Enrollment Services Operations Leader

Independence Blue Cross, LLC

Philadelphia (Philadelphia County)

On-site

USD 95,000 - 135,000

Full time

7 days ago
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Job summary

Independence Blue Cross, LLC is seeking a Manager of Enrollment Services to oversee Medicare Advantage, Medigap, ACA Individual Consumer, and Commercial Group enrollment processing across multiple platforms and vendor systems. You will supervise teams handling enrollment requests from internal partners and external brokers, ensuring timely, accurate, and compliant processing.

The role requires strong leadership, policy development, and collaboration with IT and business stakeholders to optimize

Qualifications

  • Minimum 6+ years of experience in operational or health plan enrollment environments.
  • Minimum 3 years of direct supervisory or people-leadership experience.
  • Working knowledge of Medicare Advantage and Commercial enrollment regulations strongly preferred.
  • Demonstrated experience with federal/state health insurance regulations, enrollment processing, and operational policy development.
  • Proven experience leading teams and managing cross-departmental initiatives.

Responsibilities

  • Effectively manages the inventory received from all sources with the supervisors, including but not limited to the mailbox, email to One Hub, Report Center, SNOW, vendor applications and the queues.
  • Analyze operational metrics to ensure corporate and divisional goals are met, including performance and process efficiency.
  • Assist the Director in establishing strategic directions for Enrollment Services and broader operational initiatives.
  • Develop and maintain Enrollment Services policies and procedures, ensuring Director-level approval and organizationwide communication.
  • Ensure adequate staffing, training, and skill development for new and current team members.
  • Foster a collaborative team environment that promotes productivity, accountability, and engagement.
  • Monitors that the supervisors apply their coaching and counseling skills when needed and apply corrective action when necessary.
  • Manages daily huddles with the supervisors to plan inventory and priorities.
  • Analyzes all aging and repetitive inquiries to determine root cause and works with business partners to find and implement solutions to resolve.
  • Responds timely to customer RFPs and Performance Guarantees.
  • Prepares and analyzes required data to determine if all corporate and divisional goals are being met to include operational efficiencies.
  • Represent the Director in meetings when needed.
  • Perform other duties as assigned.

Skills

Leadership
Analytical thinking
Strategic thinking
Communication

Education

Experience in enrollment operations
Supervisory experience

Tools

Advantasure
Health Rules/Proof
Zelis
Web Integration platforms
EDI enrollment portals
Productivity tracking systems

Job description

Independence Blue Cross, LLC is seeking a Manager of Enrollment Services to oversee Medicare Advantage, Medigap, ACA Individual Consumer, and Commercial Group enrollment processing across multiple platforms and vendor systems. You will supervise teams handling enrollment requests from internal partners and external brokers, ensuring timely, accurate, and compliant processing.

The role requires strong leadership, policy development, and collaboration with IT and business stakeholders to optimize

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Education assistance
Paid time off (PTO)
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