Senior Service Lead
We are actively seeking a Senior Service Lead! The Senior Service Lead is responsible for the timely and accurate resolution of escalated issues regarding enrollment, billing, benefits, claims, and policies and procedures associated with the Federal Employee Program.
The Senior Service Lead is expected to coordinate and co-lead the program's quarterly and yearly reviews in accordance with the contracts.
Responsibilities:
Timely and accurate resolution of escalated issues regarding enrollment, billing, benefits, claims, and BCBSA's policies and procedures.
Maintain the relationship between GeoBlue and FEP, GeoBlue and BCBSA, and GeoBlue and third-party vendors (primarily CareFirst, FEPDO, FEPOC).
Ensure the programs are executed according to the design solution.
Follow up with Clients & third-party vendors on escalated issues.
Co-Lead and coordinate the quarterly and yearly program review meetings in accordance with their contracts.
Monitor SLAs to ensure GeoBlue is compliant with the BCBSA performance standards.
Consolidate operational SLA for internal and client reporting.
Assist in the financial and data reconciliation activities related to recoupment, vendor, and invoices.
Maintain positive working relationships with clients for business growth.
Assess and provide recommendations where there are opportunities for improvement.
Identify opportunities for improvement and submit proposed solutions to Team Leadership.
Ensures completeness, thoroughness, and ease of access of all process documentation for operational oversight team.
Other duties as assigned.
Requirements:
Bachelor's degree or equivalent experience required.
MBA and/or professional certification (i.
e.
, Six Sigma, Project Management, Finance etc.
) preferred.
At least 5 years business experience in healthcare, insurance, or related industry required.
Strong data management, analysis, and reporting skills Demonstrated critical thinking skills and proficiency in data analysis.
Advanced Microsoft Office Desktop skills, including Excel, Visio, PowerPoint.
Demonstrated ability to lead in a matrix organization.
Demonstrated ability to communicate effectively both orally and in writing.
Demonstrated ability to work collaboratively with internal and external partners.
Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).
Working Conditions:
Flexibility to work in an office and/or at-home, remote office environment.
Schedule flexibility is occasionally necessary in this position.
Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
Physical Demands:
Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.
Some travel may be required per business needs.
Internal Pay Grade:
9The starting pay for this role is $57,411 to $73,199 based on skill level and experience in a similar role.
This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
Recommended Skills Customer Service Administration Confidentiality Customer Relationship Management Training Prioritization Estimated Salary: $20 to $28 per hour based on qualifications.
The Senior Service Lead is expected to coordinate and co-lead the program's quarterly and yearly reviews in accordance with the contracts.
Responsibilities:
Timely and accurate resolution of escalated issues regarding enrollment, billing, benefits, claims, and BCBSA's policies and procedures.
Maintain the relationship between GeoBlue and FEP, GeoBlue and BCBSA, and GeoBlue and third-party vendors (primarily CareFirst, FEPDO, FEPOC).
Ensure the programs are executed according to the design solution.
Follow up with Clients & third-party vendors on escalated issues.
Co-Lead and coordinate the quarterly and yearly program review meetings in accordance with their contracts.
Monitor SLAs to ensure GeoBlue is compliant with the BCBSA performance standards.
Consolidate operational SLA for internal and client reporting.
Assist in the financial and data reconciliation activities related to recoupment, vendor, and invoices.
Maintain positive working relationships with clients for business growth.
Assess and provide recommendations where there are opportunities for improvement.
Identify opportunities for improvement and submit proposed solutions to Team Leadership.
Ensures completeness, thoroughness, and ease of access of all process documentation for operational oversight team.
Other duties as assigned.
Requirements:
Bachelor's degree or equivalent experience required.
MBA and/or professional certification (i.
e.
, Six Sigma, Project Management, Finance etc.
) preferred.
At least 5 years business experience in healthcare, insurance, or related industry required.
Strong data management, analysis, and reporting skills Demonstrated critical thinking skills and proficiency in data analysis.
Advanced Microsoft Office Desktop skills, including Excel, Visio, PowerPoint.
Demonstrated ability to lead in a matrix organization.
Demonstrated ability to communicate effectively both orally and in writing.
Demonstrated ability to work collaboratively with internal and external partners.
Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access).
Working Conditions:
Flexibility to work in an office and/or at-home, remote office environment.
Schedule flexibility is occasionally necessary in this position.
Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours.
Physical Demands:
Must be able to communicate internally and externally through receiving and responding to auditory and visual methods.
Some travel may be required per business needs.
Internal Pay Grade:
9The starting pay for this role is $57,411 to $73,199 based on skill level and experience in a similar role.
This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
Recommended Skills Customer Service Administration Confidentiality Customer Relationship Management Training Prioritization Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
