Lab Technician

• This role is responsible for ensuring all decisions are precise and thorough, developing trend reports for management, and guaranteeing compliance with CMS requirements for UM policies and procedures
• Create and execute strategies to keep department processes efficient and cost-effective
• Set up and sustain UM Intake systems to maintain data quality and support UST's goals in quality, productivity, and finances
• Promote operational excellence throughout all departmental activities
• Guide employees and management in building sound intercompany workflows
• Lead, coach, and develop training programs to ensure staff competency
• Manage a department audit and oversight program that focuses on ongoing quality improvement
• Implement regular reporting to inform management about process trends and performance
• Foster a positive work environment that encourages collaboration, transparency, and employee engagement
• Discover innovative ways to boost performance and provider/customer satisfaction
• Instill a commitment to quality within your team
• Oversee standards and processes for hiring and retaining department staff
• Balance workloads to maximize team effectiveness
• Directly supervise non-exempt staff according to company policies and relevant local laws and regulations
• Responsibilities include interviewing, hiring, performance management, training, planning, assigning work, performance reviews, rewarding and counseling employees, handling complaints, resolving issues, and supporting employee engagement

Qualifications:

• Active mainland USRN license
• Three to five years of progressive experience in insurance or managed care; at least one year at a supervisory or lead level in insurance or managed care required
• Background in Utilization Management
• Demonstrated problem-solving skills and ability to share knowledge across corporate departments
• Experience setting up training programs and motivating staff in a quality-focused setting
• Strong leadership, mentoring, and team-building abilities
• Collaborative skills to empower others and ensure team success
• Effective verbal and written communication skills for sharing ideas, presenting facts, answering questions, and active listening
• Ability to present budget or cost information and answer related queries
• Workflow management, project multitasking, and deadline achievement capabilities
• Amenable to work night shifts

Utilization Management,Care Management,USRN,US Healthcare,Medival Insurance