Prudential Health Care Work Values

Daily Duties at Prudential Health Care:

Throughout tenure and positions of increasing responsibility, I was responsible for essential functional areas of group model managed care plan, including network development and provider contracting, both simple and complex (for hospitals, group and individual physician offices, ambulatory care facilities and other healthcare professionals). This included directing staff to achieve stated plan goals and objectives, creating informational material for provider workshops and education; accountable for coordinating and monitor daily workflow, quality and production of 20 employees, including managing hiring decisions, coaching/mentoring and disciplinary actions related to claims processing, auditing and training staff. Also spent 1 year as a financial analyst gathering and distributing data to support contractual agreements with health plan providers. Worked with health plans or internal data warehouse team to research and resolve data issues. Identified a $1M over-payment to a hospital that was recovered over the next two years through contract re-negotiations.

What they like about Prudential Health Care:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

Tags

Claim Processing, SQL, Microsoft Office, Data Analysis, Contract Negotiations, Benefit Interpretation, Vendor Contract Management, Management, Communication, Teamwork, Problem Solving, Customer Service, Process Improvement

Skills

Quality Management, Problem Solving, Customer Service, Decision Making, Process Improvement, Time Management, Leadership, Teamwork, Communication, Contract Negotiations, Independent

These are some of the questions we asked our climbers about their experiences with Prudential Health Care: