Blue Cross and Blue Shield Association logo

Manager - Operations-(AHNJ) Hybrid

Blue Cross and Blue Shield Association

  • Philadelphia, PA
  • 19 days ago
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    Skills

    • Analysis Skillsunmatched
    • Brokerageunmatched
    • Budget Managementunmatched
    • Budgetingunmatched
    • Business Administrationunmatched
    • Business Growthunmatched
    • Call Centersunmatched
    • Claims Processingunmatched
    • Coachingunmatched
    • Compensation and Benefitsunmatched
    • Corporate Policiesunmatched
    • Cross-Functionalunmatched
    • Customer Relationsunmatched
    • Maintain Complianceunmatched
    • Operational Strategyunmatched
    • Operational Supportunmatched
    • Operations Managementunmatched
    • Operations Processesunmatched
    • Performance Analysisunmatched
    • Performance Metricsunmatched
    • Performance Reviewsunmatched
    • Problem Solving Skillsunmatched
    • Process Managementunmatched
    • Regulatory Complianceunmatched
    • Regulatory Requirementsunmatched
    • Sales Managementunmatched
    • Service Deliveryunmatched
    • Set Goalsunmatched
    • Staff Developmentunmatched
    • Staff Motivationunmatched
    • Team Lead/Managerunmatched
    • Wi-Fiunmatched
    • Work From Homeunmatched

    Description

    Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

    The ideal candidate for the Manager Operations role will have a passion for effectively leading and developing a team of associates with the goal of driving operational strategies that support the growth of the business. This job can provide excellent opportunities for growth as the candidate many be required to support varying lines of business. Managing associates in completing department functions and ensuring areas of responsibility are delivering cost effective service in a quality manner by providing prompt, accurate, and professional responses. The successful applicant will have a track record managing in a fast-paced environment where competing priorities must be effectively balanced. The applicant will also have experience demonstrating the courage to honestly lead difficult conversations, coupled with the sensitivity and talent to constructively engage partners to deliver solutions for our customers, clients, brokers, and providers.

    Responsibilities:

    • Achieves and maintains preferred standards for the department
    • Manages work processes, measures for non-conformance and identifies corporate and department policies and procedures in an effort to achieve operational efficiencies
    • Communicates, implements, and interprets corporate and departmental policies and procedures
    • Maintains positive working relationships with internal/external customers, through direct phone contact, written correspondence and site visits
    • Approves special consideration and handling for customers
    • Ensures an maintains positive working relationships with group leaders, benefit administrators and account executives
    • Selects, develops, appraises and recommends compensation for associates
    • Manages departmental budgets
    • Manages achievement of service level goals and key performance metrics in compliance with organizational and regulatory requirements.
    • Manages initiatives, driving cross-functional collaboration that ensures prompt resolution of issues.
    • Effectively liases with vendor resources to ensure proper oversight and performance adherence.

    Develops, implements and monitors operations policies, procedures, and standards that support the goals and objectives of the contact center.

    • Establishes individual performance goals for direct reports, conducts performance reviews and provides coaching and counseling. Plans, approves and implements programs for the development of team members.
    • Analyzes department's performance reports. Reports on team's progress. Ensures that team meets productivity, quality and service standards.

    Education-

    • This position requires an undergraduate degree, preferably in business administration

    Experience-

    • A minimum of three (3) years of managerial experience. In lieu of a degree, five (5) to seven (7) years of management experience is required.

    Knowledge, Skills, Abilities-

    • Must be able to develop and maintain a comprehensive, detailed knowledge of all Company Products
    • Must have a thorough understanding of benefits and claims processing functions.
    • Must have the ability to manage the area of responsibility and possess managerial skills necessary for organizing, planning, controlling, budgeting, developing and motivating employees in the accomplishment of assigned tasks.
    • Ability to work from home, which includes high speed wi-fi capability of at least 400 Mbps and a quiet, confidential workspace.

    Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

    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.

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