[Remote] Team Leader Account Performance

Note: The job is a remote job and is open to candidates in USA. Blue Cross & Blue Shield of Rhode Island is dedicated to providing high-quality healthcare and community support. The Team Leader Account Performance role involves supervising staff, managing workflow, and ensuring adherence to performance standards while collaborating with various departments to enhance operational efficiency.

Responsibilities

• 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
• 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

Skills

• 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.)
• 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

Benefits

• Flexible work arrangements that include remote and hybrid opportunities
• Paid time off
• Tuition reimbursement
• Assist with student-loan repayment
• Health, dental, and vision insurance
• Programs that support your mental health and well-being
• Competitive pay
• Bonuses
• Investment plans
• Additional paid time to volunteer

Company Overview

• At Blue Cross & Blue Shield of Rhode Island (BCBSRI), we know that health is more than what happens at the doctor’s office. It was founded in 1939, and is headquartered in Providence, Rhode Island, US, with a workforce of 501-1000 employees. Its website is http://www.bcbsri.com.

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