Blue Cross of Idaho is seeking an ASO (Administrative Services Only) Manager to lead the day-to-day operational service delivery of the dedicated ASO Hub. This role coordinates with the partners with client services and the core functional leaders to deliver assigned goals for the client base. The core functional areas include claims, enrollment & billing, customer service, grievance & appeals, and healthcare operations.
This is an onsite role located at our Meridian, Idaho campus.
We're seeking a leader with:
Experience: 7 years' health plan experience in Customer Service, Medical Management and/or Claims, to include leadership experience
Education: Bachelor's Degree or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)
Knowledge of:
Integrated Care Management practices and protocols
Health care payer operations (billing, eligibility, claims, customer service etc.)
Provider network and contracting arrangements
Skills:
Superior communication, presentation, and inter-personal skills
Outstanding critical thinking and problem-solving skills; approaches problems analytically and methodically in a complex multitask environment
Excellent time management and project management
Digital literacy and technical competence (understand software, hardware, networks, etc.)
High level of initiative and proficiency working and leading teams. Collaborates with all internal partners within the organization to successfully deliver results
Ability to:
Take conceptual thoughts and create and execute strategically. Plan and carry out responsibilities with minimal direction
Handle stressful situations and deadline pressures well. Take initiative to accomplish set objectives and deliver on key initiatives
Lead by example, and bring new insights and creativity to the sales organization
Monitor customer, market, and competitor activity and provide feedback to company leadership, product development, and other key functional areas.
As the ASO Operations Manager, your day may look like:
Establishes productive, collaborative, professional relationships with key functional areas to achieve established goals.
Assesses, clarifies, and validates group and team needs.
Collects information from functional departments, external vendors, consultants, and the management team to develop innovative program changes that will build a lasting business model.
Develops and analyzes utilization, call and other data that is important to the success of the unit.
Evaluates and presents information to core and shared functional operational areas.
Responds to audits and other reporting for regulatory agencies, accreditation or clients.
Perform other duties and responsibilities as assigned.
Reasonable accommodations
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
