Manager of Retrieval Operations
New
R
ReveleerHealth Tech
United StatesFull-TimeManager
Salary60,000 - 80,000 USD per year
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Job Details
- Experience
- 5+ years of experience in healthcare operations, chart retrieval, risk adjustment, or HEDIS/quality program management; 2+ years of experience directly managing a team
- Required Skills
- Project ManagementMicrosoft Excel
Requirements
- 5+ years of experience in healthcare operations, chart retrieval, risk adjustment, or HEDIS/quality program management.
- 2+ years of experience directly managing a team of individual contributors, including performance management and coaching.
- Experience managing large-scale, high-volume retrieval or outreach programs against defined SLAs.
- Working knowledge of risk adjustment and HEDIS retrieval workflows, including chase, AID, and pend code concepts.
- Comfort working with AI-enabled or automated outreach tools, including monitoring performance and identifying tuning opportunities.
- Strong analytical skills, including proficiency in Excel.
- Demonstrated ability to build and maintain staffing and capacity forecasting models.
- Excellent written and verbal communication skills, with experience presenting performance data to customers or senior leadership.
- Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Responsibilities
- Own daily and weekly execution of the chase queue, monitoring retrieval rate, pend rate, and AID ownership.
- Manage the chase-to-AID assignment structure and adjust workflows as volume and provider mix shift.
- Oversee day-to-day performance of platform voice agents and monitor agent-to-human conversion metrics.
- Maintain the PSR staffing model and capacity forecast, partnering with offshore teams to align capacity against weekly chase intake.
- Serve as the day-to-day operational point of contact and lead root-cause analysis on retrieval shortfalls.
- Build weekly and monthly scorecards and contribute data to quarterly business review materials.
- Identify opportunities to expand AI agent-enabled retrieval and document standard operating procedures.
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