Team Leader II - Provider Data Integrity, Analytics & Innovation (PIAI)

With more than 7,000 employees, we are the largest health insurance company in Michigan. We offer an exciting work environment with a diverse group of employees. Our goal is to make health insurance easier for our members. We want to transform the industry and become a resource that people can trust.

Detroit, MI

Blue Cross Blue Shield of Michigan

When you think of <a href="https://www.bcbsm.com/" target="_blank" rel="noopener noreferrer">Blue Cross Blue Shield of Michigan</a> for health insurance, you can know you&rsquo;re getting much more. We're a company founded on a tradition of affordable, quality health care for everyone, improving the present and investing in the future.&nbsp;<br /><br />We offer:<br />Plans for employers and individuals that meet today&rsquo;s needs, budgets and lifestyle<br />The largest network of doctors and hospitals in the state<br />Lower health care costs Higher quality health care<br />Award-winning diversity practices<br />Grants and programs that promote better health throughout Michigan<br /><strong><br />Mission:&nbsp;</strong>We commit to being our members&rsquo; trusted partner by providing affordable, innovative products that improve their care and health.<br /><br /><a href="http://www.bcbsm.com/index/about-us/our-company.html" target="_blank" rel="noopener noreferrer"><strong>Click here</strong></a> to learn more about our commitment to our Social Mission, view company updates and reviews, and view our awards &amp; accolades.<br /><br />For Application Timeline &amp; Selection Process:&nbsp;<a href="https://s3.amazonaws.com/data.vizirecruiter.com/Images/BCBSMCareers+-+Quick+Reference+Guide.pdf" target="_blank" rel="noopener noreferrer">Click Here</a>. Learn more about your options as an external candidate. <a href="https://ejko.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_3/requisitions" target="_blank" title="BCBSM" rel="noopener noreferrer">Click here</a> to view open positions. http://www.bcbsm.com

keywords: position summary,management,consulting,research,compliance,education,experience,skills,knowledge

Supervisor

Competitive Total Compensation Package

Overview: <p><strong>Responsible for planning, coordinating and supervising assigned departments(s)/area(s) to ensure an efficient and cost effective area of responsibility in accordance with established corporate and departmental policies and procedures.</strong></p>
Responsibilities: <ul> <li>Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time.</li> <li>Research, (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel.</li> <li>Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output.</li> <li>Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary.</li> <li>Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries.</li> <li>Administer and adhere to Corporate and departmental policies, practices and procedures.</li> </ul>
Requirements: <ul> <li>Bachelor's Degree in related field preferred.</li> <li>A minimum of 90 college credits is required.</li> <li>Five (5) years of BCBSM/BCN and/or related field experience including at least two (2) years of experience</li> <li>in a leadership role.</li> <li>Strong organizational, planning, analytical and communication skills.</li> <li>Excellent interpersonal skills necessary to interact with all levels of personnel.</li> <li>Working knowledge of PC application and/or mainframe systems preferred.</li> <li>Other related skills and/or abilities may be required to perform this job.</li> </ul> <p><strong>Departmental Preferences</strong></p> <ul> <li>Knowledge of PORTICO, FACETS preferred</li> <li>Experience in audit research, correction action plan development and remediation preferred.&nbsp;</li> <li>Experience in overseeing the development and administration of policies and procedures related to provider data activities.</li> <li>Experience in provider data research to identify industry trends and issues that affect the organization&rsquo;s operations and data maintenance practices.&nbsp;</li> <li>Knowledge of CAQH processes as it relates to provider data maintenance preferred</li> </ul>