Manager, Care Center

Blue Cross and Blue Shield of Kansas City; Olathe (KS); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Competitive benefits

Bonus plan

Paid time off

Tuition reimbursement

Parental leave

Employee discount

Professional development

Job summary

Blue Cross and Blue Shield of Kansas City is seeking a Manager, Care Center to plan, organize, and direct all activities within the Care Center. You will supervise member flow, resolve issues, and lead a patient-centered care team.

The role emphasizes hiring, coaching, and maintaining regulatory compliance, while ensuring a high-quality member experience through effective workflows and leadership.

Qualifications

• Bachelor’s degree in health care administration, nursing, operations, or related field.
• 3+ years’ experience in a healthcare setting.
• Maintain licensures and certifications.
• Intermediate knowledge of Microsoft Windows applications.
• Familiarity with electronic medical records and clinical workflows.
• Familiarity with health insurance.
• Demonstrate ability to build high performing teams.

Responsibilities

• Hire and retain staff, develop their proficiency, nurture creativity and engage through continuous improvement.
• Conduct annual performance appraisals and coach staff to quality standards.
• Mentor staff to build trusted partnerships with members through knowledge sharing.
• Lead operations in an ambiguous environment with adaptability and reliability.
• Serve as on-site escalation and main point of contact for Care Center decisions.

Skills

Team leadership

Healthcare operations

Staff development

Regulatory compliance

Education

Bachelor's degree

Tools

Athena EHR

EMR systems

Job description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience.

Some of our offerings include:

• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
• Annual incentive bonus plan based on company achievement of goals
• Time away from work including paid holidays, paid time off and volunteer time off
• Professional development courses, mentorship opportunities, and tuition reimbursement program
• Paid parental leave and adoption leave with adoption financial assistance
• Employee discount program

Job Description Summary

Spira Care was designed with our patients at the center of their Care Teams. This collaborative, patient-centered approach to primary care offers patients a one-of-a-kind healthcare experience and offers healthcare professionals an opportunity to really see the impact they can make in their patients’ lives. Our Care Teams are made up of professionals with diverse backgrounds, experiences, and focus areas who are curious, empathetic, and collaborative. Spira Care is looking to welcome people on our team who are excited about innovating in primary care and are passionate about helping people achieve their health goals.

The Manager, Care Center is responsible for planning, organizing and directing all activities within their Care Center. The person in the role manages the coordination, supervision, and direction of member flow, problem recognition and resolution, acting as a role model, and providing leadership for all care center activities.

Job Description

Management / Leadership Responsibilities

Hire and retain competent staff, develop their proficiency, nurture their creativity and encourage their engagement through continuous improvement of the role.

Conducts annual performance appraisals for all staff by coaching and mentoring the team to quality standards of performance and culture.

Mentors staff to establish a trusted partnership with the member and builds creditability through knowledge sharing and collaboration around health care needs.

Develops the team’s ability to operate successfully in an ambiguous environment that requires a degree of adaptability and reliability.

Models core values and supports organizational goals of Spira Care.

Member Experience Responsibilities

Ensure the team provide a high degree of customer service to include taking member incoming calls, in-person interactions, and member outreach when needed.

Identifies member experience trends and implements corrective actions and improvements where needed.

Holds staff accountable for member experience in the care center including the evaluation and enhancement of workflow, resolution of member complaints, and ensuring staff engagement to improve the overall Spira Care experience.

Clinical / Operational Responsibilities

Accountable for inventory management of care center supplies/immunizations, scheduling, payroll, and consistently upholding regulatory compliance policies.

Assists with the review and revision of clinical policies and procedures.

Manages projects and competing priorities to ensure Care Center operations continue smoothly.

Responsible for the operational and administrative functions core to the continued success of the care center

Serves as the on-site escalation and main point of contact for Care Center decisions, emergency response, etc.

Regulatory / Compliance Responsibilities

Maintains confidentiality of all regulated information in compliance with state and federal laws; reads, understands and follows medical policy and all corporate, divisional and departmental policies and procedures.

Including but not limited to: Protected Health Information (PHI) and Personal Identifiable Identification (PII).

Ensures staff maintain all required competencies on an annual basis.

Verifies all licensing and national certification criteria are met and up to date.

Meets individual quality performance standards and annual targets for program performance as mutually agreed to by management team to maximize program value including maximizing the member experience.

Works with minimal supervision, handles multiple projects simultaneously, prioritizes work appropriately, and works in collaboration with Spira Care operations.

Minimum Qualifications

• Bachelor’s degree; with focus in health care administration, nursing, operations/management or related field.
• 3+ years’ experience working in a healthcare setting.
• Maintain licensures and certifications throughout employment.
• Intermediate knowledge of Microsoft Windows applications.
• Familiarity with electronic medical records system and clinical workflows.
• Familiarity with health insurance.
• Demonstrate competence in building high performing teams.

Spira Care has specific vaccination requirements as a condition of employment. You must be able to comply with this condition of employment with or without reasonable accommodation based on a sincerely held religious belief or a disability.

Preferred Qualifications

• 7+ years management experience; clinical or outpatient setting
• Athena EHR experience and proficient with medical terminology.
• Prior healthcare insurance knowledge/experience.
• Experience with ACA and/or Medicare populations.

Spira Care is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

Spira Care is an advanced primary care practice, an innovative solution to simplifying healthcare designed by Blue Cross and Blue Shield of Kansas City in collaboration with community members.

Spira Care has nine Care Centers located throughout the Kansas City area, each of which house integrated Care Teams made up of medical providers, clinical support staff, and non-clinical patient-focused team members.

Spira Care, LLC will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems.

EOE/Veterans/Disability Aff... E-Verify Participation Equal Employment Opportunity/Nondiscrimination/Affirmative Action Policies IER Right to Work FMLA Employee Polygraph Protection Act