Senior Team Lead, Claims Operational Support Teams

The Senior Team Lead will play a critical role in supporting both the Partner Research and Resolution team and the Operations Support Specialist team. This candidate will oversee day to day operations guiding team performance, taking lead on department-wide projects and working cross-functionally to identify and resolve operational gaps.

They will mentor and support newer team leads providing guidance and sharing best practices to assist in their professional development.

This is an excellent opportunity for a results driven leader to influence change, implement meaningful process enhancements and contribute to the long term success of both teams while reporting directly to the Sr. Manager of Member Claims.

What you'll do:

• Team Leadership
  • Build, lead and develop a high performing team, fostering a positive and collaborative work environment.
  • Provide ongoing coaching, training, and feedback to team members to enhance their skills and performance.
  • Set performance goals and conduct regular performance reviews to drive continuous improvement.
• Claims Processing Oversight
  • Ensure timely and accurate processing of claims in adherence to established guidelines and standards.
  • Monitor workflow to identify and address bottlenecks or issues that may impact efficiency.
  • Collaborate with other departments to streamline processes and improve overall claims processing.
• Quality Assurance
  • Implement and maintain quality assurance measures to guarantee the accuracy and consistency of claims processing.
  • Conduct regular reviews and provide constructive feedback to team members to uphold quality standards.
• Department-wide Responsibilities
  • Take the lead on department-wide projects, demonstrating the ability to plan, execute, and complete projects with minimal oversight.
  • Collaborate with cross-functional teams and stakeholders to ensure project success and alignment with organizational goals.
  • Develop strong operational relationships and drive process improvement efforts with Collective Health’s medical network partners
  • Partner with Member Services & Claims Ops Leadership and drive towards strategic process improvements and industry best practice in operations across the MCA department
  • Work cross-functionally with multiple Collective Health teams such as PM&D, Eligibility, Product, Product Ops, Legal, Member Claims, Member Advocates, WFO, Client Success, and Analytics to monitor overall operational health.
• Performance Analysis and Reporting
  • Generate and analyze reports to track team and individual performance metrics.
  • Identify trends, areas for improvement, and opportunities for innovation in claims processing.
  • Meet aggressive performance goals…driving performance, effectiveness and efficiencies across your team’s central domains
• Continuous Improvement
  • Proactively identify process improvements and work with the team to implement changes that enhance efficiency and accuracy.
  • Help the team scale external communication pathways to make them more efficient, and effective
• Supporting Newer Team Leads
  • Provide mentorship and guidance to newer team leads to facilitate their integration into leadership roles.
  • Share best practices, offer insights, and assist in their professional development.

To be successful in this role, you'll need:

• To be excited about simplifying healthcare, learning new things, and solving hard problems
• To be comfortable leading a back office, quantitative team and excited to learn the core job yourself
• To be passionate about creating and motivating a high performance team
• Experience scaling a team and leading a team through change
• To be excited to help young professionals develop in their career
• 2+ years of direct, supervisory people management experience in an operations organization (Preferred)
• Bachelor's degree and/or equivalent years of management experience (Preferred)

Pay Transparency Statement 

This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid 

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.