Regence Blue Cross Blue Shield Work Values

Daily Duties at Regence Blue Cross Blue Shield :

Managed supervisors and developed personnel by setting goals, encouragement, and providing performance reviews. Lead team through NCQA/URAC audit structure and compliance regulations Provided oversite on medical drug pricing process and procedures Collaborated with reimbursement and medical policy departments to assure proper application of claim payments Reviewed metrics and KPI goals to determine trends and department performance. Influenced department success of $5.5M savings annually. Developed end to end business processes for lean management Directed new department strategic initiatives. Collaborated with business management to develop Facet workflow and SQL reporting.

What they like about Regence Blue Cross Blue Shield :

The social vibrance of a hiring firm is very important to you. Your ability to make and maintain friendships there is a critical part of your decision. You would likely be dissatisfied with a workplace that is quiet, cold, or otherwise not particularly social. When you investigate a new hiring company, ask recruiters, managers, and potential co-workers about the social life and opportunities there. This is especially important when you are relocating; moving dramatically alters your social sphere both inside and outside the workplace.

Tags

Healthcare, Insurance, Payer, Reimbursement, HIPPA, CLAIMS, Coding, Reimbursement Policies, Medical Review Policies, SOP, Facets, Clinical Review, Customer Service, Salesforce, Tableau

Skills

Leadership, SOP Development, Policy Review, Quality Audit, New Employee On Boarding, Clinical Claims- Operation, Process Management

These are some of the questions we asked our climbers about their experiences with Regence Blue Cross Blue Shield :