Supervisor, Provider Operations - Meridian, United States - Idaho State Job Bank

Description

Supervisor, Provider Operations

• R at Blue Cross of Idaho in Meridian, Idaho, United States Job Description Supervises the operations targeted at defining, establishing, and operationalizing provider services.

Develops procedures in support of operational effectiveness and ensures compliance with regulatory bodies.

We are looking for a candidate with:

Required Experience: 5 years' relevant experience Supervise the quality team for the provider data file which includes quality on the Provider Configuration, Credentialing and Provider claims teams.

Drive the development of queries and reports across all provider data.

Manage quality metrics and improve the accuracy of the provider data file for the member facing provider directory and claims processing.

Provide error trending to Provider Configuration, Credentialing and Provider Claims team's awareness of common issue Supports initiatives to improve provider satisfaction.

Provides day-to-day oversight of functional area assigned. Implements operational plans to address needs and process improvements. Ensures effective workflows, maximizes system efficiencies, monitors quality performance measures, and confirm appropriate completion of work processes. Provides guidance, coaching, and continuing education to staff. Establishes goals and objectives for team members. May partner with leaders in designing, maintaining, and producing management reports to meet departments or company's needs. Performs other duties and responsibilities as assigned. Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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