Full-Time Team Leader Account Performance
Job Description
Why this job matters:
Supervise the daily work of staff to ensure adherence to quality standards, deadlines, and proper procedures. Oversee key performance items measured in service levels and account performance guarantees. Provide performance management oversight and employee development. Manage workflow of department; implement corporate or departmental policies, procedures, and service standards. Assist in external audits preparation and follow up. Assist with completing RFP (request for proposal) responses related to performance guarantees.
What you will do:
Coordinate the workflow and operations of the performance monitoring team. Provide direction and guidance to staff. Review and evaluate work and prepare performance reviews.
Direct the day-to-day operations of the performance monitoring team in its efforts to monitor the key performance items measured in the service level program, and account performance guarantees. Investigate declines in performance and oversee resolution with key operational areas to improve performance on account performance guarantees.
Oversee implementation of account performance guarantee reporting. Oversee analysis of reporting and data capabilities to develop and implement selections of possible account performance guarantees that are measurable, achievable and consistent with internal standards and reporting capabilities.
Develop and update standard contract language regarding the methodology used to measure and report the guarantees. Ensure that reports are generated, analyzed and provided to the account via BCBSRI Sales department where such guarantees exist.
Collaborate with internal areas to identify existing guarantees and transition all accounts to standard guarantees where possible. Notify appropriate vendor manager of changes in guarantees that relate to vendor PGs/ SLAs. Assist with completing performance guarantee-related responses to RFPs.
Update and maintain a database/tracking system to monitor performance issues identified through non-regulatory external audits and performance monitoring reports. Facilitate the resolution of all issues identified. Communicate performance issues with potential negative impact to internal departments.
Perform other duties as assigned.
What you need to succeed:
A combination of education and related work experience
Three to five years’ experience in auditing and/or account performance function
Knowledge of health care financing, operational functions and auditing requirements
Knowledge of Blue Cross Blue Shield Association requirements related to operational performance
Understanding of contractual agreements and effects on operational performance
Ability to set and maintain quality standards
Ability to develop and maintain effective and collaborative working relationships
Strong and effective decision-making skills
Strong organizational and time management skills
Proficiency with Microsoft Suite of products (i.e., Word, Excel, PPT, etc.)
The extras:
Bachelor’s degree in Business Administration, Accounting, Finance, or related field, or an equivalent combination of education and experience
Supervisory experience or experience leading a team
How to Apply
https://www.bcbsri.com/careersApply for this Job
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