Manager of Intake

Now is the time to join us!

We’re Personify Health. We’re the first and only personalized health platform company to bring health, wellbeing, and navigation solutions together. Helping businesses optimize investments in their members while empowering people to meaningfully engage with their health. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Responsibilities

In this role you will wear many hats, but your knowledge will be essential in the following:

Responsible for the overall intake and administrative duties of the Care Management Team .

• Supervis e daily activity of Ca r e Management intake team personnel including participating in interviewing, hiring, and training employees; plan, assign, and direct work; appraise performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Keep team informed of department updates during monthly team meetings or as appropriate .
• Work in conjunction with Director s to establish work procedures and processes that support c ompany and departmental standards, procedures, and strategic directives.
• Use appropriate judgment in upward communication regarding department or employee concerns.
• Maintain and improve UR and /or CM team’s operations by monitoring system performance; identify and resolve problems; audit and analyze staff performance; prepare and complete action plans; assist in managing system and process improvement and quality assurance programs as it relates to clinical management and plan language interpretation.
• Support and mentor Lead

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Qualifications

What you bring to the Personify Health team:

In Order To Represent The Best Of What We Have To Offer You Come To Us With a Multitude Of Positive Attributes Including

• 3-5 years’ experience in a lead or supervisor role is required
• Associate degree required
• NCQA/URAC knowledge
• Bachelor’s degree preferred
• Minimum 3 years of experience in TPA, health plan, medical management service s , medical billing, hospital or emergency services or any combination of these is required
• Minimum of 2 years of supervising a call center preferred
• Minimum 1 year of complian ce related experience preferred
• Managed Care experience preferred in UR, CM or DM

You also take pride in offering the following Core Skills, Competencies, and Characteristics:

• Strong written, verbal and presentation communication skills .
• Microsoft Office and other computer skills .
• Flexible and able to prioritize day-to-day position requirements .
• Strategic thinking with proven ability to communicate a vision and drive results .
• Proficient in analysis and interpretation of clinical data .
• Comfortable with multiple accountabilities and matrix management .
• Proven record of strong relationships and collaborating with diverse teams .
• Demonstrated ability to work independently with excellent judgment .
• Strong interpersonal skills necessary to effectively communicate with medical personnel and members .
• Analytical and problem-solving skills necessary to identify and review pertinent information .
• The ability to incorporate analytical data into new or existing clinical programs to enhance quality of care .
• Ability to maintain a very high level of confidentiality .
• Able to successfully manage competing priorities .
• Experience in the Utilization Review and Case Management Intake Process .
• Knowledgeable of the Federal, State and ERISA regulations

No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!

Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.

In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $58,000 to $68,000. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.