E-Verify Program

Manager, Strategic Provider Support

E-Verify Program

full-time

Posted on:

Location Type: Remote

Location: Remote • North Carolina • 🇺🇸 United States

Visit company website
✨ AI Apply
Apply

Salary

💰 $73,698 - $117,917 per year

Job Level

SeniorLead

About the role

  • Develop performance goals and track performance against established goals.
  • Handle complex employee issues.
  • Conduct random audits of teams work.
  • Review audit results with staff and create performance improvement plans as necessary.
  • Develop and implement training plans to ensure growth and development for staff.
  • Develop staff provider relation skills and provider communication through formal and informal training, coaching, and feedback.
  • Interpret and analyze complex data from staffing models and other sources to identify issues and make recommendations for effective solutions.
  • Develop resource allocation strategies to meet changing business demands.
  • Represent BCBSNC in stakeholder meetings to address stakeholder inefficiencies and to ensure contractual compliance.
  • Plan all on-site visits to stakeholders to educate on BCBSNC medical or administrative policies and procedures.
  • Address stakeholder concerns and non-compliance contract/administrative issues.
  • Coordinate the required corrective actions.
  • Partner with assigned stakeholders to understand their processes, procedures and systems as they relate to the way they conduct business with BCBSNC.
  • Develop and maintain extensive knowledge of key stakeholders and/or regional territories.
  • Track stakeholder issues for root-cause analysis, escalation, and closure.
  • Document issue resolution using issue resolution protocol.
  • Comply with state, federal and BCBSA regulations governing stakeholders and suggests implementation of any product, process, or system modifications to ensure compliance.
  • Identify opportunities to control medical expense and deploy action plans to accomplish stakeholder-specific or regional medical expense goals.
  • Participate in negotiations with stakeholders as needed.
  • Manage day-to-day consultative activities for a high-profile healthcare system.
  • Provide analysis and feedback for technologies, trends, best practices and service offerings to incorporate them into overall stakeholder business solutions.
  • Lead team of onsite coordinators in identifying, analyzing, and resolving complex operational issues impacting the healthcare system.

Requirements

  • Bachelor's degree or advanced degree (where required).
  • 8+ years of experience in related field.
  • In lieu of degree, 10+ years of experience in related field.
  • LEAN certification advanced within 12 months of hire.
  • Experience in provider interactions with institutional, professional and ancillary providers.
  • Experience in claims, customer service, membership, enrollment or a call center environment.
  • Experience managing a project.
  • Ability to interpret policy provisions.
  • Excellent interpersonal and relationship building skills.
  • Strong data analysis and problem-solving skills.
  • Knowledge of institutional and ancillary pricing, health care finance, hospital and ancillary payments.
  • Strong negotiation skills.
  • Ability to effectively manage multiple high priority and high-profile tasks/provider relationships.
Benefits
  • Medical, dental, and vision coverage along with numerous health and wellness programs.
  • Parental leave and support plus adoption and surrogacy assistance.
  • Career development programs and tuition reimbursement for continued education.
  • 401k match including an annual company contribution.
  • Work-life balance, flexibility, and the autonomy to do great work.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
data analysisperformance improvement plansresource allocation strategiesissue resolution protocolstakeholder managementproject managementpolicy interpretationmedical expense controlnegotiation
Soft skills
interpersonal skillsrelationship buildingproblem-solvingcommunicationcoachingfeedbackteam leadershipconsultative activitiestraining development
Certifications
LEAN certification