Blue Cross Blue Shield of Michigan Overview

via Vizi.businessUnit.name! - ViziRecruiter posted_at: 2 days agoschedule_type: Full-time

Introduction 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 ... Overview Responsible for planning, coordinating and supervising assigned departments(s)/area(s) to ensure an efficient and cost effective Introduction
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
...
Overview

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.

Responsibilities
• Supervise and promote the professional development of assigned staff through selection, development, and exploration of more effective methods of managing projects and time.
• Research, (internally and externally), initiate, and plan strategic changes in assigned department(s)/area(s) to optimize technologies and personnel.
• Recommend and assist in acquisition of technology and other tools or equipment and resources to optimize departmental performance and output.
• Prioritize and assign work to employees and initiate corrective measures to resolve problems, including scheduling or adjusting overtime requirements as necessary.
• Interface with diverse levels of internal and external personnel to develop and maintain effective rapport and to resolve issues and inquiries.
• Administer and adhere to Corporate and departmental policies, practices and procedures.

Requirements
• Bachelor's Degree in related field preferred.
• A minimum of 90 college credits is required.
• Five (5) years of BCBSM/BCN and/or related field experience including at least two (2) years of experience
• in a leadership role.
• Strong organizational, planning, analytical and communication skills.
• Excellent interpersonal skills necessary to interact with all levels of personnel.
• Working knowledge of PC application and/or mainframe systems preferred.
• Other related skills and/or abilities may be required to perform this job.

Department Summary / Preferences:
• Credentialing experience, preferably in a managed care setting, preferred Working knowledge of NCQA standards and payer credentialing standards.
• Experience in overseeing the development and administration of policies and procedures related to credentialing activities.
• Experience in research to identify industry trends and issues that affect the organization’s operations Show more details...

Master Coach

via Vizi.businessUnit.name! - ViziRecruiter posted_at: 2 days agoschedule_type: Full-time

Introduction 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 ... Overview Departmental Summary Responsible for coordinating the development and implementation of programs and strategies to improve Introduction
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
...
Overview
Departmental Summary

Responsible for coordinating the development and implementation of programs and strategies to improve call center performance. Ensure the achievement of long-term, sustainable performance outcomes within internal and external call centers in Service Operations through performance analysis, performance coaching, and continuous performance improvement.

Responsibilities
Departmental Preferences
• Develop and improve workflows and business processes within area(s) to improve customer service, decrease operational costs and improve overall quality.
• Analyze key performance data trends and develop group and/or individual action plans for Team Leaders and Customer Service Representatives, as needed, in efforts to improve identified performance metrics.
• Utilize raw data and observations to translate performance metrics into coachable behaviors; Communicate employee performance of Team Leaders and Customer Service Representatives.
• Identify performance gaps, analyze causes and implement the most innovative solution for each individual or group to address gaps; Communicate and hold Team Leaders accountable for sustainable and measurable performance metrics.
• Implement and influence coaching effectiveness strategies and sustain its practices; Observe and assess coaching practices of Team Leaders and conduct ongoing coaching sessions based on team’s performance.
• Record, track and report all coaching sessions and outcomes; Guide leaders seeking help on specific performance issues.
• Maintain the integrity and consistency of coaching practices across internal business unit teams and external vendors.
• Facilitate individual CSR coaching as needed based on performance metrics or as requested by Team Leaders.
• Promote improved Customer Experience through routine floor coaching.
• Identify and share best practices and success stories across teams for accountability of continuous improvement and customer satisfaction through quarterly workshops.
• Routinely conduct/support calibration calls and training events to improve leader coaching skills.
• Provide support to Team Leaders working through certification for call calibrations and serve as a liaison to support teams.

