Experience Inc. Jobs

Responsible for planning, coordinating and supervising assigned departments(s)/area(s) to ensure an efficient and cost effective area of responsibility in accordance with established corporate and departmental policies and procedures. * Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time. * Research, (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel. * Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output. * Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary. * Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries. * Administer and adhere to Corporate and departmental policies, practices and procedures. "Qualifications" * Bachelor's Degree in related field preferred. * A minimum of 90 college credits is required. * Five (5) years of BCBSM/BCN and/or related field experience including at least two (2) years of experience * in a leadership role. * Strong organizational, planning, analytical and communication skills. * Excellent interpersonal skills necessary to interact with all levels of personnel. * Working knowledge of PC application and/or mainframe systems preferred. * Other related skills and/or abilities may be required to perform this job. Department Summary / Preferences: Position will have up to 13 direct reports and will be responsible for evaluating their workload to identify operational needs related to Post Acute Care Prior Authorization. An understanding of care settings from Skilled nursing facilities, Long Term Acute Care Hospital, Inpatient Rehabilitation, and transitional care in the home setting will be important. Experience that is not required, but is considered in selection: - Managing case or patient volumes and assigning staff as needed - Experience using the following systems * CareAdvance * Content Manager * OneNote * SharePoint - Understanding they types of patients in skilled settings - Comfortability scheduling and documenting a wide variety of patient updates for accurate tracking of patient activities All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.