Job Description:

　　The Subrogation Case Manager serves as a critical member of the Subrogation team in pro-actively pursuing SelectHealth's right of recovery in subrogation and third-party situations to maximize recovered dollars and to determine the appropriate course of action in accidental, medical malpractice, and occupational injury claims, negotiate resolutions and resolve assigned Subrogation cases. This role requires a high-level understanding of the applicable legal and regulatory standards that must be applied to each case, while aligning with Intermountain's mission.

　　This position is remote with flexible hours

　　Determines liability, confirms subrogation potential, and maximizes recoveries by negotiating and then facilitating the settlement of Select Health’s Subrogation cases. Provides quality case handling throughout the case life cycle (customer contacts, investigation, evaluation, negotiation, and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.

　　Serves to administer and communicate Select Health’s position regarding contract exclusions and subrogation provisions while maintaining close working relationships with Select Health's internal operations and legal departments to ensure that Select Health is providing the most effective subrogation services. May be assigned additional responsibilities that include coordinating with various departments.

　　Negotiates subrogation recoveries with responsible parties, their carriers, and other legal representative and attorneys to obtain maximum recovery of benefits paid in accordance with contract language and provides support for complex cases and issues. Attends depositions, mediations, arbitrations, pre-trials, trials, and all other legal proceedings, as required for individual cases.

　　Communicates effectively while leading change and building relationships based on trust and service excellence in a team environment

　　Maintains documentation while reviewing and proactively updating it to ensure it accurately reflects the process, and related policies and practices.

　　Attends and/or presents at roundtable discussions for collaboration of technical expertise resulting in optimal resolution. Acts as a problem solver by utilizing available resources to research, facilitate, and resolve policy and procedural issues.

　　Acts as a subject matter expert and is available as a resource for peers within the subrogation process.

　　#SelectHealth

　　Minimum Qualifications

　　Bachelor’s degree in business related field. Education must be obtained through an accredited

　　institution. Degree will be verified.

　　Or -

　　Three years’ experience in related business field that includes one or more of the following: legal experience, insurance experience, investigation experience, or equivalent combination of education and experience.

　　and -

　　Demonstrated attention to detail skills and ability to work with minimal supervision to plan work assignments and manage time effectively to meet established deadlines, manage a high-volume case load

　　and –

　　Demonstrated flexibility and competency in the management of competing priorities, while also being able to work with a team and within a team environment.

　　and -

　　Demonstrated critical thinking skills with the ability to analyze and then make independent decisions for case handling and problem resolution within the scope of assigned cases and scope of authority

　　and -

　　Demonstrated excellent interpersonal skills, negotiation skills, strong analytical ability, organization skills, investigation skills,

　　and -

　　Excellent oral and written communication skills and ability to interact effectively with all levels of internal personnel, as well as providers, members, attorneys, and any other involved parties

　　and -

　　Demonstrated intermediate computer literacy, including word processing and spreadsheet experience.

　　Preferred Qualifications

　　Certified Professional Coder

　　Demonstrated intermediate ability and working knowledge of coding and related issues.

　　Physical Requirements:

　　Manual dexterity, hearing, seeing, speaking.

　　Anticipated job posting close date:

　　02/01/2024

　　Location:

　　SelectHealth - Murray

　　Work City:

　　Murray

　　Work State:

　　Utah

　　Scheduled Weekly Hours:

　　40

　　The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

　　$26.45 - $41.66

　　We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

　　Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .

　　Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

　　Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called SelectHealth, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

　　Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

　　To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utm_source=Workday&utm_medium=Redirect&utm_campaign=CareerHome_workday) .

　　Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

　　Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

　　We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

　　Learn more about diversity at Intermountain, here. (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/)

　　Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

　　Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

　　The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

　　All positions subject to close without notice.

　　Thanks for your interest in continuing your career with our team!