Manager of Operation Services ASO

Overview As the Manager of ASO Operation Services, you will provide technical guidance, assistance and coordination of all ASO Operational activities. You will also insure cost effective accomplishment of thedivision, the overall ASO Unit,  Cambia corporate goals and the effective operation of daily activities. The ASO Operations Manager may have responsibility for ASO Appeals, Complaints, Correspondence, Customer Service, Claims, Membership and Billing. Responsibilities & Requirements TECHNICAL WORK: Strong understanding of the applicable laws and rules for the division. Contract expert, knowledge and ability to execute all ASO contractobligations pertaining to their division. Works with other ASO divisions to ensure ASO contractobligations are met. Identifies and coordinates delivery of learning interventions directly linked to specific business initiatives and requirements. Recommends, develops, promotes and coordinates training, continuing education and development efforts including departmental training to support short- and long-range corporate goals and objectives.   MANAGEMENT WORK: Forecast, budget and determine staff needs for the division. Ensure all performance guarantees and MTM metrics related to the division are met. Ensure all contractobligations are met. Documents the work of the division and ensures processes are in place for all of the divisions work. Ensure the implementation of new groups. Participate in responding to RFP requests. Manages Performance and Training Teams that support the Divisions work. Maintains good working relationship and cooperate with all departments in the company. Participate in company wide improvement and efficiency teams where appropriate. Leads, plans, develop and directs division activities. Manages all activities related to the various electronic systems used to support the division. Responsible for the activities performed by division staff to assure performance goals are met including productivity, accuracy, timeliness and quality of service to our groups, members and business partners. Manages the development and maintenance of identified documentation which exists to support accurate, efficient operations. Provides on-going leadership to employees by facilitating and making timely decisions, providing effective communication and motivation. Ensures that performance is maintained within the approved budget and continually strives to support division or line of business profitability. Actively participates in corporate planning teams, when division will be impacted. Manages the day-to-day activities of the direct staff to achieve goals within budgeted funds and available resources. Plans and organizes workloads and staff assignments, reviews progress, and directs changes in priorities and schedules as needed to assure corporate goals are met. Selects, manages, and evaluates staff. Prepares and conducts performance evaluations and initiates disciplinary actions as warranted. Provides training and motivation to make full use of individual capabilities. Assesses divisions development needs and recommends strategies and tactics to meet goals. Serves as a member to management and supervisory committees as needed. Forecasts future training and development needs to ensure necessary employee skills for effective performance.   MINIMUM JOB QUALIFICATIONS AND COMPETENCIES:   An undergraduatedegree with a major in business or healthcare or at least 5 years of progressive management and supervising experience related to health plan and benefit administration. Experienced in managing people, projects and processes within a service environment. Solid understanding and knowledge of all systems and processes used within the division, including system and staff capabilities. Ability to communicate about the division's purpose, priorities and work to both internal and external stakeholders. Demonstrated ability to plan and organize with emphasis on systems and management controls. Good understanding of member service functions, including experience in managing high volume production environments. Demonstrated project management skills. Demonstrated ability in financial and budget management. Ability to make decisions, accept responsibility and be held accountable. Ability to communicate effectively, verbally and in writing, to all levels of the work force, clients and agents with exceptional results. Demonstrated success in cost reduction and control. 2018-25193
Salary Range: NA
Minimum Qualification
5 - 7 years

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