Anyone else find that since after layoffs happened it’s been impossible to reach your cph goal for the month? I used to be over 100% for the past year and now I’m lucky to reach 85% busting my butt. The only way to reach the 100% is by not looking at the WF which comes with other issues.
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Shared Services was created by Dave Thomas, Drew Asher & Ken Fasola to fire/lay-off staff! Shared Services was never about "efficiencies" Kim Henricksen is just the functionary of these slimy guys; shes knows nothing about managed care or really anything!! Of course everyone who is restructured to Shared Services will not get fired but many will get fired.
As well as Shared Services, or Centralization is not in alignment with many of Centene's Medicaid contracts that require management to be local in the state! This situation has a high potential for being a whistleblower action! Millions in reward for the first to successfully come forward!!
Drew Asher, David Thomas, Ken Fasola, & Sarah London are all responsible for the lawsuits and the inept management of them. Drew ran the PBM that has been found culpable. Dave and Ken are slimy incompetents, and Sarah is a Nepobaby poet who cares not for the members, especially the poor or Centene at all, along with being unqualified for any corporate role except, perhaps the lowest level project manager!!
Don't worry -- the Feds are coming too -- hopefully with a massive fine, jail time for these reprobates and perhaps even to shut parts or all of the company down --- good riddance!!
The likely reason behind making CPH so difficult to meet is now they can do a PIP and not have to pay any severance. Sneaky and so backhanded. Managers, Supervisors and Leads discuss each days workload and who gets what, hmmm, guess who gets 4 or 5 different LOB to work each day on top of long and difficult claim types. You got it, the ones they don’t like for whatever reason, or could be they used Medical Leave which the company does not like, or even possibly went to HR (which is a joke if you think they are on your side) to complain about a manager/supervisor. It’s hard to take when you see that happening, all respect goes out the door.
Just in the last mobth or so I have not been able to hit CPH for my state. We are now also being shifted to other markets at least twice a week and are exoected to maintain 6-8 claims per hour, depending on state. That whole "it's all like work" line that leadership loves to spout is utter bullsh-t. Plus no KCA this year, so tell me why I'm busting my a-s? I want to make them buy me out (and it sounds like that isn't even guarteed on severence) but I'm also hitting my "fu-k this sh-t, it's not worth it" limit.
Hate to be the bearer of bad news, but the end game is to source all claims processing work, whether offshore or onshore to a third party processor. They've promised them pretty much all the work by 2025, and the Centene teams no longer making production will seal the idea that it is the best strategy.
CC wants to expedite the move, and BM already has sign off from RC
I have also in the past several months not made the required 100%, after having no problems at all in the past and with perfect QA. Then they changed the way they were counting each claim now as being equal. No matter how difficult or time consuming it is. I believe it has to do with all the quicker and easier claims going off shore to our buddies over there. I have also noticed when I look up the last person who touched it, and BTW did it wrong, which is why I now have it back to correct, they are off shore but a Centene Employee! You can tell by the persons name, email and time zone where they are. The change in how they count production happened several weeks before our supervisor happened to mention it. What happened to “Transparency”?? We were told that is just the way “They” want it. No reasoning as to why. So fed up I quit.
100% on this. I have always been able to reach 100% CPH if not exceed it up until this Shared Services Model restructuring. So now combine that with pulling analysts to work other LOB and not training them for that LOB and using workflows that are different and expecting CPH expectations to be the same regardless resulting in more non-productive time because your constantly asking questions on how to process and waiting forever for someone to answer you. No matter what they say commercial, medicaid and medicare work flows can be very different and time requirements to process can be very different. Then you have new PL or Sups that were hired externally or transfered from a different LOB and have no clue how to answer your questions because they haven't processed for that LOB and in some cases never processed a claim ever. Now add firing thousands of people and expecting those left behind to pick up the slack. I will also add for at least the LOB I am, they want - for example 8 claims an hour for corrected claims (not adjustments) and any claim you need to touch in relation to them including but not limited to the original claim are built into the CPH - so really they are saying you need to touch 16 claims an hour. They have made it impossible to meet CPH on every level. And they will not reevaluate the process to make it more attainable. They do not listen to the processors and don't give a ratts a-s about any feedback. Not to worry though - the word is they are planning on moving all claims processes offshore that they legally can. Starting to feel more and more like constructive dismissal to me.