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Carelon Global Solutions Quality Manager

1 week ago

Manila, National Capital Region, Philippines Carelon Global Solutions Full time

Job Description:

Carelon Global Solutions is looking for a talented Utilization Management Assistant Manager to join our team. As a key member of our operations team, you will be responsible for leading the development and implementation of UM quality initiatives, ensuring seamless operations and excellent patient outcomes.

Responsibilities:

  • Develop and implement UM quality initiatives, collaborating with cross-functional teams to drive business growth and excellence.
  • Contribute to the development of policies and processes impacting UM operations, ensuring alignment with industry standards and best practices.
  • Coordinate staffing requirements and scheduling of agents, considering leaves, absences, and attrition to maintain optimal workforce levels.
  • Review department policy and procedure manuals for accuracy, ensuring compliance with regulatory requirements.
  • Collaborate with management and other stakeholders to maintain and exceed set metrics, driving business success and patient satisfaction.
  • Prepare reports and evaluate performance of direct reports, providing coaching and development opportunities to ensure career growth and employee engagement.

Competencies:

  • The ideal candidate will possess strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills, enabling them to excel in this role and contribute to the success of our organization.