Team Leader, Configuration Delivery Claims Ops

Job Description

Oversee staff responsible for system configuration solution delivery to meet business requirements in support of the Blue Cross Blue Shield of North Carolina enterprise strategy. Lead the analysis, development, and implementation of initiatives related to the modification and re-engineering of processes and systems to meet corporate and departmental objectives, and improve system performance and user efficiency.

People Management

• Handle performance management, mentoring, conflict resolution, motivating and engaging employees. Lead growth and development of personnel with career development, performance management, and succession planning.
• Conduct effective resource management in a very fluid, dynamic environment to ensure all project goals are delivered as committed. This includes management of temporary/contract resources, and planning and staffing of resources are adequately aligned to address business initiatives.
• Monitor the performance & metrics of team members and departmental Service Level Agreement (SLA) is met.
• Responsible for ensuring that the staff utilizes standard methodologies for support processes and procedures including tools and techniques to optimize performance.
• Provide direction to a team supporting business initiatives and system improvements to ensure appropriate system configuration solutions by utilizing top-level functional/system configuration knowledge of and global expertise with industry relevant systems/applications.
• Provide feedback on status and issues to upper management to ensure clear and timely communications for all delivery work.
• Understand the department, division, and corporate goals and vision; be a leader and advocate for change and improvement in the organization.
• Delegate tasks and activities to the appropriate individuals based on their skills, roles and interests. Provide guidance and instructions when delegating. Request that direct reports think through issues and reach a tentative decision before asking for help.
• Support open communication between employees and champion an environment where teammates support and help each other. Ensure that employee morale stays high and any employee issues are addressed expeditiously.

Business Testing and Configuration Release Management

• Review and approve the test plan built by various test teams to ensure test coverage based on the configuration solution delivered.
• Ensure configuration solution delivered is unit tested by the team and thereby reduce the defect rate of downstream testing phases.
• Ensure configuration data migration is per configuration release process established.
• Serve as point of contact for business testing activities and influence testing strategy to ensure testing appropriately meets business requirements
• Analyze and verify results for accuracy, relevance and completeness.
• Provide impact assessments and make recommendations to the business owner regarding issues, risks, etc.
• Coordinate with IT and business operations team to support system upgrades, security changes, and architectural enhancements as needed.

System Configuration

• Lead the analysis, development, configuration, and maintenance of most complex and highly critical system tables and data elements across multiple system environments.
• Coordinate and monitor configuration for accuracy and compliance to change control processes.
• Review and approval of system configuration run by the delivery team.

Project/Program and Operations Support

• Participate in discussions with the business and IT on projects and initiatives to elicit requirements while considering configuration capabilities of the system/application and ensuring an integrated approach is used.
• Act as configuration delivery Lead on broad, highly complex corporate projects or initiatives.
• Facilitate project intake, including scheduling of projects.
• Review and approve configuration specifications.
• Lead the delivery of implementation and post implementation support to the project/program and operations work.
• Ensure smooth transition of work between projects and operations.
• Deliver ongoing user support for the most advanced and/or complex ad hoc questions, inquiries, and service requests.

Hiring Requirements

• Bachelor's degree or advanced degree (where required)

• 5+ years of experience in related field.

• In lieu of degree, 7+ years of experience in related field.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$107,901.00 - $172,642.00

Skills

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

About Us

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.

Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.

Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.

Authorization to Work in the United States

We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview for English or Visión General de E-Verify for Español.

Request Accommodations

Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application, hiring process, or have technical issues that prevent you from completing your application please notify HR at HR.Staffing@bcbsnc.com.

Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states:

Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming