Experienced Operations Coordinator
2 weeks ago
Position Overview
The Commercial Appeals and Grievances team is dedicated to conducting thorough investigations regarding member complaints, appeals, and grievances.
The Operations Specialist in this area will report directly to a Supervisor within the Commercial Appeals and Grievances team.
Key Responsibilities
In this position, you will collaborate with the leadership team to ensure that all Desk Level Procedures (DLPs) are maintained accurately and are current. Your role will involve:
- Acting as a subject matter expert to analyze operational workflows, pinpoint issues, conduct root cause analysis, and propose enhancements.
- Maintaining essential databases for operational efficiency.
- Creating and assessing tools and resources that improve the efficiency, accuracy, and technical capabilities of team members.
- Generating reports for management review and alerting relevant department managers about operational workflow issues that require immediate attention.
- Participating as a subject matter expert in the formulation of written guidelines and documenting issues as necessary.
- Supporting the leadership team through ongoing and future system changes and enhancements.
- Facilitating employee engagement initiatives.
- Performing additional tasks as required.
Qualifications
To be successful in this role, you should possess:
- A bachelor's degree or equivalent professional experience.
- A minimum of 3 years of relevant experience.
- At least 1 year of experience in Appeals & Grievances.
- Knowledge of the field typically gained through experience.
- Exceptional attention to detail, along with strong analytical, communication, and problem-solving skills.
- The ability to work independently and consistently meet deadlines.
Compensation
The salary range for this position is between $66,800 and $93,400.
About Blue Shield of California
Blue Shield of California is committed to ensuring that all Californians have access to high-quality healthcare at an affordable price. We are dedicated to transforming healthcare to better serve our nonprofit mission by reducing costs, enhancing quality, and improving the experience for both members and physicians.
Our commitment to diversity, equity, and inclusion is central to our values, allowing all employees to be their authentic selves and fully contribute to meeting the needs of the diverse communities we serve.
Our Core Values
Integrity: We uphold the highest ethical standards and build trust by delivering on our commitments.
Humanity: We prioritize authentic communication and empathy in our interactions.
Courage: We advocate for our beliefs and are dedicated to achieving our ambitious goals.
Work Environment
Blue Shield of California supports a flexible work-life balance, offering a hybrid work model that allows employees to choose where they can perform their best work.
Equal Employment Opportunity
We are an equal opportunity employer and welcome applications from all qualified individuals, regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, or disability status.
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