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Hours Full-time, Part-time
Location Orlando, FL
Orlando, Florida

About this job

This position supervises the daily activities of the Clinical Operations department ensuring that adjudication rejections, tech translation, doctor call, insurance verification, therapeutic interchanges, and prior authorization requests are processed in an efficient, timely, accurate manner and in complete accordance with all applicable laws, regulations, and company policies.

SUPERVISORY RESPONSIBILITIES:

Position has full supervisory responsibility for recruitment, hiring, retention, performance development, performance management, salary adjustments, and termination of direct reports.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

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

* Supervise Clinical Operations day-to-day work, assignments, training, and service issue resolution; ensure metrics and service standards are met for optimum customer experience

* Identify, create, monitor, and maintain key performance indicators including but not limited to teammate productivity, quality audits, and departmental service level agreements

* Provide consistent, visible, timely, and effective communication to team on team goals and objectives and progress toward those goals

* Evaluate Clinical Operations processes and procedures; suggest and implement methods to minimize labor costs and to improve operations, efficiency, and service to internal and external customers

* Oversee patient information and records to ensure that all documentation is created and maintained in accordance with HIPAA regulations and to ensure the accurate service is provided

* Assist in the development and implementation of Standard Operating Procedures (SOPs) for all Clinical Operations functions

* Participate in requirements gathering and implementation of new IT applications; ensure appropriate relevance of applications or tools for Clinical Operations purpose and teammates

* Participate in all daily, weekly, and periodic work/management meetings with peers and senior operations leadership

* Review performance metrics with senior operations and DaVita Rx leadership on an as-needed basis

* Supervise departmental labor budget and miscellaneous expenses

* Maintain absolute compliance with Medicare, Medicaid, and Pharmacy to all applicable regulations via a thorough practice of documentation and organizational skills

* Create and maintain positive relationships with the DaVita Rx Pharmacy Operational Directors, Managers, and Chief Pharmacists

* Maintain current knowledge of Clinical Operations issues and trends through education, seminars, and research

* Other duties and responsibilities as assigned

* Travel required: up to 15%, varying by month based on business needs

Teammate Management

* Provide leadership to direct reports

* Help direct reports overcome any organizational obstacles encountered

* Conduct teammate, process audits, and provide monthly one-on-one feedback to teammates

* Manage all teammate employment activity such as hiring, promoting, job performance, evaluations, and disciplinary actions with appropriate approvals as required

* Address teammate relations issues appropriately and escalate as necessary

* Know, understand, implement, follow, and communicate to teammates all DaVita employment policies and procedures, awards, and other opportunities within company; develop and foster a positive, fulfilling work environment; enable teammates to excel in their assigned roles

* Ensure all DaVita employment processes are completed timely and in compliance with DaVita policy and any applicable laws

* Facilitate teammate development (PDRs, coaching, mentoring, DaVita training, outside training); collaborate with direct reports to create professional development goals

* Maintain familiarity with and communicate to teammates DaVita programs impacting teammates (including but not limited to: Triple Crown, We Are Here, Tuition Reimbursement, Foundations, etc.)

* Provide work direction for department teammates

* Determine staffing plans that promote the most effective use of all teammates; ensure coverage during teammate absences

* Propose and provide creative solutions to daily workflow and temporary labor shortages

* Know and understand basic wage and hour laws, federal, state and local laws and regulations, Medicare, and legislation affecting employment

* Review and approve time cards of hourly direct reports for bi-weekly payroll

* Track overtime, attendance, and PTO

* Develop and conduct educational programs to keep teammates up-to-date on DaVita policies, new laws and regulations impacting work, and other information necessary to maintain teammates' knowledge of department processes and goals

* Know, understand, follow, and implement DaVita safety and security policies and procedures

* Maintain and communicate facility emergency management programs and ability to act swiftly, confidently in an emergency

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

The shining star in this role should have:

(Education, licenses, certifications, and experience required to fulfill the essential duties, include computer skills as required)

* Five (5) years experience in a managed care organization or PBM is preferred.

* Minimum of three (3) years supervisory experience preferred

* Pharmacy Technician License preferred

* High school diploma required; Bachelor's degree preferred

* Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook

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.