Requirements
Departmental Requirements

"Qualifications"
• Bachelor's Degree in related field required.
• Four (4) years experience in operational analysis, data analysis, and problem resolution type required.
• Two (2) years experience as a Team Leader or related role with proven ability to drive performance through coaching, lead through influence, and translate raw data into user-friendly formats required.
• Experience within a call center environment preferred.
• Strong organizational, planning, and analytical skills to analyze raw data from quality and call metric tools and present in a user-friendly format.
• Advanced experience in operational analysis, data analysis, and problem resolution type activities.
• Ability to lead and contribute to Holistic Coaching Plans.
• Strong communication and interpersonal skills with the demonstrated ability to actively listen and give coaching feedback to Team Leaders and Managers.
• Demonstrated strong leadership skills with the ability to lead through influence.
• Must be innovative with a passion for employee development.
• Ability to plan, direct, and contribute to process improvement projects.
• Demonstrated success with facilitating development and change.
• Strong conflict resolution skills.
• Proven ability to recognize emerging problems and opportunities in advance and adjust accordingly.
• Ability to travel up to 30%, in and out of state.
• Other related skills and/or abilities may be required to perform this job Show more details...

Senior Sourcing Specialist

via Vizi.businessUnit.name! - ViziRecruiter posted_at: 2 days agoschedule_type: Full-time

Introduction 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 ... Overview Responsible for making recommendations on Enterprise supplier selections which have long-term implications for the organization Introduction
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
...
Overview

Responsible for making recommendations on Enterprise supplier selections which have long-term implications for the organization including delivering enterprise priorities, development of strategies and assessment of strategic contractual commitments and partnerships. Facilitate in depth requirement evaluation of supplier capabilities, functionalities, security infrastructures and risks to select the best strategy option. Consider market trends and changes, identify, prioritize, and negotiate strategies to enable the future state of Blue Cross Blue Shield of Michigan (BCBSM), Blue Care Network and its subsidiaries (Enterprise) with high contractual protection and minimal financial risk.

Responsibilities
• Lead and advise enterprise leaders on the sourcing strategy.
• Collect business requirements from enterprise stakeholders (advise on best practice documentation to obtain viable response, conduct industry research, organize/finalize bid package, release bids, evaluate bids, be the liaison for the evaluation from other team members.
• Consolidate bid results, evaluate pricing, prepare, and present supplier selection recommendation.
• Manage timelines, key milestones, and communicate roadblocks/escalate to leadership as appropriate.
• Serve as the lead to obtain the needed deliverables from working team members for each assigned project in addition to being the liaison for cross functional stakeholders with the organization to ensure proper risk mitigation is conducted timely.
• Drive completion of all necessary requirements prior to proceeding with a purchase.
• Conduct financial analysis of bid proposals, work with business and procurement consultants if necessary to determine strategy and negotiate price to be paid for strategic product or services we are buying.
• Obtain cost savings and avoidance to meet enterprise savings targets.
• Lead and manage the negotiation of the contractual terms within the Enterprise Master Service Agreement, Participation Agreement, SaaS Agreements, Service Level Agreements, and Statement of Works.
• Provide status reports on each project, kick off presentations, strategy overviews, and consolidate proposal evaluation results.
• Provide industry research and benchmarking by identifying potential suppliers, market leaders, best practices, strategy using research sources such as Gartner, Forester, Beroe and internet sources.
• Perform other related duties as required.

Requirements
• Bachelor’s degree in related field required or equivalent industry work experience.
• Seven (7) years of procurement experience required.
• Two (2) years of project management experience required.
• Certified Purchasing Manager (CPM) or Certified Professional in Supply Chain (CPSM) certification is preferred.
• Working knowledge of procure-to-pay lifecycle, supply chain and industry analysis.
• Demonstrated ability to establish relationships to deliver effective and timely solutions.
• Ability to successfully negotiate cost savings.
• Executive presentations skills required.
• Microsoft Office Suites (Excel, Word, Outlook, PowerPoint) and SharePoint skills.
• Advanced written and oral communications and presentation skills.
• Ability to progress projects with minimal supervision.
• Ability to managing multiple and competing priorities.
• Must have thought leadership and advise leaders on strategy based on experience Show more details...