Hybrid Operations Specialist — Data-Driven Case Management

Independence Blue Cross, LLC; Philadelphia (Philadelphia County); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Independence Blue Cross, LLC in the Tri-State area is seeking an Operations Specialist to manage daily caseloads, ensure timely, compliant resolutions, and analyze case details. You will collaborate with cross-functional teams and use SQL Reports and Excel to diagnose issues.

The role requires a High School Diploma (Bachelor's preferred) and strong time management, communication, and problem-solving skills.

Qualifications

• Caseload management and timely case resolution

Responsibilities

• Manage and prioritize a daily caseload to ensure cases are resolved accurately, efficiently, and within required compliance timeframes
• Investigate and analyze case details, identify root causes, and determine effective resolutions
• Collaborate with crossfunctional teams to drive timely and accurate case outcomes
• Identify trends and recommend process improvements to enhance operational performance
• Provide regular status updates on open cases and assigned work
• Support team training and knowledge sharing
• Use SQL Reports and Excel Data extracts to diagnose and resolve issues
• Perform additional duties as assigned

Skills

Time management

Organizational skills

Strong communication

Problem solving

Cross-team collaboration

SQL reports

Excel proficiency

Technical aptitude

Education

High School Diploma

Bachelor's degree preferred

Tools

SQL Reports

Excel

Job description

Independence Blue Cross, LLC in the Tri-State area is seeking an Operations Specialist to manage daily caseloads, ensure timely, compliant resolutions, and analyze case details. You will collaborate with cross-functional teams and use SQL Reports and Excel to diagnose issues.

The role requires a High School Diploma (Bachelor's preferred) and strong time management, communication, and problem-solving skills.