Hybrid Benefits & Policy Operations Supervisor

Independence Blue Cross; Philadelphia (Philadelphia County); Hybride; USD 90 000 - 150 000; Plein temps

Avantages offerts par ce poste

Hybrid work model

Résumé du poste

Independence Blue Cross is seeking a senior operations leader in the Philadelphia area to supervise benefits, medical policy and product operations enablement. The role partners with internal and external teams to drive policy, process improvements, and timely responses to business partners.

The candidate will evaluate initiatives, manage resources, and oversee ticket resolution while ensuring adherence to regulatory requirements and customer satisfaction.

Qualifications

• Bachelor's degree required.
• 5+ years of supervisory experience in operations, medical policy and product management.
• Experience with Client Setup, Benefits, Medical Policy and Claims preferred.
• Strong communication skills for complex concepts with staff, management, vendors and customers.
• Advanced analytical and problem-solving abilities.
• Ability to define solutions, coordinate resources and implement changes.
• Ability to plan timelines and create dashboards for senior management visibility.

Responsabilités

• Supervise team responsible for benefits, medical policy and product operations enablement.
• Implement departmental policies and procedures with internal and external partners.
• Evaluate projects, mandates, capacity plans and efficiency; assign resources.
• Oversee ticket inventory to ensure timely resolution across client setup teams.
• Identify trends to improve quality and inform training and DLP needs.
• Synthesize data to develop clear actions from multiple sources.
• Develop timely, complete, and accurate responses to business partners.
• Collaborate with operational leaders to identify business process improvements.
• Oversee downstream impacts including claims processing, costs to self-funded customers, coding changes, regulatory compliance, and client satisfaction.

Connaissances

Team supervision

Operations management

Medical policy

Product management

Client setup

Benefits

Claims knowledge

Communication skills

Analytical thinking

Problem solving

Project timelines

Dashboards

Formation

Bachelor's Degree

Description du poste

Independence Blue Cross is seeking a senior operations leader in the Philadelphia area to supervise benefits, medical policy and product operations enablement. The role partners with internal and external teams to drive policy, process improvements, and timely responses to business partners.

The candidate will evaluate initiatives, manage resources, and oversee ticket resolution while ensuring adherence to regulatory requirements and customer satisfaction.