Supervisor of Health Management
Telligen
Summary
This position is responsible for supervising program staff and will provide technical guidance and training to staff related to the contract/program operations. Health management services may include: population health management, practice facilitation, medical/utilization management, quality improvement activities. The position will be responsible for monitoring compliance in accordance with client and contract deliverables as well as service/accreditation requirements as applicable.
Job description
This individual is required to be in-office two days per week - Mondays and Fridays.
Essential Functions
- Supervises day to day operation of staff to ensure compliance with program protocols, state requirements and URAC accreditation standards as applicable. Ensures the operations of the contract/program are completed in a timely and satisfactory manner.
- Selects, develops, and manages employees to achieve individual, team, and organizational success. Ensures employee accountability through routine observation, performance measurement, and performance feedback.
- Performs audits or quality monitoring of staff to provide feedback on strengths and opportunities for improvement.
- Develops training protocols for staff education tools to be used for orientation and on-going education, which addresses operating protocols, URAC accreditation and/or state requirements as applicable and workflow processes.
- Identifies and implements opportunities for process and quality improvement.
- Stays abreast of health care trends and changes.
- Performs miscellaneous duties as assigned.
Requirements
- Four-year degree in business or health related field and/or equivalent training and/or experience; 3-5 years clinical experience required; Minimum of 5 years' experience in leadership role or has demonstrated leadership capabilities.
- Licensed or eligible to be licensed as an RN in IA.
- Because of the nature and immediacy of the work, the ability to maintain regular and predictable attendance is essential.
- Utilization management experience highly preferred.
- Home and Community Based Waiver experience preferred.
Requirements
- Four-year degree in business or health related field and/or equivalent training and/or experience
- 3-5 years clinical experience required
- Minimum of 5 years' experience in leadership role or demonstrated leadership capabilities
- Licensed or eligible to be licensed as an RN in IA
- Ability to maintain regular and predictable attendance
- Utilization management experience highly preferred
- Home and Community Based Waiver experience preferred
Benefits
- Employee-Owned Company
- Medical, Dental & Vision
- 401(k) Matching
Company overview
Telligen is a leading healthcare quality improvement and population health management company that specializes in helping healthcare organizations enhance patient outcomes while reducing costs. The company provides comprehensive solutions for healthcare quality measurement, data analytics, and care coordination services. Telligen works with various stakeholders including health plans, providers, and government agencies to implement evidence-based practices and improve healthcare delivery systems. Their expertise spans across Medicare, Medicaid, and commercial health plans, offering services such as quality reporting, performance improvement, and population health analytics. The company plays a crucial role in supporting healthcare organizations to meet regulatory requirements, optimize clinical workflows, and drive better health outcomes for diverse patient populations through data-driven insights and collaborative improvement initiatives.