Team Leader, Operations; Member Outreach

Job Description

We're hiring a Team Leader, Operations to join the Risk Adjustment Concierge Member Outreach Team! Responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures member and customer satisfaction, and maintains compliance with applicable requirements. Leads performance coaching, development, and trend analysis, and serves as a key liaison between frontline staff, leadership, and cross functional partners.

At Blue Cross NC, we're making health care better for all - by listening deeply, challenging what's possible, and putting care at the heart of everything we do. Join a purpose driven team where ideas spark change, growth is encouraged, collaboration fuels impact, and you're supported with the flexibility and trust to do meaningful work.

• Manage day-to-day workload to achieve business objectives; provide leadership and direction to the team and execute team goals and expectations.
• Act as a resource for the team; provide assistance on work processes and procedures.
• Foster a positive, accountable, and collaborative team culture.
• Serve as the primary point of contact for operational updates and escalations, including direct, customer facing engagement as needed.
• Ensure employees are properly trained in processes and procedures and respond professionally, courteously, quickly, and accurately to all inquiries from internal and external customers
• Provide ongoing coaching and development feedback to team members. Conduct regular coaching conversations and formal performance evaluations.
• Collaborate with other departmental teams to establish performance goals and monitor progress against those goals.
• Partner with cross functional teams to identify and address system or process gaps.
• Identify trends, determine root causes, and initiate appropriate action to resolve issues.
• Identify, document, and report system and process problems/trends using root cause analysis and implement solutions
• Conduct random audits of the team's work. Review audit results with employees and create performance improvement plans as necessary.
• May develop short and long-term service objectives and methods and implement these methods when approved.
• Respond quickly and accurately to escalated issues from clients and customers.
• May represent the department on corporate projects (i.e., divisional, corporate, etc.).

• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field.
• In lieu of degree, 7+ years of experience in related field.

At this time, Blue Cross NC will not sponsor employment authorization for this position.

• Proficiency with Microsoft Excel, including formulas, pivot tables, charts, filters, and operational tracking is highly preferred.
• Experience creating professional presentations, leadership updates, and reports using Microsoft PowerPoint.
• Knowledge of Microsoft SharePoint for maintaining documentation, procedures, and team resources.
• Familiarity with Genesys Cloud or a similar contact center platform for queue management, interaction monitoring, and performance reporting.
• Experience using workforce management and collaboration tools such as Smart Desktop, Microsoft Teams, Outlook, and Power BI to support coaching, reporting, and operational decision-making.

• The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
• Work-life balance, flexibility, and the autonomy to do great work

• Medical, dental, and vision coverage along with numerous health and wellness programs

• Parental leave and support plus adoption and surrogacy assistance

• Career…