Manager Benefits Maintenance at Independence Blue Cross LLC in Philadelphia, Pennsylvania

Job Description:

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.

Responsibilities:

      Manages and implements departmental functions, policies, and procedures with all internal and external customers.

•       Evaluates the effectiveness and efficiency of department and takes actions to reallocate resources as necessary. 

•       Responsible for supervising and overseeing team responsible for reconciling data setup in FOS and HRP related to Client, Billing, Finance, UW, Actuary, Product and Benefits data.

•       Responsible for overseeing and managing client setup issue management ticket inventory.

•       Responsible to overseeing ticket inventory data to ensure timely resolution across client setup teams.

•       Responsible for identifying trends to improve quality and inform training and DLP needs.

•       Ability to synthesize data to develop a clear course of action based on information from a variety of sources.

•       Develop and ensure timely, complete, and accurate responses to business partners.

•       Collaborates with Operational leaders to identify business process improvement opportunities.

•       Responsible for extensive downstream impacts; including but not limited to the costs to self-funded customers, cost to modify coding, compliance with state and federal regulations, adherence to filed benefits, client and member dissatisfaction. 

•         Bachelor's Degree 


•       Minimum 7+ years proven working experience in operations and/or issue management. Client Setup and Benefits knowledge strongly preferred. 


•       Demonstrated effective communication skills required to address and present most complex ideas and concepts to staff, management, vendor and external customers (as needed).


•        Demonstrated advanced analytical and problem-solving skills


•        Demonstrated ability to define business solutions, make decisions, identify problems, coordinate resources and implement changes.


•         Ability to develop, plan, and create timelines and dashboards to support senior management visibility.

 

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.

 

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