Now is the time to join us! 

Who are you?

The Supervisor of Operational Support is responsible for supervising the daily functions of the Operations Support team, ensuring efficient workflow and adherence to established procedures.

In this role you will wear many hats, but your knowledge will be essential in the following:  

• Confers with operation support staff to outline work plan and to assign duties and responsibilities.
• Confers with Leadership Team and the Extended Leadership Team to review achievements and discuss required changes in goals and objectives resulting from current status and conditions.
• Maintains knowledge to comply with government regulations as it pertains specifically to Medicare, HIPAA, FMLA and any other regulation impacting claims.
• Supervises the daily functions of the operations support team. This team processes refunds, voids, overpayment tracking, Medicare, MSP demands, overages, accum transfers, vendor fees and claims-related invoicing, Dialysis program and Zelis, PPO/repricing.
• Assist in standardizing procedures to improve efficiency of staff.
• Maintains harmony among staff and resolves grievances.
• Orders reports to comply with department and company procedures.
• Responds to more complex inquiries from all other departments, providers, networks, and clients.
• Review staff for compliance of production and quality standards.
• Oversees and coordinates training of staff as needed for the operations support team.
• Communicates and interrelates (both written and verbally) clearly, concisely and respectfully with co-workers and other departments.
• Implements procedural or administrative policies designed to improve productivity, quality and meet profitability goals.
• Maintains knowledge of government regulations as it pertains to claims payments and generally recognized claims standards.
• Investigates and responds to letters of inquiry from plans, providers, networks, and government agencies.
• Manages employee timekeeping and time-off requests.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

What you bring to the Personify Health team:

In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including:

• 5 years of TPA experience.
• Bachelor’s degree in business administration or related degree desirable.
• Strong working knowledge of Medicare, HIPAA, FMLA, and other regulatory requirements impacting claims and healthcare operations.
• Demonstrated experience in managing teams, overseeing daily operations, and implementing process improvements.
• Experience coordinating cross-functional communication and managing complex inquiries from internal and external stakeholders.
• Prior involvement in training and mentoring staff is strongly preferred.

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Ability to supervise, motivate, and support a diverse team; promotes a collaborative and productive work environment.
• Skilled in managing daily operations, establishing procedures, and streamlining workflows to improve efficiency and service quality.
• Highly organized and process oriented.
• Excellent verbal and written communication skills; able to convey information clearly, concisely, and respectfully across various teams and organizational levels.
• Strong problem-solving skills and the ability to evaluate operational metrics and implement data-driven improvements.

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $60,000 to $72,000. Note that compensation may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.

We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing.

#WeAreHiring #PersonifyHealth

Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to talent@personifyhealth.com. All of our legitimate openings can be found on the Personify Health Career Site.

Application Deadline: Open until position is filled.