DaVita Careers

Supervisor-Insurance Operations

« Back

Position Description

 

DaVita Rx is seeking a Supervisor of Insurance Operations (11:30 PM to 7:30 AM) for our insurance rejection teams at our state-of-the-art pharmacy in Orlando-FL. The primary focus of this position is to ensure that adjudication rejections, insurance verification, and therapeutic interchange request are processed in an efficient, timely, accurate manner and in complete accordance with all applicable laws, regulations and company policies. The successful candidate will lead a team of insurance coordinators and pharmacy technicians to serve the needs of our patients.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.

  • Provide leadership and direction to insurance specialist and pharmacy technicians in a high production environment
  • Manage the employee hiring process; develop or update job descriptions; develop performance expectations, identify essential functions, skills and abilities required; assign work shifts; complete position requisition forms; and ensure compliance with company processes for interview and selection of employees;

  • Motivate and coach teammates to achieve continuous improvement and operational excellence

  • Assist in the development and maintenance of teammate training, reference and audit tools

  • Assist in the development and implementation of Standard Operating Procedures (SOPs) and job aids for all functions performed

  • Coordinate with the management team to plan production staffing requirements on a daily, weekly and quarterly basis

  • Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow within the first 6 months

  • Propose creative solutions to manage daily workflow and temporary labor shortages

  • Maintain absolute compliance to all applicable regulations via a thorough practice of documentation and organizational skills

  • Prioritize work to meet daily and competing deadlines.

  • Create and maintain relationships with the DaVita Rx Pharmacy operational Directors, Managers and Chief Pharmacists

  • Demonstrates "leadership by example" in projecting a positive attitude, and involvement in DaVita Rx teammate activities

  • In assigned area of leadership, this position will demonstrate expert knowledge and training for employees, as well as serve as initial response for problem or process review

  • Ensure all DaVita teammate management responsibilities are met including but not limited to ePCNs completed in timely manner; teammate relations issued handled appropriately; personnel files maintained according to DaVita policies; PDRs completed in timely manner; teammates informed of opportunities and Davita programs such as 'Triple Crown,' 'We Are Here,' etc.

  • Know, understand, follow, implement, and communicate DaVita Rx and DaVita company policies and procedures including teammate guidelines through the use of written policy manuals and/or in-service education

  • Review and approve time cards and ePTO requests of direct reports for payroll

  • Understand basic wage and hour laws, federal, state and local laws and regulations, Medicare, and legislation affecting employment in dialysis and pharmacy services

  • Perform other duties as assigned by Pharmacy and Operational Management

  • Attend staff meetings, teleconferences, and patient care conferences as needed

  • Maintain absolute compliance to all applicable regulations

 
 
About DaVita Rx
 
Created in 2005 to deliver prescription drugs to patients receiving care in DaVita dialysis clinics, DaVita Rx is the largest renal pharmacy in the U.S. and serves more than 60,000 patients in over 44 states with three high-capacity pharmacies located in Texas, California and Florida. We are a "community first, company second," with a team of extraordinarily committed, talented and entrepreneurial teammates who care about our patients, our colleagues and our community. We are dedicated to deliver our promise to provide the highest levels of quality care to help improve our patients' lives. DaVita Rx is a unique entrepreneurial opportunity in the context of a Fortune 500 company (DaVita Inc. | Ticker: DVA). Our rapid growth and pace of work provide our teammates with an exciting, challenging, dynamic and fulfilling work environment where you can truly make an impact.
 
  • "At DaVita Rx, teammates have a voice. Because we're a relatively new company, you can contribute to how we improve processes and improve the service we give patients. You get a huge sense of reward as a front-line teammate impacting the business." - Chip S, Certified Pharmacy Tech/Team Lead

Qualifications

 

MINIMUM QUALIFICATIONS:

  • 5 to 8 years of leadership experience, with a strong emphasis on people management and coaching employees is required

  • Strong call center and operations experience highly preferred; ability to lead and manage a call center and operations environment of teams up to 50 teammates

  • Experience and knowledge of electronic claims adjudication process, commercial insurance, Medicare Part D and Medicaid programs reimbursement rules, prior authorization requirements and regulations in the pharmaceutical industry  

  • Healthcare experience is preferred

  • Bachelor’s degree Business Administration, Health Care Administration, or similar discipline is strongly preferred.  We will consider candidates with a less-relevant educational background in lieu of applicable experience

The shining star in this role should have:

  • Strong experience and success in creating high performance work environments

  • Effective communication skills

  • Solutions oriented; ability to solve issues proactively and effectively

  • Excellent organizational and leadership skills are required.  Must be able to manage team performance; train or provide adequate training for employees; coach, counsel and motivate employees; evaluate employee performance; address issues or performance concerns

  • Demonstrated ability to organize, direct and perform high level supervisory duties in a manner conducive to full performance and high morale is required

  • Candidate must be a strong self-starter who is capable of operating in a dynamic and fast changing environment

  • Must have the ability to work in a high production environment, meet deadlines, and demonstrate critical thinking skills

  • Ambitious, energetic, and willing to learn and grow

  • Must have strong PC skills (MS Office)

 
The DaVita Village Difference
  • Industry-leading patient care with clinical outcomes ranked above the national average.
  • Dynamic leadership grounded in Core Values, Mission and clearly defined goals for you.
  • Diverse, team-driven culture that supports you.
  • Commitment to developing you and the chance to explore multiple career paths.
  • Stability and strong financial results - 10 years of steady revenue growth.
  • Performance-based compensation and rewards for your hard work.
  • A commitment to the greater good: We are a community first, a company second.
 
To learn more about DaVita Rx, including a video, please click here.
 
Go to http://careers.davita.com/ to learn more or apply. 
  
To learn more about our Village and the world of dialysis, click here.

Follow us on Facebook and LinkedIn
 
 

DaVita is an equal opportunity/affirmative action employer.  As such, DaVita makes hiring decisions solely on the basis of qualifications and experience, and without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. 

 

 

 

 We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

 

Position Summary

  • Job Title: Supervisor-Insurance Operations
  • Job Function: Pharmacy
  • Location: Orlando, Florida