Resp & Qualifications
We are looking for an experienced people leader in the Baltimore or surrounding counties who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and at least two day per week at a CareFirst location based on business needs and work activities/deliverables that week.
Supervises and provides daily direction to the Government Programs Appeals & Grievance team members regarding staff scheduling, training and development; audits; policies, procedures, and work production quantity and quality. Oversight may include but is not limited to: Maryland Medicaid and/or Medicare Advantage lines of business, and operations and services related to appeals and grievances. Reviews and resolves complex operational and member support issues not resolvable by subordinates.
This position manages people.
Education Level: High School Diploma or GED.
Experience: 3 years related professional experience with demonstrated leadership skills. Must have proficiency in clinical support and/or member and health care provider outreach activities.
Knowledge, Skills and Abilities (KSAs)
Salary Range: $53,064 - $109,445
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
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