Team Leader Account

Join to apply for the Team Leader Account Performance role at Blue Cross & Blue Shield of Rhode Island

Pay Range: $73,500.00 - $

Please email _Acquisition Team if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

Why This Job Matters

Supervise the daily work of staff to ensure adherence to quality standards, deadlines, and proper procedures. Oversee key performance items measured in service levels and account performance guarantees. Provide performance management oversight and employee development. Manage workflow of department; implement corporate or departmental policies, procedures, and service standards. Assist in external audits preparation and follow up. Assist with completing RFP (request for proposal) responses related to performance guarantees.

• Coordinate the workflow and operations of the performance monitoring team. Provide direction and guidance to staff. Review and evaluate work and prepare performance reviews.
• Direct the day-to-day operations of the performance monitoring team in its efforts to monitor the key performance items measured in the service level program, and account performance guarantees. Investigate declines in performance and oversee resolution with key operational areas to improve performance on account performance guarantees.
• Oversee implementation of account performance guarantee reporting. Oversee analysis of reporting and data capabilities to develop and implement selections of possible account performance guarantees that are measurable, achievable and consistent with internal standards and reporting capabilities.
• Develop and update standard contract language regarding the methodology used to measure and report the guarantees. Ensure that reports are generated, analyzed and provided to the account via BCBSRI Sales department where such guarantees exist.
• Collaborate with internal areas to identify existing guarantees and transition all accounts to standard guarantees where possible. Notify appropriate vendor manager of changes in guarantees that relate to vendor PGs/ SLAs. Assist with completing performance guarantee-related responses to RFPs.
• Update and maintain a database/tracking system to monitor performance issues identified through non-regulatory external audits and performance monitoring reports. Facilitate the resolution of all issues identified. Communicate performance issues with potential negative impact to internal departments.
• Perform other duties as assigned.

• A combination of education and related work experience
• Three to five years’ experience in auditing and/or account performance function
• Knowledge of health care financing, operational functions and auditing requirements
• Knowledge of Blue Cross Blue Shield Association requirements related to operational performance
• Understanding of contractual agreements and effects on operational performance
• Ability to set and maintain quality standards
• Ability to develop and maintain effective and collaborative working relationships
• Strong and effective decision-making skills
• Strong organizational and time management skills
• Proficiency with Microsoft Suite of products (i.e., Word, Excel, PPT, etc.)

• Bachelor’s degree in Business Administration, Accounting, Finance, or related field, or an equivalent combination of education and experience
• Supervisory experience or experience leading a team

BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:

• In‑office: onsite 5 days per week
• Hybrid: onsite 2‑4 days per week
• Remote: onsite 0‑1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department:
  Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia

Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

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