Supervisor, Operations

3 weeks ago


El Dorado Hills, United States Blue Shield of California Full time

Your Role
 
The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager. In this role, you will be accountable for hiring, promoting, coaching and daily supervision of Commercial Appeals & Grievances coordinators as they review, investigate, and process member appeals and grievances. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. 
 
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
Perform other related duties as assigned
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 
Requires related experience and/or training, or equivalent combination of education and experience. Must have experience in appeals and grievances and preferred experience in claims, customer service, installation & billing, or member services role in the health care industry. 
Appeals and Grievances experience required
Understands basic supervision/management approaches such as work scheduling, prioritizing, coaching and process execution
Requires broad knowledge of technical or operational practices within assigned discipline
Commercial healthcare experience preferred
Must be willing to work weekends and holidays as needed
Note:  You may be placed in a specialty client, or other unit, such as CalPERs.

 
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



  • El Dorado Hills, California, United States Blue Shield of California Full time

    About the RoleThe Commercial Appeals & Grievances department at Blue Shield of California performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances.The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager.Key ResponsibilitiesBe responsible for...


  • El Dorado Hills, California, United States Pet Food Express Full time

    About Pet Food Express At Pet Food Express, we pride ourselves on being the premier destination for pet supplies, thanks to our dedicated team members. Our staff is composed of enthusiastic pet lovers who are committed to serving our community. We deliver exceptional customer service and expert guidance for even the most challenging pet-related inquiries. We...


  • El Dorado Hills, United States Blue Shield of California Full time

    Your Role   The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager. In this role, you will be accountable for hiring, promoting,...


  • El Dorado, Arkansas, United States Clean Harbors Full time

    Job Overview The Incineration Operations Supervisor plays a crucial role in overseeing the operations of the incineration facility, reporting directly to the Incineration Manager. This position is responsible for managing the Board Operators, Incineration Technicians, and Ash Technicians. We are looking for a candidate who possesses a strong commitment to...


  • El Dorado, Arkansas, United States Victory Childcare Center Full time

    Job OverviewThe Operations Supervisor for our Early Childhood Education Center plays a crucial role in managing the daily functions of our educational environment. This position entails a variety of responsibilities that ensure the smooth operation of our center.Key ResponsibilitiesLeadership: Oversee and guide teaching staff, ensuring high standards of...


  • El Dorado, United States HF Sinclair Full time

    Basic FunctionHF Sinclair is seeking an IT Site Operations Supervisor who will supervise the daily activities of a team of IT professionals and provide technical support to the Company’s information systems to ensure the systems and hardware resources function effectively and reliably.  Represent the IT department at each refinery, and as such, is...


  • El Dorado Hills, California, United States Viscuso's Pizza Full time

    We are seeking a dedicated Assistant Kitchen Supervisor to join our team at Viscuso's Pizza. In this role, you will be responsible for various kitchen operations including food preparation, pizza crafting, and overseeing daily activities. You will supervise staff, manage cash handling, and ensure exceptional service for our customers. The starting hourly...

  • Operations Manager

    4 days ago


    El Dorado Hills, California, United States Blue Shield Of California Full time

    About the RoleThe Manager of Operations will report to the Senior Manager of Operations and be responsible for leading a team in resolving member concerns through a regulated process. This includes accurately, timely, and compliantly addressing each concern. The successful candidate will provide leadership and support to their team, interact with members and...

  • Operations Manager

    18 hours ago


    El Dorado Hills, California, United States Blue Shield Of California Full time

    About the RoleThe Manager of Operations will play a crucial role in leading the Appeals and Grievances team at Blue Shield of California. This team is responsible for resolving member concerns through a regulated process, ensuring accurate, timely, and compliant responses to each concern.The successful candidate will report to the Senior Manager of...


