Healthcare Operations Manager

7 days ago


Bloomington, Indiana, United States Blue Cross and Blue Shield of Louisiana Full time
Job Title: Healthcare Operations Manager

We are seeking a highly skilled and experienced Healthcare Operations Manager to join our team at Blue Cross and Blue Shield of Louisiana. As a key member of our organization, you will be responsible for leading our Provider Data Management transformation by overseeing Credentialing and Provider Data Management functions.

Key Responsibilities:
  • Lead Credentialing efforts to ensure efficient and precise provider credentialing practices in accordance with BCBSA, CMS, NCQA, and URAC standards.
  • Develop and implement process improvements to streamline functions and improve operational efficiencies.
  • Collaborate with cross-functional teams to meet provider needs, implement projects, and address service/processing issues.
  • Represent the Credentialing area on corporate initiatives and develop effective relationships with other departments to achieve the overall BCBSLA Provider Data Strategy.
Requirements:
  • Bachelor's degree in Business, Health Care Administration, or related field.
  • Four years of related experience can be used in lieu of a Bachelor's degree.
  • Five years of management/leadership experience in a healthcare, hospital, or related environment.
  • Demonstrated Operational Process Improvement experience.
  • Provider credentialing experience and experience with complex credentialing and provider systems preferred.
Preferred Qualifications:
  • NCQA and/or URAC experience.
  • Excel, Access, or SQL experience to analyze data and develop reports.
What We Offer:

As a valued member of our team, you will have the opportunity to work in a dynamic and supportive environment that fosters growth and development. We offer a competitive salary and benefits package, as well as opportunities for professional growth and advancement.

Blue Cross and Blue Shield of Louisiana is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive and respectful work environment that values diversity and promotes equal opportunities for all employees.



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