CareFirst– Supervisor II

Job Title: Supervisor II

Location: Washington, DC

Career Band: BDB

Job ID #: 9510

ESSENTIAL DUTIES AND RESPONSIBILITIES: include, but are not limited to, the following:
Under the general direction of the Manager of Service or Claims or Enrollment & Billing:

Coaches, counsels and motivates associates (concentrating on associate development) to increase quality and production while helping to achieve positive results.  Reviews daily audit results and adjustments to ensure quality and accurate claims payment.  Provides input and makes recommendations on hiring decisions and completes performance appraisals.

Analyzes current policies and operating procedures/conditions (including workflow management, performance management, inventory management, maintaining communications with other areas within the organization), and makes recommendations for implementing modifications that remain within the standards and policies of CareFirst in order to provide the most efficient and optimum client service.

Develops logical and accurate reports to management regarding inventories, inquiries, correspondence, cases and other pertinent information in order to provide necessary information for management of workflow.  Provides assistance with product marketing and sales efforts of respective business units in order to increase market share.

Other projects and duties as assigned to assist in company, divisional, and/or departmental goals.


SUPERVISORY RESPONSIBILITY: This position can supervise 15-20 Customer Service Reps, Claims Processors and/or Enrollment & Billing Reps as well as additional clerical staff.

QUALIFICATION REQUIREMENTS:

EXPERIENCE:
This position requires 3-5 years of supervisory experience. Extreme proficiency within the claims and service operational unit is required. Must have some project management experience.


SKILLS/ ABILITIES:

Must also have strong analytical and problem resolution skills, strong communication/presentation skills, interpersonal/leadership skills, project management skills, and be able to motivate.  3+ years PC skills or related technical skills also required.

PREFERRED:

Knowledge of the health insurance industry
Extensive experience (4 – 5+ years) with CareFirst systems.
Bachelor’s Degree in Business Administration or similar field
2+ years of project management experience

PHYSICAL DEMANDS:

The employee is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The employee must frequently talk and hear.  Weights of up to 25 pounds are occasionally lifted.  Must be able to travel overnight frequently.

The physical demands described here are representative of those that must be met by an employee to perform the essential duties and responsibilities of the position successfully.  Requirements may be modified to accommodate individuals with disabilities.

Department: Broker Service

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Actual salary will be based on relevant job experience and work history.

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

 

Please visit our website to apply: www.carefirst.com/careers

PeopleSoft/Self Service/Recruiting

Must be eligible to work in the U.S. without Sponsorship

Please apply before: 3/3/2017

 

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s