Operations Supervisor; Remote

PURPOSE

Supervise and provide daily direction to multi‑functional team members regarding training and development, policies, procedures, and work production quantity and quality.

Functional area

s may include but are not limited to installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Review and resolve complex service issues not resolvable by subordinates.

• Supervise employee outcomes by training, assigning, scheduling, coaching, and counseling employees; communicating job expectations; planning, monitoring, and appraising job contributions; adhering to policies and procedures.
• Meet operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer‑service; resolving problems; identifying system improvements.
• Maintain customer service objectives by monitoring daily operations; resolving claims that require manual review or technical support, enrollment or billing related customer issues; consistently review systems and make necessary adjustments where needed, including resources/staffing. Research and resolve escalated calls, review and resolve complex claims that have not been resolved by Claims staff.
• Maintain and improve departmental operations by monitoring system performance; identifying and resolving operations problems; supervising process improvement and quality assurance programs; installing upgrades.
• Prepare call center, claims and/or enrollment and billing performance reports by collecting, analyzing, and summarizing data and trends.
• Improve call center, claims and/or enrollment and billing job knowledge by attending educational workshops.

This position manages people.

• Education Level: High School Diploma or GED.
• Experience: 3 years related professional experience with demonstrated leadership skills. Must have proficiency in the service, claims or enrollment & billing area.
• Preferred Qualifications: Bachelor's Degree.
• Knowledge,
  
  Skills and Abilities
  
  (KSAs):
  • Knowledge of call center operations, claims, and/or enrollment and billing workflows.
  • Strong presentation skills.
  • Highly proficient in Microsoft Office programs.
  • Excellent communication skills both written and verbal.
  • Ability to plan, review, supervise, and inspect the work of others.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

$62,856 - $129,641 – The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration.

It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, Care First offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Facets Billing & Collections

Care First Blue Cross Blue Shield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Please visit our website to apply:

Note:

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Must be eligible to work in the U.S. without Sponsorship.