Victoria Jennifer Olivares

Coaching Advocate, Appeals and Grievances Resolution Department @Capital Blue Cross

Accountable for providing interactive coaching techniques, technological assistance, and continuous knowledge for development for the member and provider specialists within the Appeals and Grievances (AGR) department, while serving as a liaison between AGR and other departments for collaborative projects and process enhancements.+ Provide training for AGR and other departments on policies and procedures relating to regulatory and accreditation requirements+ Skilled writer specializing in technical and professional business content for internal and external parties+ SharePoint Administrator + Accommodate training sessions to empower and motivate employees to complete assignments efficiently and accurately + Engage in the outlining and development of business goals and operational enhancements.+ Comprehension of the practices and resources within AGR+ Familiarity with IPP and MTM metrics+ Works in partnership with Supervisors, Managers, Analysts, Trainers, and Specialists to meet relevant appeal timeframes and ensure regulatory adherence+ Provide augmented and targeted coaching based on performance assessments+ Subject matter expert and point of contact for guidance with all case types+ Assist with complicated and/or escalated cases+ Update and create education materials and ensure policies and procedures are current+ Operations-wide Leader+ Evaluate employee performance for improvement