Manager - Operations- (AmeriHealth New Jersey ) Hybrid

Independence Blue Cross; Philadelphia (Philadelphia County); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Independence Blue Cross in Philadelphia operates a Hybrid model, with a mix of on-site and remote days, to support cost-efficient service and high-quality outcomes for customers, brokers and providers. The Manager, Operations will lead a team, drive operational strategy, and coordinate cross-functional initiatives in a fast-paced environment.

The role requires a bachelor’s in business administration and at least three years of managerial experience; five to seven years without a degree.

Qualifications

• Bachelor's degree in business administration preferred.
• Minimum three years managerial experience; five to seven years if no degree.
• Strong knowledge of benefits and claims processing.
• Ability to lead teams and develop associates.
• Ability to work from home with high-speed internet and a quiet workspace.

Responsibilities

• Achieves and maintains preferred standards for the department.
• Manages work processes, measures for non-conformance and identifies policies and procedures to improve efficiency.
• Communicates, implements, and interprets corporate and departmental policies and procedures.
• Maintains positive working relationships with customers through direct contact and written correspondence.
• Oversees performance management and coaching for associates; sets development plans.
• Drives cross-functional collaboration to resolve issues and optimize service delivery.
• Manages vendor relationships to ensure oversight and performance adherence.

Skills

People management

Leadership

Operations management

Communication

Remote work capability

Education

Bachelor's degree in business administration

Job description

Manager - Operations- (AmeriHealth New Jersey ) Hybrid

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

The ideal candidate for the Manager Operations role will have a passion for effectively leading and developing a team of associates with the goal of driving operational strategies that support the growth of the business. This job can provide excellent opportunities for growth as the candidate many be required to support varying lines of business. Managing associates in completing department functions and ensuring areas of responsibility are delivering cost effective service in a quality manner by providing prompt, accurate, and professional responses. The successful applicant will have a track record managing in a fast-paced environment where competing priorities must be effectively balanced. The applicant will also have experience demonstrating the courage to honestly lead difficult conversations, coupled with the sensitivity and talent to constructively engage partners to deliver solutions for our customers, clients, brokers, and providers.

Responsibilities:

• Achieves and maintains preferred standards for the department
• Manages work processes, measures for non-conformance and identifies corporate and department policies and procedures in an effort to achieve operational efficiencies
• Communicates, implements, and interprets corporate and departmental policies and procedures
• Maintains positive working relationships with internal/external customers, through direct phone contact, written correspondence and site visits
• Approves special consideration and handling for customers
• Ensures an maintains positive working relationships with group leaders, benefit administrators and account executives
• Selects, develops, appraises and recommends compensation for associates
• Manages achievement of service level goals and key performance metrics in compliance with organizational and regulatory requirements.
• Manages initiatives, driving cross-functional collaboration that ensures prompt resolution of issues.
• Effectively liases with vendor resources to ensure proper oversight and performance adherence.
• Develops, implements and monitors operations policies, procedures, and standards that support the goals and objectives of the contact center.
• Establishes individual performance goals for direct reports, conducts performance reviews and provides coaching and counseling. Plans, approves and implements programs for the development of team members.
• Analyzes department's performance reports. Reports on team's progress. Ensures that team meets productivity, quality and service standards.

Education-

• This position requires an undergraduate degree, preferably in business administration

Experience-

• A minimum of three (3) years of managerial experience. In lieu of a degree, five (5) to seven (7) years of management experience is required.

Knowledge, Skills, Abilities-

• Must be able to develop and maintain a comprehensive, detailed knowledge of all Company Products
• Must have a thorough understanding of benefits and claims processing functions.
• Must have the ability to manage the area of responsibility and possess managerial skills necessary for organizing, planning, controlling, budgeting, developing and motivating employees in the accomplishment of assigned tasks.
• Ability to work from home, which includes high speed wi-fi capability of at least 400 Mbps and a quiet, confidential workspace.

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

Inclusion and Belonging

At IBX, everyone can feel valued, supported, and comfortable to be themselves, and all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. Celebrating and embracing diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.