Provider Appeals Supervisor

To change the future of health care in California, Blue Shield needs people who believe in the possibilities and are willing to work to make them real. Is this you?

This position oversees the day-to-day operational functions of a work unit, to include work flow management, inventory and staffing needs, systems, procedures, reporting and training.

Oversees work activities and monitors work flow to ensure systems and procedures are documented, training material developed and reports generated to meet business needs.

Selects and motivates team members to ensure efficient and effective operational outcomes.

Responsible for scheduling, managing work flows and priorities, and communicating with other supervisors as needed to ensure effective teamwork.

Interprets guidelines, regulatory requirements, contractual agreements and other related documentation as they pertain to the services provided by the unit.

Consults and makes recommendations to management on operational issues.

Leadership responsibilities include interviewing, hiring, and training staff; planning, assigning, and directing work; appraising performance; rewarding and counseling employees; addressing complaints and resolving problems.

Provide necessary guidance to allow each team member to reach their fullest potential.

BA degree or equivalent experience and five years related experience and/or training, or equivalent combination of education and experience.

At least three years progressively responsible experience in a related role in the health care industry.

Strong communication and interpersonal skills.

Good leadership skills.