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Advantasure Supervisor, HEDIS Operations in Southfield, Michigan

SUMMARY: The Supervisor is responsible for planning, organizing, directing, implementing, and leading department assignments. This position operates within broad objectives to ensure optimum utilization of manpower and budget. This role oversees team and is responsible for completion of client HEDIS audits and medical record review processes. Coordinates projects and communications for internal senior management and client teams and supports future process and business improvement decisions. RESPONSIBILITIES/TASKS: li Oversees and supports requirements related to the HEDIS Compliance Audit (Roadmap, onsite visit, medical record review validation, etc.). /li li Develops strategy and oversees execution of HEDIS medical record retrieval process to ensure high outcomes. /li li Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters. /li li Partner with Data and Analytics team to develop and monitor reports to support continuous improvement and improve client data sources. /li li Develops lines of communication to discuss/review results of HEDIS project to management via reportsresentations and assists management in implementing programs that provide solutions. /li li Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues. /li li Identifies and resolves challenges in order to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities. /li li Independently develops and plans reports, papers, and/or other materials in a clear and concise manner. /li li Provides high level oversight and leadership. /li li Acts as liaison between corporate business areas and participates in group or committee discussions. /li li Recommends processes to control supply expenditures and promote efficient use of resources. /li li Participates in development of annual departmental budget, monitors budget and identifies budget discrepancies. Researches cause and makes recommendations. /li li Responsible for balancing workload to optimize the effectiveness of the department. /li /ul DIRECTION EXERCISED: Directly supervises exempt and non-exempt staff in accordance with company policies and applicable Federal and State Laws. Responsibilities include, but are not limited to, effectively interviewing, hiring, terminating, and training employees; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems; supporting and encouraging the engagement process. This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. EMPLOYMENT QUALIFICATIONS: EDUCATION: Bachelor's degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field. Master's degree preferred. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company's learning philosophy, is required. Certifi