Behavioral Health Ops Lead: Escalations & Network Support

Independence Blue Cross; Pennsylvania; Hybrid; USD 110,000 - 150,000; Full time

Job summary

Independence Blue Cross is seeking a Behavioral Health Performance Manager to drive operational performance, resolve issues, and manage change across BH services, product, billing, and vendor functions. You will coordinate with BH leadership, operations, and enterprise partners to ensure accurate setup, compliant data, and timely issue closure.

The role emphasizes cross-functional collaboration, credentialing oversight, and regulatory responsiveness, with a hybrid work model in the Tri-State

Qualifications

• 5+ years in healthcare, managed care, or behavioral health operations.
• Experience managing escalations and cross-functional resolutions.
• Experience with provider data, credentialing, claims or configuration processes.

Responsibilities

• Drive operational performance across BH service, product, billing, and vendor changes.
• Oversee claims escalations, AR-related issues, and root-cause analysis.
• Coordinate provider data management, credentialing, and network stability.

Skills

Stakeholder management

Problem solving

Operational excellence

Data analysis

Communication

Education

Bachelor's degree in Health Administration/Business

Master's degree (MHA/MBA/MPH) preferred

Tools

Microsoft Teams

Smartsheet

Planner

Job description

Independence Blue Cross is seeking a Behavioral Health Performance Manager to drive operational performance, resolve issues, and manage change across BH services, product, billing, and vendor functions. You will coordinate with BH leadership, operations, and enterprise partners to ensure accurate setup, compliant data, and timely issue closure.

The role emphasizes cross-functional collaboration, credentialing oversight, and regulatory responsiveness, with a hybrid work model in the Tri-State