Manager 3rd Party Liability & Subrogation Recovery
Role Overview: The Manager, Third-Party Liability and Subrogation Operations, is responsible for activities related to TPL data processing and maintenance and subrogation operations for the Enterprise. This includes accountability to ensure current operations are compliant with federal, state, and contractual requirements, as well as fulfilling key metrics and SLAs by line of business.Work Arrangement:
- Remote- Associate can work remotely anywhere in the United States
Responsibilities:
- Works with Subrogation and TPL identification vendors to ensure requirements regarding subrogation case management and TPL data processing for the Enterprise are compliant with all federal, state, and contractual requirements, as well as fulfilling key metrics and SLAs by line of business
- Leads subrogation specialists and department analysts to ensure that they deliver subpoena requests that are compliant with federal, state, and contractual requirements, as well as fulfilling key metrics and SLAs by line of business
- Identifies and resolves operational issues using well-defined/documented processes, expertise, and judgment
- Keeps abreast of new developments in area(s) of responsibility and ensures timely communication with team
- Compiles enterprise-wide dashboard report, reporting key metrics on staff performance and inventory to management and key stakeholders
- Works collaboratively with the entire team for the implementation of new business opportunities and our vendor services
- Creates or modifies TPL and Subrogation departmental policies, On-Line Help, and desktop procedures as necessary
- Contribute to process improvement solutions for further automation of TPL processes to enhance productivity and performance
- Trends issues across the enterprise and identify workable solutions that will improve day-to-day business operations
- Works with Work Force Management to ensure staffing allocations are managed and assigned based upon production and SLAs
- Recruit, develop, and motivate staff. Continuously improve skill knowledge, and staff capabilities
Education/Experience:
- Bachelor’s Degree or equivalent work experience
- 5 + years of experience in a Managed Care operations role
- Strong people management skills with the ability to measure operating productivity. Vendor Management skills, preferably in TPL or subrogation, are necessary
- Proficient in Microsoft Office skills (Excel, Word, and Access). Strong knowledge of Facets
Our Comprehensive Benefits PackageFlexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.Your career starts now. We’re looking for the next generation of health care leaders.At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.Discover more about us at .
AmeriHealth Caritas