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Marquand

    Manager, Case Management and Utilization - Indianapolis, United States - Key Family of Companies

    Key Family of Companies
    Key Family of Companies Indianapolis, United States

    2 weeks ago

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    Description
    About Key Benefit AdministratorsWe are on a mission to improve health and stabilize insurance costs for local communities.

    KBA was founded in 1979 as a privately owned full-service group benefit administration firm specializing in self-funded medical plans and is now one of the country's largest independently owned third party administrators.

    We pride ourselves on having supportive leadership, a family atmosphere, and a high performing culture - ask our employees - they have agreed that we are a Top Workplace since 2013.


    Check us out here:


    The Manager, Case Management and Utilization plays a critical role in overseeing day-to-day CM/ UR activities, providing functional guidance to CM and UR teams, and ensuring optimal outcomes.

    This position involves maintaining necessary controls to identify deficient performance, leading PMO projects and new product/service initiatives, and ensuring the quality of the company's offerings meets or exceeds customer expectations.

    Additionally, the manager assists in one-on-one or small group training for staff and clerical personnel based on audit process findings, Training Department recommendations, and management directives.

    The manager serves as a resource person for team members' questions and collaborates directly with leadership to manage overall activity within AHDI.


    Essential Duties and Responsibilities:

    Policy Development and Implementation:
    Develop and implement consistent policies and strategies across operational units to enhance productivity and efficiency.
    Measure and report on results related to policy implementation.


    Issue Resolution and Collaboration:
    Work closely with customer service representatives, client relations staff, and providers to address complex issues.
    Keep AHDI leadership informed of critical issues.


    Efficiency Enhancement:
    Identify process inefficiencies and friction points.
    Propose and implement solutions to maximize operational efficiency.


    Team Empowerment:
    Provide feedback (positive or negative) on workflow, staff performance, and other relevant matters to AHDI Leadership.
    Direct Team Lead positions to improve workflow, process efficiency, and administrative functions.


    Resource Management:
    Ensure inventory moves efficiently with minimal delays.
    Manage organizational resources and processes to achieve improved performance.


    Metrics and Controls:
    Establish metrics and controls for product and service delivery

    Continuously improve operational goalsProject Management:

    Lead company project initiatives:
    Build teamsSet deadlinesMonitor progressResolve issuesEvaluate project performance

    Staff Development:
    Assist in the preparation of staff annual performance reviews.
    Conduct regularly scheduled one-on-one sessions with staff.


    Backup Support:
    Serve as a backup for team lead staff in their absence

    Other Duties:
    Handle additional tasks as assigned by management

    Supervisory Responsibilities:
    Monitor sick and vacation time.
    Track work assignments, inventory control, and individual/team performance indicators.
    Coordinate with the Vice President-AHDI on clinical staff management.
    Manage employe performance and complete employee annual reviews in a timely manner.


    Competencies, Knowledge, Skills, and Abilities:
    Bachelor's degree with a minimum of three years of experience in population health.
    Previous leadership or supervisor experience with responsibility for reporting, issue resolution, and setting direction.
    Strong coordination, analytical, decision-making, and detail-oriented skills.


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