| Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation’s largest and most respected healthcare management companies, operating through its subsidiariesâ€"acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS’s business strategy is to continue to grow by building or purchasing healthcare facilities across the country, while continuing to strengthen UHS’s well-reputed franchise with its customary exceptional service and effective cost control. Our success is driven by a service philosophy based on integrity, competence, compassion, and a responsive management style. UHS has been recognized as a Fortune 500 company and is listed as one of Fortune’s Most Admired Companies. UHS’s Acute Care Division is comprised of 25 high performing hospitals and several ambulatory care facilities across the nation and prides itself on providing superior patient care. Prominence Health Plan, established in Reno in 1993 as St. Mary’s Health Plan, was acquired in 2014 by Universal Health Services (UHS), one of Fortune Most Admired Companies. In addition to the HMO, Prominence Health Plan also offers Point of Service health plans, a preferred health insurance company that offers Preferred Provider Organization (PPO) health plans, and CDS Group Health, a third-party administrator. We are a fast-growing, rapidly-changing healthcare organization offering the excitement of a start-up with the support of a Fortune 500 company. We are looking for talented, enthusiastic people to help shape the future of our organization. Job Summary: The Non-Clinical Manager of Health Services is a knowledgeable and trusted leader. The employee is responsible for all care coordinators of Prominence Health Plan and other non-clinical medical management team members. The leader is responsible for setting the example for employees and represents UHS’s core values as well as the company’s policies and procedures. When overseeing the work completed with PHP members, the leader ensures that the team is delivering innovative, proactive and compassionate services that exceed member’s expectations. The leader ensures that the department employees are providing effective two-way communication to ensure quality services and appropriate problem resolution for all parties involved. The focus of this position is to oversee the overall non-clinical care management of Prominence Health Plan Members. The Manager will ensure that employees are completing the appropriate assignments, are productive with their time with members, are compliant with all regulatory guidance or company protocols, and that the team is having positive results measured by 75th percentile member satisfaction scores, upper quartile HOS scores, member engagement in Wellness and HEDIS gaps, as well as decreased medical loss ratio scores for all lines of business. The Manager will oversee the employee schedules and assignments and audit reports for compliance and appropriateness of care. Monthly and Quarterly program audits will be reviewed and presented to Director to show progression of member engagement endeavors.     |
