Team Leader, Operations (Member Outreach)

Blue Cross and Blue Shield of North Carolina; Chapel Hill (NC); Hybrid; USD 67,000 - 107,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Hybrid work model

401k and retirement benefits

Job summary

Blue Cross NC is seeking a Team Leader, Operations for the Risk Adjustment Concierge Member Outreach Team in North Carolina. You will lead a team, supervise workloads, and drive performance coaching, ensuring high member and customer satisfaction while maintaining compliance.

The role emphasizes coaching, cross-functional collaboration, and process improvement. A bachelor's degree or 7+ years of related experience is required, with a hybrid work model and strong growth opportunities in a

Qualifications

• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field.
• In lieu of degree, 7+ years of experience in related field.

Responsibilities

• Manage day-to-day workload to achieve business objectives; provide leadership and direction to the team and execute team goals and expectations.
• Act as a resource for the team; provide assistance on work processes and procedures.
• Foster a positive, accountable, and collaborative team culture.
• Serve as the primary point of contact for operational updates and escalations, including direct, customer facing engagement as needed.
• Ensure employees are properly trained in processes and procedures and respond professionally, courteously, quickly, and accurately to all inquiries from internal and external customers
• Provide ongoing coaching and development feedback to team members. Conduct regular coaching conversations and formal performance evaluations.
• Collaborate with other departmental teams to establish performance goals and monitor progress against those goals.
• Partner with cross functional teams to identify and address system or process gaps.
• Identify trends, determine root causes, and initiate appropriate action to resolve issues.
• Identify, document, and report system and process problems/trends using root cause analysis and implement solutions
• Conduct random audits of the team's work. Review audit results with employees and create performance improvement plans as necessary.
• May develop short and long-term service objectives and methods and implement these methods when approved.
• Respond quickly and accurately to escalated issues from clients and customers.
• May represent the department on corporate projects (i.e., divisional, corporate, etc.).

Skills

Team leadership

Coaching

Problem solving

Education

Bachelor's degree or advanced degree

Job description

Job Description

We're hiring a Team Leader, Operations to join the Risk Adjustment Concierge Member Outreach Team! Responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures member and customer satisfaction, and maintains compliance with applicable requirements. Leads performance coaching, development, and trend analysis, and serves as a key liaison between frontline staff, leadership, and cross functional partners.

At Blue Cross NC, we're making health care better for all - by listening deeply, challenging what's possible, and putting care at the heart of everything we do. Join a purpose driven team where ideas spark change, growth is encouraged, collaboration fuels impact, and you're supported with the flexibility and trust to do meaningful work.

What You'll Do

• Manage day-to-day workload to achieve business objectives; provide leadership and direction to the team and execute team goals and expectations.
• Act as a resource for the team; provide assistance on work processes and procedures.
• Foster a positive, accountable, and collaborative team culture.
• Serve as the primary point of contact for operational updates and escalations, including direct, customer facing engagement as needed.
• Ensure employees are properly trained in processes and procedures and respond professionally, courteously, quickly, and accurately to all inquiries from internal and external customers
• Provide ongoing coaching and development feedback to team members. Conduct regular coaching conversations and formal performance evaluations.
• Collaborate with other departmental teams to establish performance goals and monitor progress against those goals.
• Partner with cross functional teams to identify and address system or process gaps.
• Identify trends, determine root causes, and initiate appropriate action to resolve issues.
• Identify, document, and report system and process problems/trends using root cause analysis and implement solutions
• Conduct random audits of the team's work. Review audit results with employees and create performance improvement plans as necessary.
• May develop short and long-term service objectives and methods and implement these methods when approved.
• Respond quickly and accurately to escalated issues from clients and customers.
• May represent the department on corporate projects (i.e., divisional, corporate, etc.).

What You Give

• Bachelor's degree or advanced degree (where required)
• 3+ years of experience in related field.
• In lieu of degree, 7+ years of experience in related field.

At this time, Blue Cross NC will not sponsoremployment authorization for this position.

Bonus Points (Preferred qualifications)

• Proficiency with Microsoft Excel, including formulas, pivot tables, charts, filters, and operational tracking is highly preferred.
• Experience creating professional presentations, leadership updates, and reports using Microsoft PowerPoint.
• Knowledge of Microsoft SharePoint for maintaining documentation, procedures, and team resources.
• Familiarity with Genesys Cloud or a similar contact center platform for queue management, interaction monitoring, and performance reporting.
• Experience using workforce management and collaboration tools such as Smart Desktop, Microsoft Teams, Outlook, and Power BI to support coaching, reporting, and operational decision-making.

WhatYou'llGet

• The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community

• Work-life balance, flexibility, and the autonomy to do great work

• Medical, dental, and vision coverage along with numerous health and wellness programs

• Parental leave and support plus adoption and surrogacy assistance

• Career development programs and tuition reimbursement for continued education

• 401k match including an annual company contribution

• Learn more

WhereYou'llWork

Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.

In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your 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 states listed on this job posting. Onsite expectations will be discussed during the interview process.

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.

$66,998.00 - $107,197.00