What are the responsibilities and job description for the Supervisor Medical Management Operations, IN - Hybrid position at McLaren Integrated HMO Group?
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Supervisor Medical Management Operations, IN - Hybrid
Indiana, Indianapolis
NEW
Supervisor
McLaren Integrated HMO Group
25002390
We are looking for a Supervisor, Medical Management OPS, to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive. As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org.
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/.
Position Overview: Provides supervision of assigned staff and functions to meet organizational goals. Ongoing monitoring of assigned department performance standards regarding timeliness, appropriateness, and cost effectiveness. The primary focus for daily responsibilities includes utilization management and oversight for assigned products for all duties. Provides non-clinical oversight to assigned staff. Works diligently with staff to ensure the delivery of quality services at the most appropriate and cost-effective setting. Assists where necessary or through project management those business ventures undertaken by the Company to ensure its profitable future.
This is a hybrid position with requirements to come onsite as scheduled, Indianapolis IN.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1
Qualifications:
Required:
- Associate Degree in business health care or related field; or high school diploma with two (2) years of related experience.
- Two (2) years’ experience and knowledge of Managed Care functions (e.g. medical delivery, regulatory compliance, claims processing, pre-authorization guidelines etc.)
- Available to work a flexible schedule to meet organizational needs.
Preferred:
- Certified Medical Assistance or related clinical experience.
- Two (2) years’ experience in a management role with direct reports, leading or assisting in all phases of effective supervision (ie. Recruitment, performance management, training).
- Experience in progressively more responsible roles in a provider office setting.
Additional Information
- Schedule: Full-time
- Requisition ID: 25002390
- Daily Work Times: 8:00 am - 5:00 pm
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
