Supervisor, Operations
7 days ago
Your Role
The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with service levels and providing service worthy of our family and friends. You will be responsible for the oversight of quality, production levels, strategic initiatives, employee development, preparation and management of budgets, goals, objectives, and results for various operational areas. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.
Your Work
In this role, you will:
- Be responsible for routine operations and people management functions
- Foster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organization
- Consult and make recommendations to management on operational issues
- Use concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload management
- Apply policies and procedures within health care operations
- Stay up to date on legislation and regulations to ensure team compliance
- Interpret audit information requests, prepare narratives, conduct preliminary risk assessments, anticipate adverse findings to prepare for internal corrective action plans
- Make decisions on people and operational matters consistent with goals and objectives
- Provide coaching, performance management, skill development, and guidance on team members’ Professional Development Plans
- Contribute towards achieving the organizations Medicare Stars goals
Your Knowledge and Experience
- Requires a high school diploma or GED
- Requires a minimum of 5 years of prior relevant experience
- Requires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager training
- Knowledge of Medicare preferred.
- Experience working with appeals and grievances in healthcare preferred
- Ability to work collaboratively across diverse teams to improve processes and policies with a focus on the customer experience.
Pay Range:
The pay range for this role is: $ 66,600 to $ 98,900 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
#LI-CP3
-
Operations Supervisor
2 weeks ago
Long Beach, United States Zenith Energy Management Full timeOperations Supervisor Title: Operations Supervisor ...
-
Operations Supervisor
2 weeks ago
Long Beach, United States Zenith Energy Management Full timeOperations Supervisor Title: Operations Supervisor ...
-
Operations Supervisor
4 days ago
Long Beach, California, United States Falcon Farms Inc. Full timeJob OverviewFalcon Farms Inc. is a leading fresh cut flower distributor in the United States, with 10 production facilities in Colombia and Ecuador.We are looking for an Operations Supervisor to support the management of daily operations at one of our facilities, ensuring quality, profitability, and on-time delivery.
-
Supervisor, Pharmacy Services Operations
4 weeks ago
Long Beach, United States Blue Shield of California Full timeThe Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Superv Operations, Supervisor, Pharmacy, Pharmacy Technician, Operation, Service, Manufacturing, Insurance
-
Supervisor, Pharmacy Services Operations
2 weeks ago
Long Beach, United States Blue Shield of California Full timeThe Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Superv Operations, Supervisor, Pharmacy, Pharmacy Technician, Operation, Service, Manufacturing, Insurance Learn...
-
Supervisor, Pharmacy Services Operations
3 weeks ago
Long Beach, United States Blue Cross and Blue Shield Association Full timeYour RoleThe Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a team...
-
Supervisor, Pharmacy Services Operations
4 weeks ago
Long Beach, United States Blue Cross and Blue Shield Association Full timeYour Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a...
-
Retail Operations Manager
3 weeks ago
Long Beach, California, United States Walgreens Full timeWe are seeking a highly motivated and experienced Retail Operations Manager - Store Supervisor to join our team at Walgreens in Long Beach, California. This is a full-time position that requires strong leadership skills, excellent communication abilities, and a passion for delivering exceptional customer experiences.Job SummaryThe Retail Operations Manager -...
-
Supervisor, Pharmacy Services Operations
4 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a team...
-
Supervisor, Pharmacy Services Operations
1 month ago
Long Beach, United States Blue Shield of California Full timeYour Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for outpatient pharmacy benefit inquiries. The Supervisor, Operations will report to the Sr. Manager, Pharmacist. In this role, you will supervise a team...
-
Supervisor, Operations
2 weeks ago
Long Beach, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with...
-
Customer Service Shift Supervisor
8 hours ago
Long Beach, California, United States Atlantic Aviation Full timeJob OverviewWe are seeking an experienced Customer Service Shift Supervisor to join our team at Atlantic Aviation. As a key member of our operations team, you will be responsible for ensuring exceptional customer experiences across all 100+ FBO locations.About the RoleThe ideal candidate will have a strong background in customer service and leadership, with...
-
Supervisor, Operations
1 week ago
Long Beach, United States Blue Shield of California Full timeYour Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with...
-
Production Supervisor
3 days ago
Long Beach, California, United States Falcon Farms Inc. Full timeJob Title: Production SupervisorEstimated Salary: $55,000 - $75,000 per yearAbout Falcon Farms Inc.Falcon Farms is a leading producer and distributor of fresh cut flowers in the United States. We are committed to providing high-quality products and exceptional customer service to our clients.Our team is passionate about delivering results-driven solutions...
-
Registered Nursing Supervisor
6 days ago
Long Beach, California, United States Behavioral Health Services, Inc. Full timeRegistered Nursing SupervisorJob DescriptionWe are seeking an experienced Registered Nursing Supervisor to lead our nursing team at Behavioral Health Services, Inc. As a seasoned nurse leader, you will be responsible for overseeing daily operations, providing guidance and support to nurses, and ensuring high-quality patient care.
-
Operations Supervisor
3 weeks ago
Seal Beach, United States CVS Pharmacy, Inc. Full timeAn Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. When there is no Operations Supervisor, Operations, Supervisor, Customer Service, Manufacturing, Retail, Health, Benefits...
-
Supervisor of Operations
4 weeks ago
Pompano Beach, Florida, United States BRIDGES OF AMERICA Full time**Job Summary**We are seeking an experienced Operations Supervisor to join our team at Turning Point Bridge location in Pompano Beach, FL. As an Operations Supervisor, you will be responsible for overseeing the day-to-day operations of our facility, ensuring the safety and well-being of inmates, staff, and visitors.
-
Industrial Maintenance Supervisor
2 days ago
Long Beach, California, United States American Textile Maintenance Co. Full timeJob OverviewWe are seeking an experienced Industrial Maintenance Supervisor to join our team at American Textile Maintenance Co. in Southern California.This is a fantastic opportunity for a skilled professional to lead our maintenance and repair operations, ensuring the smooth operation of our equipment and facilities.
-
Property Supervisor Leader
5 days ago
Long Beach, California, United States ERNST & HAAS MANAGEMENT CO INC Full timeJob OverviewWe are seeking a seasoned professional to join our team as a Property Supervisor. This role involves managing a portfolio of properties, ensuring they are maintained efficiently and effectively. The ideal candidate will possess excellent customer service skills, be able to multitask, and prioritize tasks with ease.The Property Supervisor will...
-
Retail Operations Supervisor
4 days ago
Long Beach, California, United States Goodwill Southern Los Angeles County Full timeJob DescriptionThe Assistant Store Manager is responsible for assisting the Store Manager in the daily operations of assigned retail store, ensuring consistency, compliance, and achievement of sales and productivity goals.Assist the Store Manager in leading daily store operations, including sales leadership, merchandising, production, customer service, and...