Blue Cross and Blue Shield Association logo

Manager of Enrollment Services

Blue Cross and Blue Shield Association
  • Philadelphia, PA
    5 days ago

    Job Description

    The Manager of Enrollment Services is responsible for ensuring accurate, complaint, and timely processing of enrollment transactions across Medicare Advantage, Medigap, ACA Individual Consumer, and Commercial Group channels. This includes oversight of enrollment activities conducted within IBC platforms and vendor systems such as Advantasure, Health Rules/Proof, PBM systems, mPulse/H3O, the EDI Portal, and related solutions.

    This role oversees teams that support manual enrollment requests from all lines of business from both internal (Customer Service, Sales) business partners and external (Brokers) customers; received via email, One Hub, SNOW and workbaskets.

    Responsibilities:

    • Effectively manages the inventory received from all sources with the supervisors, including but not limited, to the mailbox, e-mail to One Hub, Report Center, SNOW, vendor applications and the queues. Applies strategies to manage the inventory in under five days.

    • Analyze operational metrics to ensure corporate and divisional goals are met, including performance and process efficiency.

    • Assist the Director in establishing strategic directions for Enrollment Services and broader operational initiatives.

    • Develop and maintain Enrollment Services policies and procedures, ensuring Director‑level approval and organization-wide communication.

    • Ensure adequate staffing, training, and skill development for new and current team members.

    • Foster a collaborative team environment that promotes productivity, accountability, and engagement.

    • Monitors that the supervisors apply their coaching and counseling skills when needed and apply corrective action when necessary.

    • Manages daily huddles with the supervisors to plan inventory and priorities.

    • Analyzes all aging and repetitive inquiries to determine root cause and works with business partners to find and implement solutions to resolve.

    • Responds timely to customer RFPs and Performance Guarantees.

    • Prepares and analyzes required data to determine if all corporate and divisional goals are being met to include operational efficiencies.

    • Represent the Director in meetings when needed.

    • Perform other duties as assigned.

    Education and Experience:

    • Minimum 6+ years of experience in operational or health plan enrollment environments.

    • Minimum 3 years of direct supervisory or people‑leadership experience.

    • Working knowledge of Medicare Advantage and Commercial enrollment regulations strongly preferred.

    • Demonstrated experience with federal/state health insurance regulations, enrollment processing, and operational policy development.

    • Proven experience leading teams and managing cross‑departmental initiatives.

    Knowledge and Skills:

    • Strong understanding of data processing, operational workflows, and documented procedures.

    • Proficiency in Microsoft Office applications (Excel, Word, PowerPoint; Visio and SharePoint preferred).

    • Excellent written and verbal communication skills.

    • Strong leadership, decision‑making, analytical, and strategic‑thinking abilities.

    • Ability to manage competing priorities, meet deadlines, and drive continuous improvement.

    • Experience with Advantasure, Health Rules/Proof, Zelis, Web Integration platforms, EDI enrollment portals, and productivity tracking systems.

    IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

    Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

    Numbers & Facts

    LocationPhiladelphia, PA
    IndustryInsurance
    Company Size2,000 to 2,499 employees
    Websitehttps://www.bcbs.com/about-us/careers

    About Company

    At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

    Skills

    • Aging Analysisunmatched
    • Brokerageunmatched
    • Communication Skillsunmatched
    • Continuous Improvementunmatched
    • Customer Support/Serviceunmatched
    • Data Analysisunmatched
    • Data Processingunmatched
    • Electronic Data Interchange (EDI)unmatched
    • Health Insuranceunmatched
    • Health Plan Membershipunmatched
    • Insurance Regulationsunmatched
    • Inventory Managementunmatched
    • Inventory Planningunmatched
    • Leadershipunmatched
    • Medicareunmatched
    • Metricsunmatched
    • Microsoft Excelunmatched
    • Microsoft Officeunmatched
    • Microsoft PowerPointunmatched
    • Microsoft Wordunmatched
    • Operational Auditunmatched
    • Operations Planningunmatched
    • Operations Processesunmatched
    • Partner Salesunmatched
    • Policy Developmentunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Process Improvementunmatched
    • Regulationsunmatched
    • Request for Proposals (RFP)unmatched
    • Root Cause Analysisunmatched
    • State Laws and Regulationsunmatched
    • Strategic Planningunmatched
    • Support Documentationunmatched
    • Team Lead/Managerunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Transaction Processing/Managementunmatched
    • Web Site Monitoringunmatched
    • Writing Skillsunmatched

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