Operations Supervisor – Coordination of Benefits

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<div class="isg-job-description“>About Blue Cross and Blue Shield of Minnesota
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

Blue Cross and Blue Shield of Minnesota is hiring an Operations Supervisor to support the Coordination of Benefits (COB) team. This position is responsible for meeting and/or exceeding employee and customer expectations by providing quality service through effective leadership and management for those responsible for claims adjudication, customer service/consumer experience via the Contact Center, data entry and documentation preparation via the Incoming Service Center and enrollment via Membership Operations. This position is also responsible for maintaining an engaged and productive staff by coaching, motivating, providing support, direction and developing employees to maximize their full potential. This position will have up to 18-25 direct reports.

This position works under the direction of the Manger Coordination of Benefits, and in collaboration with peers, this position is responsible for strategic direction and management of coordination of benefits (COB) operations. This includes directing, planning, organizing, and assuring activities associated with COB are timely and accurate. The Supervisor COB Operations will work with internal and external stakeholders to drive processes improvements and strong results. This position guides, leads, coaches and develops team members to become increasingly self-directed and strives to create and maintain high-functioning and collaborative teams that employ leading practices to provide demonstrable value to the organization.

Your Responsibilities

• Conducts performance evaluation, and is responsible for managing employees, including skill and career development, policy administration, coaching on performance management and behavior, employee relations and cost control.
• Analyzes customer complaints and/or audit results to determine work flow changes and/or training issues within the unit.
• Supervises the allocation of resources, including staff and technology to ensure goals of the respective Operations department are met; partners with various departments within the company as well as external customers to develop and maintain a positive working relationship.
• Supervises the department including interviewing and hiring employees following required EEO and Affirmative Action guidelines and ensuring employees receive the proper training.
• Promotes teamwork to effectively achieve customer satisfaction, department specific performance goals and metrics.
• Evaluates and standardizes procedures to improve a working relationship with employees to ensure a positive working environment; represent the division i n various work groups.
• Prepares composite reports and identifies trends and communicates recommendations through analysis of data; ensures compliance with all applicable regulatory, legislative or contract specific requirements.
• Effectively interact with team members that have diverse backgrounds and temperaments while demonstrating a genuine interest in team members, maintaining open lines of communication with team members and being an advocate for team members.
• Coaches team members on their performance on a regular basis; write, delivers bi-annual performance appraisal reviews; communicates positive as well as negative/constructive feedback adapting coaching styles depending on the situation and the audience providing feedback that is specific, constructive and encouraging all team members in incremental performance improvement.
• Consistently monitors team to proactively identify potential problems and with guidance ensures appropriate parties are engaged through to resolution.
• Develops relationships within the supporting business units to help resolve issues related to team members (e.g., Human Resources, Workforce Management, Quality, etc).
• Through coaching, ensures employee metrics are achieved; able to take end-to-end ownership of employee issues that require liaison with others; use and promote company recognition programs and understand the direct correlation between recognition and retention; meet or exceed deadlines for reporting.
• Demonstrates skills at analyzing trends and assist in creating action plans that determine a solution.
• Demonstrates teamwork by supporting and assisting other supervisors as necessary.
• Demonstrates the BCBSMN culture through both behavior and attitude.
• Effectively use business standard orally and written communication skills on a daily basis.
• Partners with sales staff and external clients to develop and maintain a dynamic business relationship for new and renewing accounts.

Required Skills and Experience

• 3+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• Modeling the way by setting positive examples of behavior and attitude for program level activities.
• Proven time management skills.
• Excellent customer service and support skills.
• Strong interpersonal skills and experience building relationships.
• Ability to organize and plan work assignments and successfully implement procedures.
• Able to work well under pressure; exhibit professional demeanor.
• Strong written, oral and listening communication skills to include presentation skills.
• Experience with providing and receiving coaching and feedback.
• Able to encourage, motivate and provide recognition.
• Must have proficiency with various software applications, programs including email messaging applications, Microsoft Word and excel.
• Strong analytical and problem solving skills with the ability to make independent decisions Work hours are based on business need.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Bachelor’s Degree
• Prior experience with Coordination of Benefits, including Medicare, Medicaid and Commercial
• Health Plan experience with a focus on claims processing is strongly preferred
• Demonstrated expertise in advanced Excel, including proficiency in generating reports, utilizing filters, and employing advanced functions
• Possess the ability to drive and lead a positive change
• Ability to motivate and excel with in a team environment, while promoting and recognizing individual accountabilities
• Demonstrates the ability to provide work direction as well as collaborating with others to ensure success within the claims division
• Staff, team lead or project lead experience

Compensation and Benefits:

Pay Range: $67,200.00 – $89,100.00 – $111,000.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Blue Cross and Blue Shield of Minnesota is an Equal Opportunity and Affirmative Action employer that values diversity. All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.

 

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