Team Lead, Member Claims

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.

Collective Health is transforming the way people experience healthcare. We are building a world-class team and an innovative technology platform for our members, employers, and partners. We believe that accuracy and efficiency are paramount to ensuring exceptional member and employer experiences. To accomplish this, we are reimagining the operational core of health insurance. We are seeking leaders to deliver on this vision.

Our Member Claims team is one of our largest and core teams within Customer Experience, performing the specialized back office work required to operate our employer-sponsored medical plans and run the core processes that power our business. Member Claims Associates perform a wide variety of work with a comprehensive understanding of health plan operations—ensuring medical claims are paid accurately and in a timely manner, researching complicated member issues, and handling the complex details related to medical network integrations, regulatory requirements, and medical coding. Beyond becoming experts in these areas, our team also strives to make health benefits effortless for our clients, our members, and ourselves.

We are hiring Team Leads to help manage our growing Member Claims team. As a Team Lead, you will be responsible for learning the core job of our team along with Member Claims Associates. Additionally, you will help us to build our team, define our culture, coach team members, and provide regular feedback to ensure we are delivering on the high accuracy and efficiency standards we set for ourselves and our work. You will also work cross-functionally across the organization, contributing to wider company goals and helping us build and scale our business.

What You'll Do

• Manage a team of 10 Member Claims Associates
• Coach associates in mastery of their core job responsibilities through consistent quality evaluations and coaching sessions
• Lead team meetings and keep the team aligned on key priorities
• Spend a portion of your time learning and performing the core job (processing claims, researching member inquiries, handling complex escalations from your team, etc.) in your first few weeks and months on the team and work towards becoming a SME
• Work cross-departmentally on projects that impact the broader organization
• Continue to roll up your sleeves and stay close to your team’s core work, ensuring you stay current to our evolving processes over time
• Keep employee morale and experience top of mind as you advocate for your associates on a day-to-day basis
  
  

To Be Successful In This Role, You'll Need

• You have 2 years of direct, supervisory people management experience in an operations organization
• You are a subject matter expert in adjudicating and processing healthcare claims
• You are comfortable leading a back office, quantitative team and excited to learn the core job yourself
• You are passionate about creating and motivating a high performance team
• You have experience scaling a team and leading a team through change
• You are analytically minded and like to make data-driven decisions
• Bachelor’s degree and/or equivalent years of management experience (preferred)
  
  

Pay Transparency Statement

This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).

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/.

Lehi, UT Pay Range

$48,750—$61,000 USD

Plano, TX Pay Range

$53,750—$67,000 USD

Why Join Us?

• Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare
• Impactful projects that shape the future of our organization
• Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests
• Flexible work arrangements and a supportive work-life balance
  
  

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com.

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