Supervisor, Managed Long Term Services and Supports - Los Angeles, United States - L.A. Care Health Plan

Description

Salary Range: $67, Min.) - $87, Mid.) - $107, Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Managed Long Term Services and Supports (MLTSS) Supervisor is responsible for the development of a successful unit with a high level of productivity to achieve the department's overall performance metrics, and to meet and/or exceed member and provider satisfaction. This position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports to ensure optimal delivery of customer service and meeting department performance metrics and goals.

The Supervisor facilitates the development, review, and revision of policies, procedures, and process flows to ensure compliance with relevant regulatory and organizational guidelines. The Supervisor is also responsible for implementing enhancements to the day-to-day operations of the unit and minor process improvements and decisions related to collaboration both within and outside of the MLTSS department.

Duties

Supervises the day-today MLTSS non-clinical team activities including but not limited to: Providing direction, monitoring of staff performance and skillsets for consistency and improvement handling all questions/issues raised by staff. Develops tools and procedures for the training and cross-training of staff, including but not limited to job aids and departmental and organizational policies and procedures.

Recommends process improvement processes. Prepares and analyzes statistical reports. Ensures quantity/ quality is met for overtime. Ensures staff utilizes the NICE system to conduct target audits on incoming call activity and overtime activity. Prepares and reviews daily unit quality reports, analyzes data and submits recommendations for improvements.

Develops and maintains a positive working relationship with all business partners to ensure optimum member care and satisfaction.

Serves as a leader and role model as well as a technical and informational resource for staff and peers. Fosters a culture that encourages employee contributions. Observes calls and assists representatives with any complex issues which may result from a call. Plans, organizes and supervises the activities of the unit. Constantly reviews the adequate skill-set assignment, lunch and breaks.

Analyzes reports to identify trends and improve work flow processes.

Ensures telephone and correspondence responses comply with departmental, organization and regulatory agency requirements. Ensures all L.A. Care phone lines and systems are functioning properly.

Ensures department compliance with regards to Health Insurance Portability and Accountability Act (HIPAA) regulations related to protection of personal history information (PHI).

Perform other duties as assigned.

Duties Continued

Education Required

Education Preferred

Experience

Required:

At least 4 years of experience in customer service experience.

At least 1 year of leading process, program, or staff or supervisory experience in a customer service environment or in health care/health services.

Experience with program/policy development and implementation.

Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.

Skills

Required:

Knowledge and a good understanding of services to the disadvantaged population, seniors, or people with chronic conditions or disabilities. Expected to work independently within the department's established guidelines, policies and procedures. Excellent communication skills, strong analytical, coaching/mentoring skills, team building and the ability to work effectively with diverse team members. Ability to troubleshoot problem areas and recommend effective alternative solutions to handle irate callers, and provide optimal customer service for internal and external customers.

Persuasion Skills: Must be able to interface with members, external individuals (i.e., facilities, providers, etc.) and sometimes convince/persuade others to comply with L.A. Care requirements and provide information in a timely fashion.

Ability to multitask and streamline day to day operations, policies and procedures. Strong organizational, prioritizing, time management and interpersonal skills, along with sound judgment. Must be detail oriented and a team player, with a strong work ethic. Ability to maintain confidentiality. Ability to complete assignments efficiently and accurately, within deadlines. Knowledge of medical terminology. Proficiency with Microsoft Office including Outlook, Word, Excel, PowerPoint, and Visio. Strong customer service and excellent oral/written communication skills.

Preferred:

Bilingual in one of LA Care Health Plan's threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program
• Volunteer Time Off (VTO)