Team Lead, Operational Excellence Oversight (Hybrid)

Job Summary:

The Team Lead, Operational Excellence Oversight provides leadership and direction to direct reports to ensure the goals, policies and standards of the department and CareSource are met. This is a hybrid position, working both in office at HQ/Dayton and remote.

Essential Functions:

• Monitor scheduling, attendance, and work allocation of team; provide oversight and conduct regular one-on-one meetings with all direct reports
• Engage direct reports through consistent performance feedback and development opportunities
• Direct activities to monitor Operations regulatory and accreditation requirements
• Direct activities to identify and perform regular oversight and monitoring of operational processes
• Generate monthly reporting and recommendations based on findings from monitoring activities
• Conduct monthly and/or quarterly quality reviews with the Operations Management team
• Work cross-functionally with the Operations Management team to identify process gaps and drive improvements
• In collaboration with the manager, develop, update, and implement department SOPs and training tools
• Analyze and report financial savings related to process improvements
• Ensure quantitative and qualitative measures are used to meet performance objectives
• Compile reports and departmental communications
• Participate in strategic planning and implement action plans
• Build strong working relationships with all departments within Operations
• Build strong working relationships with Markets and departments that are essential for resolving systemic issues and driving process improvements
• Perform any other job duties as requested

Education and Experience:

• Bachelor’s Degree or equivalent years of relevant work experience is required
• A minimum of three (3) years in managed care or healthcare environment is required
• A minimum of two (2) years of experience in healthcare/managed care operations is preferred
• Prior leadership and management experience is preferred

Competencies, Knowledge and Skills:

• Overall knowledge and understanding of operations-related systems, technical specifications and processes is preferred
• Intermediate proficiency level with Microsoft Office suite, including Microsoft Project, Visio and Minitab is preferred
• Advanced troubleshooting and problem-solving capabilities
• Overall knowledge and understanding of Operations-related systems, technical specifications and processes is preferred
• Solid understanding of claims processing is preferred
• Ability to conduct oversight, monitoring and auditing of operational areas
• Ability to understand and translate regulations and accreditation requirements
• Ability to document and maintain business and system requirements including process flows  
• Ability to analyze processes and produce recommendations for improvements
• Excellent oral and written communication skills
• Ability to manage time effectively
• Effective relationship management skills
• Effective organization and prioritization skills
• Effective facilitation and interpersonal skills

Licensure and Certification:

• Six Sigma Green or Black Belt is preferred

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Maybe required to travel, estimated at less than 10%

Compensation Range:
$70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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