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Team Leader Business Support - Provider Services and Provider Data Management

Wellmark Blue Cross and Blue Shield
Sioux Falls, SD, US
Full-time

Company Description

Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on 85 years’ worth of trust.

We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!

Learn about our unique benefit offerings .

Learn about life at Wellmark .

Why Leadership at Wellmark :

Click to learn about our strength-based approach to leadership at Wellmark.

Job Description

As Team Leader Business Support - Provider Svc & Data Management you will lead a multi-functional team of business and technical professionals for provider services and provider data management that may include Business Analysts, Test Specialists, and other key roles to support the Operations Division's goals, provide a positive provider experience, and increase provider loyalty.

Serve as the business owner and manage mandated and corporate system initiatives comprised of multiple inter-related projects which are interdependent, integrated, complex, cross-functional, broad scope and high risk.

Work cohesively and collaboratively with Technology experts, colleagues, and stakeholders to ensure project objectives, expected deliverables, and goals are achieved.

Utilize and support system development life cycle (SDLC) methodology and process improvement methodologies to drive time-bound, efficient, and expected results.

Direct Technology and business colleagues toward a positive customer experience on all business, system and process changes.

Cultivate ideas; facilitate, and implement process improvement initiatives across the business.

Qualifications

Required :

  • Bachelor's degree or equivalent work experience
  • Effective leadership experience; demonstrated through previous application of Wellmark leadership capabilities in a formal (preferred) or informal leadership role
  • Effective interpersonal skills; demonstrated through the ability to build rapport, establish relationships, identify and leverage opportunities to responsibly influence decisions and effectively liaise between functional and technical areas
  • Project management proficiency; experience driving concept to action through effective planning and implementation through cross-functional project / program teams
  • Innovation; demonstrated creative thinking, problem solving / troubleshooting and continuous process improvement focus.

Knowledge of effective change management techniques

Preferred :

  • Prior Health Insurance industry experience
  • Experience in a SAFe Agile Product Centric Environment
  • Change Management Champion
  • Ability to provide business and technical solutions for Operations systems such as; Cactus, Amazon Connect, CRM, etc.

Additional Information

a. Provide leadership and day-to-day management of financial and human resources, primarily focusing on employee coaching, development, performance improvement, coordination and budgeting for staff and department(s) specific functions / services.

Support business objectives and produce results that are effective, accurate, timely, and on target to meet business and stakeholder needs Identify, monitor and communicate critical business metrics to ensure project execution success and leverage results for future process improvements.

b. Achieve results of assigned projects and Blue Cross Blue Shield of America (BCBSA) program-related projects ensuring collective management of project interdependencies across the programs.

Drive performance and delivery of tasks of business project team members and assigned Technology team members.

c. Establish and maintain effective partnerships with Technology, leadership and team members. Demonstrate sound relationship management with Technology program team members, business colleagues and stakeholders;

is fully aware of and consistently uses team management techniques.

d. Utilize project management methodologies; manage and implement projects by managing interdependencies, interrelationships, requirements and solutions of multiple projects and systems;

manage and leverage business resources effectively; continually support system development life cycle (SDLC); facilitate the coordination of multiple project schedules from a business and system perspective to ensure timelines and mandated dates are met.

e. Demonstrate the key drivers of program management effectiveness, which includes : meet deadlines, resolve problems and business issues through logic and data, recognize and mitigate risks, align priorities with organizational strategy, connect program and project goals to organizational goals, leverage the talent and skills of team members, facilitate consensus, objectively evaluate team members, and understand project interdependencies.

f. Lead team to propose business and technical solutions that align with the scope of interrelated projects while leveraging solutions across those projects to gain efficiencies.

Identify, monitor, and communicate critical business metrics to ensure program and project

execution success.

g. Take responsibility and coordinate the action plans of project issues, interdependencies and risk mitigation and work collaboratively

with Technology to make important decisions.

h. Coordinate the development and execution of business change management plans across the entire program to ensure business

processes are aligned with system changes.

i. Work with Technology leadership to ensure the resource needs and assignments are managed appropriately and cost effectively

across the program and projects.

j. Stay abreast of industry issues and apply knowledge of the healthcare industry, Wellmark’s marketplace, and Wellmark products and

services to programs, projects, and planning.

k. Encourage and support the development and implementation of macros across Operations.

l. Research and resolve complex business problems and situations through the deployment of technology based solutions.

m. Assist with the management of vendor relationships during and following project implementation.

n. Monitor and evaluate effectiveness of current system functionality; proactively research, size, and communicate system

enhancement opportunities that drive positive outcomes and greater efficiency.

o. Other duties as assigned.

17 days ago
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