Manager, Payment Accuracy Services Operations

At Trend Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining Trend Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

The Payment Accuracy Services Operations Manager’s primary responsibility is driving revenue from assigned clients by partnering with them to identify opportunities to improve their payment integrity environment.
Responsible for motivating and inspiring their team to achieve desired results. Responsible for ensuring the highest quality service is provided and overall revenue targets are achieved while remaining consistent with Trend corporate policies and procedures.

At Trend Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows. Joining Trend Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

The Payment Accuracy Services Operations Manager’s primary responsibility is driving revenue from assigned clients by partnering with them to identify opportunities to improve their payment integrity environment.
Responsible for motivating and inspiring their team to achieve desired results. Responsible for ensuring the highest quality service is provided and overall revenue targets are achieved while remaining consistent with Trend corporate policies and procedures.

Role and Responsibilities

• Provide leadership and support to drive achievement of revenue and growth goals as well as implementation of new strategies.
• Oversee assigned operations and establish and communicate goals as they relate to client expectations, company goals, and revenue targets.
• Understand and support approved TREND policies related to business policies and procedures while properly communicating and ensuring acceptance by staff.
• Maintain accountability for teams and promote employee development by establishing clear goals and performance measures that encourage employees to excel.
• Effectively implement training and conduct regular meetings and discussions to optimize learning.
• Coach, develop and mentor staff to achieve quality performance while continuing to develop personal management skills necessary to lead staff and handle unique challenges
• Ensure that regular collaboration and communication occurs within their team. Provide continuous feedback and timely, quality appraisals
• Place the highest priority on providing quality service, continuously striving to improve the overall service TREND is providing.
• Ensure staff is appropriately resolving day-to-day problems in a timely and successful manner.
• Immediately escalate to Manager any situation that could adversely impact revenue and/ or the service provided to the client.
• Implement changes in performance improvement measures and incentives. Track and report results, and revise programs to ensure all goals are met or exceeded.
• Oversee the monitoring of staffing levels, trends, and turnover. Participate in the development of TREND solutions to compensate, attract, and retain talent necessary to achieve established goals.
• Implement changes in procedures or performance improvement measures and incentives. Track and report results, and revise programs to ensure all goals are met or exceeded.
• Continuously evaluate overall revenue, recommend, and implement methods of increasing revenue.
• Travel as needed and required

Qualifications

• Bachelor’s degree with major coursework in business, healthcare, or a related field. Equivalent work experience in a similar position may be substituted for educational requirement.
• 5+ years of increasing management responsibility
• 5+ years’ work experience in provider claims analysis
• Ability to drive change and effectively manage communication with internal and external customers.
• Proven experience working in a fast-paced, collaborative environment.
• Superior organization, communication, presentation, and relationship building skills.

Preferred Skills

• Proactive, independent and results oriented.
• Customer and team focused with a strong desire to be an active, long-term participant in the overall growth of the firm .

Mental and Physical Demands

• This position will be exposed mainly to an indoor/office environment and will be expected to work in or around computers and printers.
• The nature of the work is sedentary, and the employee will be sitting most of the time.
• Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.
• Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.

Related Duties As Assigned

• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information.
• Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.