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Performance Programs Supervisor in Orange at Prospect Medical Systems

Date Posted: 6/20/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Experience:
    Not Specified
  • Date Posted:
    6/20/2018
  • Job ID:
    9808

Job Description



Performance Programs Supervisor

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

This position is responsible for the overall supervision of the day-to-day and responsibilities within the Performance Program Department. Individual is responsible for the daily management and oversight of the department schedule and hunt groups to ensure sufficient telephone coverage and compliance of 500 calls per week per QCC and 50 appointments scheduled per QC. Individual is responsible for the daily supervision of Quality Care Coordinators and Specialist by appraising, monitoring, and observing performance to ensure compliance and adherence of company and department policies and procedures. Individual will contribute to team effort in day-to-day duties and responsibilities. Serve as an example (role model) to staff members through active demonstration of exceptional performance and compliance with company and department policies and procedures. Energize, motivate, and collaborate with staff members to achieve company and department goals. Provide instruction, guidance, education, leadership, and support to staff members. Coach and develop staff members. 



Job Responsibilities/Duties

  • Daily supervision of staff members by appraising, monitoring, and observing performance to ensure compliance and adherence of company and department policies and procedures.
  • Maintain day-to-day workflow through processes such as monitoring department processes, observing Reporter Real-Time, monitor staff members through silent telephone monitoring and walking the department floor, facilities problem solving and collaboration, initiate and foster cooperation within and between departments.
  • Energize, inspire, and motivate staff members to excel in their day-to-day performance. 
  • Routinely perform staff member recognition such as awarding company star cards and Employee of the Month nominations.
  • Write yearly staff reviews for direct reports and ensure they are submitted on time.
  • Daily management and oversight of the department schedule and hunt groups to ensure sufficient telephone coverage and compliance of 500 calls per week per QCC and 50 appointments scheduled per QCC.
  • Ensures all non-standard date received are entered into Cozeva using appropriate Primary Source Verification standards. 
  • Ensures all P&P's are followed for audit compliancy.
  • Daily supervision of call production to ensure staff members complaint with call production requirements.
  • Routine analysis and review of HEDIS/STARS rates to ensure rates are increasing based on yearly goals.
  • Identify, develop, and communicate Corrective Action Plan (CAP) for staff member who are non-compliant with production requirements.
  • Elevate non-compliancy with CAPS' to Performance Programs Director immediately. 


Qualifications

Minimum Education: High School Diploma or equivalent required.

Minimum Experience: A minimum of two (2) to three (3) years of IPA/HMO experience in HEDIS/IHA/CMS Star Programs. 

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

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