Opportunity: Mgr, PLADS Vocational & ADA Services
Salary Range: $80,000 - $185,000
Remote/Hybrid/On-Site: Remote
What does it take to be successful at Aflac?
- Acting with Integrity
- Communicating Effectively
- Pursuing Self-Development
- Serving Customers
- Supporting Change
- Supporting Organizational Goals
- Working with Diverse Populations
- Acting as a Champion for Change
- Demonstrating Initiative
- Developing Talent
- Managing Performance
What will you be doing in this role?
- Extensive clinical, vocational and ADA experience/knowledge
- Strong investigative and analytical skills
- Strong customer service skills
- Strong written and oral communication skills.
- Strong organizational and time management skills
- Ability to analyze clinical records in the context of functional capacity
- Kean instincts on how to work in a team environment.
- Extended Hours during peak demands, as required
- Maintain a valid driver's license, as required
- Pass Applicable certification and licensing continuing education and maintain active license and/or certification, as required
- Demonstrate regular and predictable attendance
- Seek and/or maintain current or enhanced profession credentials
Education & Experience Required
- Bachelor’s Degree in nursing or a related health care industry
- 3 years of vocational rehabilitation experience
- 3 years of Disability and Absence industry experience
- Any one of the following or comparable certifications: CRRN, CDMS, CCM or CRC. ADAAA certification is preferred.
- 1or more years of supervisory, managerial and/or leadership experience
- 2 or mote years of experience in ADAAA management
Or an equivalent combination of education and experience
Travel
- Less than or equal to 10%
Principal Duties & Responsibilities
- Acts as a first level expert resource for customer complaints and/or escalates issues to upper leadership; oversees the day-to-day operations within the Clinical or Vocational / ADA team including monitoring of Clinician or Vocational / ADA Reviewer tasking volume, urgency and timeliness; accountable for team accuracy, e.g. quality of clinical / Vocational / ADA rationales and capturing dynamic indicators, timeliness, and productivity and value, e.g. impact points; assists in issue resolution and troubleshooting within the team; regularly monitors and evaluates activities to identify potential risks and issues of non- compliance; participates or may lead risk assessment for area of responsibility and escalates potential issues to higher management
- Leads relationship for customers and/or area of responsibility; may functions as a Clinical / Vocational Leader in addressing Appeals Unit processes and protocols;; anticipates, recognizes, and responds timely to needs of customers to ensure customer satisfaction.
- Provides detailed procedural advice to internal clients to ensure that internal standards and or procedures are adhered to related to clinical and vocational referrals and clinical and vocational / ADA co-management; develops business with existing customers by recognizing and initiating clinical and vocational opportunities
- Develops policies, procedures and best practices for vocational services and ADAAA management
- Independently collates and analyzes production report data using pre-determined tools, methods and formats and makes recommendations in order to support the Medical and Vocational Department’s effectiveness; communicates effectively with clinical, vocational and ADAstaff, case managers, employers, employees, Unit Manager, and health care providers.
- Supports implementation of new accounts and account initiatives to drive best clinical and vocational / ADA outcomes; reviews assigned customer cases, prioritizes workload, and interprets established policies, applying discretion within authority limits in order to resolve customer issues; provide status updates on co-management volumes to ensure caseloads are within best practice limits; resolves workflow or addresses technical problems by generating policies, procedures, and referring to IT specifications to ensure accuracy and operational consistency.
- Assists in completion of team audits on a regular basis; provides feedback to staff to assist in completion of 90-day reviews of new hires, and mid-year and end-of-year reviews performance reviews of staff within team; provides training of new team members and provides mentoring to team members; assists in staff development; provide guidance and support for team members; educates team members and business partners on areas of clinical, vocational and ADAexpertise needed to manage disability and absence claims and ADA cases; presents training designed to educate expert resources and/or claim staff as requested
- Collects data and prepares clinical service reports including commentary and an analysis to facilitate decision-making to the Director; analyzes data using pre-determined tools, methods, and formats and makes recommendations in order to support the department’s timely claim reviews
- Fosters cross-functional interdependent relationships to achieve business results; identifies opportunities and risks associated with changes in the external environment, looking forward for the current year; implements changes to and maintain procedures and policies; ensures that appropriate documentation, implementation, and communication of established policy, procedures and operating standards is completed for area of responsibility; sets and executes operational objectives and plans; contributes to planning and budgeting
- Models behaviors that demonstrate commitment to corporate values; completes the performance management cycle with staff, including providing coaching and feedback for improved performance; builds positive team environment; ensures all staff have and are implementing personal development plans; performs time keeping/PTO management for the
Total Rewards
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. The range has been created in good faith based on information known to Aflac at the time of the posting. Compensation decisions are dependent on the circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information will be provided separately when appropriate. The salary range for this position is $80,000 to $185,000.
In addition to the base salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage, health care flexible spending, dependent care flexible spending, Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee), 401(k) plans, annual bonuses, and an opportunity to purchase company stock. On an annual basis, you’ll also be offered 11 paid holidays, up to 20 days PTO to be used for any reason, and, if eligible, state mandated sick leave (Washington employees accrue 1 hour sick leave for every 40 hours worked) and other leaves of absence, if eligible, when needed to support your physical, financial, and emotional well-being. Aflac complies with all applicable leave laws, including, but not limited to sick and safe leave, and adoption and parental leave, in all states and localities.
