Job Details

POSITION SUMMARY

The Enhanced Case Management (ECM) Supervisor is responsible for supporting the day-to-day workflows within the ECM Department. The role requires supervision of and interaction with the ECM Coordinators, Case Managers or Rx Advocates, ensuring standards are adhered to. The Supervisor will understand the ECM suite of strategies, along with the CM product, Rx processes and collaborates with other members of the ECM and Medical Management team to develop workflows, advocate for members, and support department growth.

ESSENTIAL FUNCTIONS

• Supervises a team that supports the department through various administrative activities and completing of assessments to support Allied members.
• Promotes an environment of continuous improvement and collaboration and assists in troubleshooting and resolving escalated issues.
• Responsible for day-to-day operations of the CM team, ECM or Rx Specialty team which includes delegating and assigning cases to team members based upon strategic criteria and responding to general inquiries from internal departments regarding CM services.
• Evaluates and interacts with individual members experiencing complex medical scenarios and communicate concerns/needs with internal partners, such as the Client Executive, as appropriate.
• Facilitate and maintain vendor relationships to ensure collaboration and communication.
• Execute assorted weekly and monthly administrative tasks.
• Act as the liaison between the client/broker/member and Allied Executives and Various Departments.
• Troubleshoot, identify, and collaborate to improve internal processes within Enhanced Case Management and the various Allied departments.
• Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent.
• Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed.
• Actively engage, coach, counsel and provide timely, and constructive performance feedback.
• Performs other related duties as assigned.

EDUCATION

• Bachelor's degree or equivalent experience required
• Life and Health Insurance Producers License is preferred, but not required.

EXPERIENCE AND SKILLS

• At least three years of related Group Health Insurance (Self-Funded Health Plan experience a plus)
  • Medicare, Medicaid, Case Management and prescription drug benefit experience preferred.

• Must possess demonstrated supervisor potential (i.e. previous team lead role, project leader, etc.,) is required.
• Intermediate level work experience with Microsoft Office, Word, Excel Access and Power Point software applications.
• Ability to prioritize tasks and delegate them when appropriate.
• Ability to function well in a high-paced and at times, stressful environment.
• Excellent interpersonal and customer service skills.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.

POSITION COMPETENCIES

• Accountability
• Communication
• Action Oriented
• Timely Decision Making
• Building Relationships/Shaping Culture
• Customer Focus

PHYSICAL DEMANDS

• This is a standard desk role - long periods of sitting and working on a computer are required.

WORK ENVIRONMENT

• Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.