providers
Adept at identifying root cause while streamlining and improving processes
Participates and contributes in the development of strategic long and or short range goals
Makes recommendations to management to improve efficiency effectiveness
Leads system conversion from current tool to CRM Reviews and approves external facing documents related to team statistics
Trains and mentors new employees
Conducts analysis, identifies trends
Performs other duties as assigned by leadership

Basic Qualifications
State of Texas Unrestricted RN or LVN License
Minimum 5 years of Healthcare Medicaid experience
Minimum 5 years of previous supervisory experience

Preferred Qualifications
Project Management experience
Bachelor s Degree in a Healthcare related field
Texas public healthcare program experience
Experience managing projects and working with multi-disciplinary teams
Ability to develop, analyze, interpret data, rationale for alternative solutions to problems and take appropriate action
Ability to proactively identify and mitigate risks and issues
Familiarity with healthcare claims, coding, and multiple types of healthcare provider
Ability to develop, analyze, interpret data, rationale for alternative solutions to problems and take appropriate action

Professional Qualifications
Strong organizational and time management skills
Ability to set and strive to achieve specific, measurable, and challenging goals
Ability to establish and maintain strong relationships with internal and external customers or stakeholders
Ability to influence others and move toward a common vision or goal
Flexible and adaptable able to work in ambiguous situations
Proven success in contributing to a team oriented environment

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture.Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.Accenture is a federal contractor and an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.Equal Employment OpportunityAll employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.Accenture is committed to providing veteran employment opportunities to our service men and women.


Posted: 2019-07-31 Expires: 2019-09-11

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Medical Policy Support Supervisor

Austin, TX 78759

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