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Field Investigator Supervisor
Job TitleField Investigator Supervisor
The Field Investigator Supervisor manages the Field investigator group and ensures that they follow through on pending projects and their usual day to day field assignments
The Field Investigator Supervisor ensures that the field investigator team exhibits outstanding problem solving skills as well as excellent verbal, written and interpersonal communication skills when communicating with recipients, health care facilities, and the transportation provider network by;
Holding regular meetings with the group to ascertain trends noticed in the field.
Regularly evaluate each investigator based on their reports and facility feedback.
Regularly communicates with providers.
Managing complaints against any member of the group accordingly and escalating to the Director of Operations when necessary.
Establishes, maintains and strengthens processes to investigate, validate, resolve, respond to, follow-through on and prevent complaint(s) based on provider transgressions through strong front end management of vehicle inspections and contract enforcement.
Transportation Provider Network
Assumes primary responsibility for network support, improvement and contract enforcement directed by the Director of Operations
In conjunction with the Regional manager/s, communicates with providers, visits them regularly to observe their fleets in action in order to ensure that providers know contract requirements, adhere to contract.
Reports all discoveries by Field investigator team of fraudulent practices discovered in the field
Assists the Transportation Manager in managing the distribution of work between the providers by communicating redlined vehicles and newly approved vehicles in real-time.
Maintains inventory of and reports quarterly on all vehicles and drivers
Maintains applicable certification(s), and is able to oversee driver training and inspect vehicles, if necessary.
Relations with Healthcare Facilities
Initiates investigations into facilities based on recommendation from the Healthcare Manager
Manage fraud and abuse
Data Collection, Maintenance and Reporting
Reports monthly to the Director of Operations on:
- Ø Provider and facility visits, field work and training inspections (if any)
- Ø Complaints and investigations
- Ø Field Investigator hours and assignments
- Ø Reports on vehicles and driver counts regularly
- Ø Issues reports as requested by the DO and GM
Assumes primary responsibility and leadership for quarterly advisory and Field Investigator workload
Submits budgets as directed and maintains day-to-day control of Field Investigator operational expenditures
Performs other duties as assigned by Operations Director
Communication, Oral - Ability to communicate effectively with others using the spoken word
Communication, Written - Ability to communicate in writing clearly and concisely
Customer Oriented - Ability to take care of the customers' needs while following company procedures
Interpersonal - Ability to get along well with a variety of personalities and individuals
Problem Solving - Ability to find a solution for or to deal proactively with work-related problems
Self-Motivated - Ability to be internally inspired to perform a task to the best of one's ability using his or her own drive or initiative
RelationshipBuilding - Ability to effectively build relationships with customers and co-workers
Time Management - Ability to utilize the available time to organize and complete work within given deadlines
2 or 4 year college degree preferred
Current certification from the CTAA and NSC is a plus
Transportation and/or vehicle maintenance experience preferred
Prior audit experience and/or knowledge of Medicaid guidelines a plus
SKILLS & ABILITIES
Valid/current driver's license and a clean driving record
Basic knowledge of assigned state along with ability to read and follow maps
Ability to follow complex instructions
Must be flexible to work a variety of work schedules/hours
Must be willing and able to travel locally 75%+ within assigned state
Ability to work independently with minimal supervision
Must be self-motivated and possess superior time management skills
Proficient in Microsoft Word, Excel and Outlook
Ability to accurately type 35+ corrected words per minute
Directly supervises Field Monitors and carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to talk or hear. The employee is frequently required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms and lift. Specific vision abilities required by this job include close vision.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Approximately 25% of work time is conducted in an office setting and approximately 75% of work time involves extensive travel.