Team Leader

• Function as manager on duty and drive sales by maximizing store productivity
• Build customer relationships through exceptional experiences
• Assist the Assistant Store Manager and Store Manager using reporting and sales trends to achieve sales, customer acquisition, and service goals
• Maintain store cleanliness, visual merchandising, inventory and stock management, TQM compliance, and cash processes
• Promote a safe and healthy environment for employees and customers
• Create personalized coffee experiences through product and sustainability storytelling
• Provide complimentary coffee tastings and use product knowledge to build the customer base and boost sales
• Coach and train the team to improve sales and service performance
• Seek and provide feedback, build colleague relationships, champion innovative ideas, adapt to change, and solve problems creatively

Retail Team Leader

• Supervise and guide assigned team members on company policies, procedures, and workflow
• Set goals and implement strategies to ensure team members effectively assist providers with internal processes
• Manage hiring processes for Operations staff
• Coach employees to improve individual performance and develop teamwork
• Evaluate team member performance and submit timely performance evaluations
• Maintain knowledge of assigned positions and develop ongoing training and coaching programs
• Supervise and evaluate data production and quality performance
• Conduct regular one-to-one meetings with assigned staff
• Assist the Manager with staffing, training, process improvement, and department budget assessment
• Create and evaluate Operations production and data quality metrics
• Supervise development and maintenance of Provider Network job aids, policies, and procedures
• Liaise with PacificSource departments to coordinate service and information
• Attend and lead enterprise workgroups related to provider data scalability and quality outcomes
• Document and report relevant communications to management, teams, and departments
• Lead continuous improvement efforts for enterprise and team processes
• Foster a positive virtual and in-person work environment, provide constructive feedback, and promote continuous learning
• Collaborate with leadership teams to develop best practices and address enterprise-wide process issues
• Oversee hiring, staff development, coaching, performance reviews, corrective actions, and terminations
• Investigate and resolve provider data issues, escalating information as needed
• Oversee compliance and quality of provider data related to NCQA, OHA, CMS, WAOIC, and other standards
• Meet department and company performance and attendance expectations
• Follow PacificSource privacy policy and HIPAA confidentiality and security requirements
• Perform other duties as assigned

Provider Data Maintenance Team Leader

• Supervise and guide assigned team members regarding company policies, procedures, and workflow
• Set goals and implement strategies to ensure team members effectively assist providers with internal processes
• Manage hiring processes for Operations staff
• Coach employees to improve individual performance and develop teamwork
• Evaluate team member performance and conduct timely performance evaluations
• Maintain knowledge of assigned positions and develop ongoing training and coaching programs
• Supervise and evaluate data production and quality performance
• Conduct regular one-on-one meetings with assigned staff
• Assist the Manager with staffing, training, process improvement, and department budget needs
• Create and evaluate Operations production and data quality metrics
• Supervise development and maintenance of Provider Network job aids, policies, and procedures
• Liaise with PacificSource departments to coordinate service and information
• Attend and lead enterprise workgroups related to provider data scalability and quality outcomes
• Document and report pertinent communications to the manager, team, or department
• Lead continuous improvement efforts for enterprise and team processes
• Foster a positive virtual and in-person work environment, provide constructive feedback, and promote continuous learning
• Collaborate with leadership teams to develop best practices and address enterprise-wide process issues
• Handle hiring, staff development, coaching, performance reviews, corrective actions, and employee terminations
• Investigate and resolve provider data issues, escalating information as needed
• Oversee compliance of provider data quality with regulatory and marketability standards, including NCQA, OHA, CMS, and WAOIC
• Perform other duties as assigned

• Supervise staff processing appeals, coding disputes, grievances, and coverage/organization determinations
• Oversee daily operations, case-load assignments, and team priorities
• Ensure resolutions comply with organizational policies, state and federal guidelines, and regulatory/accreditation requirements
• Prepare for Appeals Committee and panel meetings
• Handle or direct difficult customer calls regarding appeals, coding disputes, grievances, or quality issues
• Develop efficient and effective workflows and processes with staff
• Advise and instruct staff on operational goals, policies, and communications to providers and members
• Evaluate data requests and ensure data requirements are met
• Assist staff and management with information needs
• Complete ad hoc reporting and assigned projects/interventions
• Improve operations, resolve cross-team issues, and allocate resources across departments and divisions

Team Leader jobs in North Carolina

Retail Team Leader

Provider Data Maintenance Team Leader

Provider Data Maintenance Team Leader

Team Leader – Appeals