Team Manager, Eligibility Services - Member Enrolment & COB

Alberta Blue Cross; Edmonton; On-site; CAD 85,000 - 110,000; Full time

Job summary

Alberta Blue Cross is seeking a Team Manager to lead the Eligibility Services team and oversee member enrolment processes. The role emphasizes accurate administration, timely delivery, and strong stakeholder collaboration.

The ideal candidate brings 3–5 years in a corporate/healthcare setting, leadership experience (including virtual teams), and excellent communication and problem-solving skills. A post-secondary degree is preferred.

Qualifications

• Post-secondary degree or diploma preferred.
• 3–5 years in corporate/healthcare/service delivery.
• Leadership experience, including virtual teams.
• Strong communication and problem-solving skills.

Responsibilities

• Lead Eligibility Services team with direction and coaching.
• Coordinate complex member administration issues across Plan Config, Group Sales, Group Billing, Medical and Underwriting.
• Lead corporate projects and manage changes; ensure timely implementation.
• Monitor performance metrics and develop staff and coaching.
• Foster relationships with internal and external customers and stakeholders.
• Champion AI-enabled tools and automated workflows to improve efficiency.
• Represent Group Administration in cross-functional initiatives.

Skills

Leadership

Communication

Project management

Analytical thinking

Change management

AI literacy

Education

Post-secondary degree or diploma

Tools

Power Automate

Job description

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.

OVERVIEW

Working in a flexible work style arrangement, with the guidance of the Manager of Member Enrolment & COB, the Team Manager is responsible for the people and the processes underlying member enrolment and ensures accurate and timely administration of the Group book of business. Member enrolment involves complex administration, contractual issues and service delivery. The successful candidate must have exemplary interpersonal skills, proven leadership capacity, strong problem‑solving skills, effective research and analytical approaches, and a strong commitment to service excellence. This position embraces relationship building, project management, curiosity, and innovation. The Team Manager opportunity has been approved for an 18 month term.

WHAT YOU WILL DO

• Manage daily activities and provide direction, support and leadership to the Eligibility Services team, ensuring work is completed accurately and within established turnaround times.
• Coordinate the resolution of complex Member Administration issues involving Plan Configuration, Group Sales, Group Billing, Medical and Group Underwriting, Case Management, Benefit Services, IT and other applicable departments.
• Lead and participate in corporate projects and work groups, assessing the impact of system and process changes on business processes, resources and service delivery. Support change management and ensure timely implementation.
• Communicate policy, procedural and system changes to Member Claims & Administration and other impacted departments.
• Conduct regular performance reviews, track team and individual metrics, and provide meaningful feedback, coaching and development opportunities. Support performance and learning plans and develop staff to take on increasing levels of responsibility, with a focus on autonomy and accountability.
• Build and maintain effective working relationships with internal and external customers, stakeholders and coworkers.
• Represent Group Administration in corporate work groups, projects and cross‑functional initiatives.
• Identify and recommend system, process, policy and procedural improvements that enhance efficiency, quality and service delivery. Work with Business Support and other applicable areas to document, prioritize and implement enhancements.
• Identify solutions that support department and division strategies, operational plans and customer needs, working with senior management and other stakeholders to develop and execute effective solutions.
• Champion the adoption of AI‑enabled tools and automated workflows to enhance team efficiency, service quality and continuous improvement.
• Create a positive working environment that encourages productivity, collaboration, innovation and accountability.
• Lead projects and initiatives, ensuring timely completion and effective implementation.
• Research and analyze information to resolve complex inquiries, escalations, complaints and unique situations, exercising sound judgment and decision‑making.

WHAT YOU WILL HAVE

• A post‑secondary degree or diploma would be considered an asset.
• 3–5 years of experience in a corporate environment, healthcare, service delivery or a related field.
• Demonstrated competence and willingness to continue developing within the organization’s leadership framework.
• Experience in a leadership role would be considered an asset, particularly experience leading or supporting virtual teams.
• Strong communication, interpersonal and presentation skills.
• Strong decision‑making, analytical and problem‑solving abilities.
• Demonstrated planning, time management and organizational skills.
• Ability to work effectively under pressure and demonstrate conflict resolution skills.
• Demonstrated initiative, results orientation and commitment to continuous improvement.
• Demonstrated commitment to quality customer service and the ability to establish and maintain effective relationships with internal and external customers.
• Ability to effectively manage heavy workloads and adapt to frequent change.
• Demonstrated adaptability and change management experience.
• Experience with Power Automate or other workflow automation tools would be considered an asset.

This position will remain open until suitable candidates are selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment.

A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.