Cigna Provider Data Management (PDM) Supervisor − Phoenix, AZ! in Phoenix, Arizona

Description:

The Provider Data Management (PDM) Supervisor will be responsible for day-to-day operations and a team of Provider Data analysts responsible for adding, changing and terminating provider data along with various duties related associated with PDM. They will monitor productivity and performance standards, policies and procedures, direct work flow and project assignments. They will oversee productivity, provider data accuracy, and timeliness to Provider Data Change requests are processed within service level agreements of our business partners. The PDM Supervisor will conduct hiring, training, and evaluation of staff. They will also be responsible for the team’s adherence to corporate attendance and employment policies. The PDM Supervisor will work with the PDM Manager to develop staff and be able to assess root cause on Provider Data operations.

Primary Job Responsibilities

•Manage PDM operations overseeing Provider Data Senior Associates to monitor production, quality, timeliness and procedural compliance

•Responsible for analyzing PDM issues. Working with the managers of those markets as well as Network Operations, Claims and Configuration to assess root cause and remediation.

•Develop employee’s skills, evaluate performance and provide feedback. Oversees resolution of employee relations issues. Conducts hiring, training, and evaluation of staff.

•Participates in operational meetings and training sessions as necessary.

•Develop, track and monitor employee’s compliance to quality, service and production standards.

•Address staff concerns related to day to day operational, system, customer service, quality, and professional issues.

•Work in production as needed.

•Assists with operations activities for a large region of the organization in compliance with organizational and government policies. Reviews operations systems and procedures, and recommends improvements to increase efficiency. Supervise operations activities within a functional or multi-functional area of the organization.

•Serve as a point of escalation for issues requiring a higher degree of expertise or discretion to resolve.

•Ensure privacy and confidentiality as required by HIPAA, company and departmental guidelines.

•Other special projects and tasks as assigned.

Qualifications:

Qualifications

•Bachelor’s Degree preferred

•2 years’ experience in experience in a claim processing environment AND 2 years’ or more experience in a leadership role preferred.

•Proficiency with computer applications including Microsoft Office, Internet, and email.

•Strong knowledge of Medicare or Medicaid regulatory requirements

•Demonstrated leadership skills and the ability to effectively develop, train and coach less experienced team members with the patience to explain details and processes repeatedly.

•Excellent communication, interpersonal and negotiation skills required

•Strong verbal, listening and written communication skills.

•Inventory management and/or operations management environment experience

•Ability to adapt in a dynamic work environment, make independent decisions

•Ability to drive change and process improvements required

•Ability to lead/motivate employees

•Strong time management skills required

Primary Location: Phoenix-Arizona

Work Locations: 25500 N Norterra Drive, Bldg B Phoenix 85085

Job: Bus Ops--Claims

Schedule: Regular

Shift: Standard

Employee Status: Manager of People

Job Type: Full-time

Job Level: Day Job

Travel: Yes, 25 % of the Time

Job Posting: Nov 1, 2018, 12:41:23 PM

Qualified applicants will be considered for employment without regard to age, race, color, religion, national origin, sex, sexual orientation, gender identity, disability, veteran status. Need an accommodation? Email: SeeYourself@cigna.com