Supervisor, Grievance and Appeals
Bcidaho
Job Info
Blue Cross of Idaho is seeking a Supervisor to lead resolution of complaints, grievances and appeals, and external reviews consistent with organizational policies and procedures and which is compliant with state, federal, and accreditation guidelines. Oversee daily operations and case load assignments/priorities.
We're looking for a Supervisor with:
Experience: 5 years' relevant experience
What a day of a Supervisor would look like:
- Provides day-to-day oversight of the functional area assigned.
- Participates in process improvement initiatives and implements outcomes.
- Assists in the development of departmental policies, procedures, service standards and workflows.
- May partner with leaders in designing, maintaining and producing management reports to meet the company's needs.
- Provides input and support for changes to applicable systems and processes.
- Ensures effective workflows, maximizes system efficiencies, monitors quality performance measures and confirms appropriate completion of work assignments.
- Provides guidance, counseling, coaching, and continuing education opportunities to staff. Selects, develops, mentors and assesses performance of staff.
- May participate in goal setting process for the unit and/or department.
- May participate in internal/external audits.
- Perform other duties and responsibilities as assigned.
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.
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