Mgr - Enrollment: Medicaid Segment - HYBRID

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

Manage day-to-day Enrollment Services activities, processes, and workflow for assigned department(s). Provide oversight, development, problem resolution, and leadership for the team. Ensure operations and service goals are achieved according to departmental and corporate standards. Continuously improve quality and business processes for the assigned area of responsibility.

Ensure timely and accurate completion of inbound phone calls, eligibility processes, maintenance activities, accounts receivable reconciliation, system tasks, reporting functions, and/or training.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Work Experience

• 3 years of experience in a supervisory or management role

Education

• High School Diploma or GED

Licenses

• None required

Certifications

• None required

PREFERRED QUALIFICATIONS

Work Experience

• 5 years of experience in healthcare administration or customer service
• 2 years of experience managing, interpreting reporting, and/or processing enrollment and financial transactions related to CMS on-exchange business

Education

• Bachelor's Degree

Licenses

• None

Certifications

• None

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Oversee day-to-day activities of a team performing various levels of internal and external customer service operations
• Direct, evaluate, define, and improve quality, productivity, and timeliness standards to achieve individual and departmental goals
• Administer, interpret, and maintain working knowledge of systems, procedures, forms, and manuals related to area of responsibility
• Develop and maintain a competent staff to perform assigned functions, with emphasis on supervisory and analyst-level development
• Plan, monitor, and coordinate activities to support corporate goals and objectives
• Represent the department in external meetings; participate in internal meetings and decision-making processes
• Consult and coordinate with internal departments, external plans, groups, and brokers
• Identify, research, process, resolve, and respond to customer inquiries via phone, written communication, or in person
• Evaluate and investigate system-related issues
• Motivate team members, conduct performance evaluations, identify training needs, and manage disciplinary actions

Work Schedule

• The position has an onsite expectation of 2 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

• Perform all other duties as assigned

COMPETENCIES

REQUIRED COMPETENCIES

Job Skills

• Strong written and verbal communication
• Intermediate proficiency with office equipment (copiers, fax machines, scanners, telephones)
• Intermediate skills in word processing, spreadsheets, and database software
• Intermediate PC proficiency

Professional Competencies

• Strong investigative and analytical skills
• Ability to generate reports and make decisions based on available data
• Effective interpersonal and active listening skills
• Ability to build and maintain collaborative working relationships
• Commitment to confidentiality and privacy
• Ability to make sound decisions while considering both detailed information and the broader business impact

Leadership Competencies

• Prior management experience
• Ability to build and lead effective teams

PREFERRED COMPETENCIES

Job Skills

• None

Professional Competencies

• None

Leadership Competencies

• Ability to optimize resource utilization and ensure cost-effective operations
• Ability to proactively adjust staffing based on workload, business priorities, and changing needs

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.