As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
The University of Utah Health Plans Customer Service team provides world class service to our members and providers by demonstrating empathy, advocacy, and expertise. This team answers inquiries while optimizing efficiency, service, and quality. This team seeks to optimize the member and provider experience by offering one call resolution by being experts in benefits, eligibility, and claims processing.
The overall objective is to maintain and exceed performance expectations by continuing to improve the member and provider experience, implementing strategies to manage staffing needs and attrition, collaborating with various internal and external stakeholders, documenting policies and procedures to complete objectives.
This position is responsible for managing the day-to-day operations related to customer service. This position monitors claims volume, staffing needs, and ensures performance expectations are met as it relates to the quality of customer service, service levels, tools and resources, and fostering a positive team environment.
Department Overview: University of Utah Health Plans (UUHP) was formed in 1998 as a strategic initiative of University of Utah Health Care. We are committed to the "triple aim" of improving experience and quality of care, improving the health of populations, and reducing the per capita cost of care. We currently serve over 140,000 members specializing in the health plan administration of medical, mental health and pharmacy benefits for self-funded employer groups, commercial programs, as well as, government programs including Medicare and Medicaid. We are leaders in health care transformation. We recognize the importance of population health and payment reform and have developed extensive care management and value-based payment programs that improve health and align provider reimbursement with value and positive outcomes. Being integrated with University of Utah Hospitals & Clinics and the University of Utah Medical Group (physicians), we are uniquely positioned to bring greater value, better cost efficiency and an increased patient focus to our members and clients.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our four hospitals and seventeen clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
This position is not responsible for providing care to patients.
Employee must be able to meet the following requirements with or without an accommodation.