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Blue Cross & Blue Shield of Rhode Island · 3 weeks ago

Team Leader Account Performance

United States

Full-time

Remote

Mid, Senior Level

$74K/yr - $110K/yr

3+ years exp

Blue Cross & Blue Shield of Rhode Island is dedicated to providing high-quality healthcare and community support. The Team Leader Account Performance role involves supervising staff, managing workflow, and ensuring adherence to performance standards while collaborating with various departments to enhance operational efficiency.

Insurance

Responsibilities

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

Qualification

Auditing experienceAccount performance knowledgeHealth care financingMicrosoft Suite proficiencySupervisory experienceCollaborative relationshipsContractual agreements understandingDecision-making skillsOrganizational skillsTime management skills