Provides education, training, and front-line support to the teams that support providers regarding company policies, processes, and industry regulations. Leads cross departmental activities and projects to support and adhere to the provider contract requirements and operational targets. We are looking for a candidate with: Experience: 5 years relevant experience Education: Bachelor’s Degree or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college) Ensures department and provider compliance with regulatory agencies. Manages and maintains effective relationships and processes with healthcare providers. Supports initiatives to improve provider satisfaction. Provides day-to-day oversight of functional area assigned. Implements operational plans to address needs and process improvements. Ensures effective workflows, maximizes system efficiencies, monitors quality performance measures, and confirm appropriate completion of work processes. Provides guidance, coaching, and continuing education to staff. Establishes goals and objectives for team members. May partner with leaders in designing, maintaining, and producing management reports to meet departments or company’s needs. Partners with leaders on workflow automation and process optimization Performs other duties and responsibilities as assigned. As of the date of this posting, a good faith estimate of the current pay range is $78,064 to $117,095. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer. We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies. Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer-centric professionals. Your Health and Wellness Matters At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced. Your Career Development Matters We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development. Your Community Matters Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering. Blue Cross of Idaho will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully use electronic and online job application systems. For assistance, please send an email to [email protected]. Equal Opportunity is the Law EEO is the Law Supplement E-Verify Pay Transparency
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
1,001-5,000 employees