Supervisor Business Configuration

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

Job summary

Independence Blue Cross, LLC is seeking an experienced leader to supervise teams responsible for benefits, medical policy, and product operations enablement. You will evaluate projects, allocate resources, and ensure timely resolution of client setup tickets.

The role requires strong analytical skills and effective collaboration with internal and external partners. You will operate within a Hybrid model in the Tri-State Area (Delaware, New Jersey, Pennsylvania), with in-office and remote work

Qualifications

• Bachelor's degree required.
• 5+ years as supervisor in operations, medical policy or product management.
• Experience with client setup, benefits, medical policy and claims preferred.
• Ability to manage teams with tight deliverables.
• Strong communication and analytical problem-solving skills.

Responsibilities

• Supervise and oversee team handling benefits, medical policy and product operations enablement.
• Evaluate projects, capacity plans and assign resources with estimated effort.
• Oversee ticket inventory to ensure timely resolution across client setup teams.
• Identify trends to improve quality and inform training needs.
• Develop timely, complete responses to business partners and collaborate on process improvements.
• Assess downstream impacts including claims processing and regulatory compliance.

Skills

Leadership

Supervising teams

Operations management

Medical policy knowledge

Product management

Client setup experience

Analytical thinking

Communication skills

Education

Bachelor's Degree

Job description

Responsibilities

• Responsible for supervising and overseeing team responsible for benefits, medical policy and product operations enablement. Solutions for complex benefit exceptions in FOS and HRP.


• Supervises team and implement departmental policies and procedures with all internal and external business partners.


• Evaluates projects, mandates, initiatives, capacity plans and efficiency of department and takes actions to assign resources and estimate work effort appropriately.


• Responsible for overseeing ticket inventory to ensure timely resolution across client setup teams.


• Responsible for identifying trends to improve quality and inform training and DLP needs.


• Ability to synthesize data to develop a clear course of action based on information from a variety of sources.


• Develop and ensure timely, complete, and accurate responses to business partners.


• Collaborate with Operational leaders to identify business process improvement opportunities.


• Responsible for extensive downstream impacts; including but not limited to claims processing, costs to selffunded customers, cost to modify coding, compliance with state and federal regulations, adherence to filed benefits, client and member dissatisfaction.

Qualifications

• Bachelor's Degree


• Minimum 5+ years proven supervisor and working experience in operations, medical policy and product management.


• Client Setup, Benefits, Medical Policy and Claims knowledge strongly preferred.


• Ability to manage teams with tight deliverables.


• Demonstrated effective communication skills required to address and present most complex ideas and concepts to staff, management, vendor and external customers (as needed).


• Demonstrated advanced analytical and problemsolving skills.


• Demonstrated ability to define business solutions, make decisions, identify problems, coordinate resources and implement changes.


• Ability to develop, plan, and create timelines and dashboards to support senior management visibility.

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 TriState 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.