  • El Dorado, United States Murphy Oil Full time

    Job Posting Do you thrive on developing talent and fostering a culture of continuous improvement? Join us as we redefine retail training excellence and set new standards for field training management. JOB SUMMARY As the Learning and Development: Field Training Supervisor / Manager, you will play a pivotal role in shaping the success of our retail operations...

  • Manager, Operations

    1 week ago


    El Dorado Hills, United States Blue Shield of California Full time

    Your Role   The Appeals and Grievances team is responsible for resolving our members concerns through a regulated process which includes accurately, timely and compliantly addressing each of the members concerns. The Manager of Operations will report to the Senior Manager of Operations. In this role you will provide leadership and support to your team as...

  • Manager, Operations

    1 week ago


    El Dorado Hills, United States Blue Shield of California Full time

    Your Role   The Appeals and Grievances team is responsible for resolving our members concerns through a regulated process which includes accurately, timely and compliantly addressing each of the members concerns. The Manager of Operations will report to the Senior Manager of Operations. In this role you will provide leadership and support to your team as...

  • Day Supervisor

    1 week ago


    El Dorado, United States Delek US Full time

    Are you looking for a career in a dynamic and innovative company that values versatility, growth, and teamwork? Look no further than Delek US Holdings! WHAT IS DELEK? WHAT DO WE DO? We are a boutique-sized diversified downstream energy company with a Continuous Improvement, Supervisor, Operations, Management, Support, Manufacturing, Refinery


  • El Dorado Hills, California, United States Pet Food Express Full time

    À propos de Pet Food Express Pet Food Express est l'endroit idéal pour faire ses courses en fournitures pour animaux de compagnie, et cela est dû aux personnes qui y travaillent. Nos employés sont des passionnés des animaux qui se soucient profondément de notre communauté. Nous offrons un service client exceptionnel et des conseils d'experts pour...

  • Operations Manager

    7 days ago


    El Dorado Hills, California, United States Blue Shield of California Full time

    Job SummaryBlue Shield of California is seeking a highly skilled Business Operations Lead to join our team. As a key member of our Appeals and Grievances team, you will be responsible for resolving member concerns through a regulated process.About the RoleProvide leadership and support to your team, interacting with members and specialty clients.Develop and...


  • El Dorado Hills, California, United States Blue Shield Of California Full time

    Your RoleThe Commercial Appeals and Grievances team conducts thorough investigations concerning the details and situations surrounding member complaints, appeals, and grievances. The Operations Specialist - Experienced will report to a Supervisor within the Commercial Appeals and Grievances department. In this capacity, you will collaborate with the...

  • Operations Manager

    6 days ago


    El Dorado Hills, California, United States Blue Shield Of California Full time

    Job SummaryBlue Shield of California is seeking a highly skilled Manager of Operations to join our Appeals and Grievances team. As a key member of our leadership team, you will be responsible for resolving member concerns through a regulated process, ensuring accurate, timely, and compliant responses.Key ResponsibilitiesProvide leadership and support to your...


  • El Dorado Hills, United States Blue Shield Of California Full time

    Your Role The Commercial Appeals and Grievances team performs comprehensive research related to the facts and circumstances of member complaints, appeals and grievances. The Commercial Appeals and Grievances Operations Specialist - Experienced will report to a Commercial Appeals and Grievances Supervisor. In this role you will partner with the Commercial...


  • El Dorado Hills, United States Blue Shield of California Full time

    Your Role   The Commercial Appeals and Grievances team performs comprehensive research related to the facts and circumstances of member complaints, appeals and grievances. The Commercial Appeals and Grievances Operations Specialist - Experienced will report to a Commercial Appeals and Grievances Supervisor. In this role you will partner with the Commercial...


  • El Dorado Hills, California, United States Blue Shield Of California Full time

    Job OverviewYour RoleThe Commercial Appeals and Grievances team is dedicated to conducting thorough investigations concerning member complaints, appeals, and grievances. The Experienced Operations Specialist will report directly to a Supervisor within the Commercial Appeals and Grievances department. In this capacity, you will collaborate with the leadership...