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Supervisor Provider Relations

Date:  Jun 8, 2021
Brand:  EyeMed Vision Care
Location: 

Mason, OH, US, 45040

Requisition ID: 399921 
Position:Full-Time
Total Rewards: Benefits/Incentive Information

 

There’s more to EyeMed than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent double-digit membership growth! Through our commitment to innovation, we’re reimagining the way employers and their employees think about vision care. We want them to see life to the fullest and experience more of what’s best, not more of the same.  And if what’s best hasn’t been done yet, it’s our exceptional and passionate employees driving this change. But, our passion for vision isn’t just about vision insurance benefits. Our employees are proud to support and participate in life-altering global and local missions through our partnership with OneSight, a leading not-for-profit organization with a 100% focus on eradicating the world’s vision crisis.

 

Your family says a lot about who you are. EyeMed is a key member of the Luxottica family of companies, global leaders in the design, manufacture and distribution of fashion, luxury and sports eyewear.  In North America, Luxottica is the home to global brands Ray-Ban, Oakley and many top fashion house brands.  Our leading retail brands include LensCrafters, Sunglass Hut, Pearle Vision, Target Optical and Sears Optical.

 

If you’re passionate about driving innovation and change and interested in a career in the optical and insurance industry, EyeMed wants to start the conversation and help provide you a growth-focused opportunity with America’s fastest growing vision benefits company.

GENERAL FUNCTION

Responsible for overseeing the operations of the Quality Assurance (QA) Team.  The Supervisor of the QA team manages the day to day duties of resolution of member and provider complaints and appeals related to quality of care, access to care, and benefit determination.

 

MAJOR DUTIES AND RESPONSIBILITIES

  • Directly lead all associates of the Quality Assurance (QA) Team
  • Manage day-to-day operations, including overseeing workflow of the QA team members in order to meet/exceed turnaround time expectations
  • Responsible for QA team meeting/exceeding KPI goals
  • Drive customer service satisfaction both internally and externally
  • Responsible for process improvements to move the QA team forward
  • Support the Senior Manager of Quality Assurance with various projects and initiatives
  • Work collaboratively with internal and external partners and agencies
  • Conduct regular meaningful conversations with each direct report
  • Bring resolution to daily obstacles and issues involving the QA team
  • Foster an environment of teamwork within the QA team and lead by example
  • Provides monthly, quarterly and annual reporting to QA Committee and clients regarding complaints and appeals to ensure compliance with performance guarantees
  • Leads cross functional teams to address and resolve identified member, provider, or client satisfaction issues

 

BASIC QUALIFICATIONS

  • Bachelor’s Degree or equivalent experience
  • 3+ years of experience in provider relations or quality assurance
  • Proficient in Microsoft Office Product Suite (Word, Excel, Access)
  • Strong critical thinking skills
  • Strong oral/written communication
  • Ability to successfully work on multiple projects simultaneously
  • High sense of urgency

 

PREFERRED QUALIFICATIONS

  • Experience leading a team
  • Experience in benefits, insurance, or healthcare industry
  • Experience in EDW/Business Objects

Upon request and consistent with applicable laws, Luxottica will provide reasonable accommodations to individuals with disabilities who need assistance in the application and hiring process.  To request a reasonable accommodation, please call the Luxottica Ethics Compliance Hotline at 1-888-887-3348 or e-mail HRCompliance@luxotticaretail.com (be sure to provide your name and contact information for either option so that we may follow up in a timely manner). 

We are an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, gender, national origin, social origin, social condition, being perceived as a victim of domestic violence, sexual aggression or stalking, religion, age, disability, sexual orientation, gender identity or expression, citizenship, ancestry, veteran or military status, marital status, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave), genetic information or any other characteristics protected by law.  Native Americans receive preference in accordance with Tribal Law.


Nearest Major Market: Cincinnati

Job Segment: Manager, Management

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