Supervisor Business Configuration

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

Benefits offered by this job

Hybrid work model

Job summary

Independence Blue Cross in Philadelphia seeks a senior operations leader to supervise a team overseeing benefits, medical policy, and product operations enablement. You will coordinate with internal and external partners to implement policies and improve processes.

The role requires 5+ years in supervision within operations and policy areas, with strong analytical and communication skills. The position operates in a Hybrid model, with in-office presence in the Tri-State Area as required.

Qualifications

• Bachelor's degree required.
• 5+ years in supervisory roles in operations, medical policy, or product management.
• Experience with client setup, benefits, medical policy, and claims is strongly preferred.
• Ability to manage teams with tight deliverables and to present complex ideas clearly to stakeholders.

Responsibilities

• Supervise and oversee a team responsible for benefits, medical policy, and product operations enablement.
• Develop and implement departmental policies and procedures with internal and external partners.
• Evaluate projects, mandates, capacity plans, and efficiency; allocate resources accordingly.
• Oversee ticket inventory to ensure timely resolution across client setup teams.
• Identify trends to improve quality and inform training needs and DLP solutions.
• Synthesize data from multiple sources to drive clear action plans.
• Provide timely, complete, and accurate responses to business partners.
• Collaborate with operational leaders to identify process improvement opportunities.
• Account for downstream impacts including claims processing, costs to self-funded customers, and regulatory compliance.

Skills

Analytical skills

Communication skills

Leadership

Decision making

Education

Bachelor's Degree

Job description

• 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 self-funded customers, cost to modify coding, compliance with state and federal regulations, adherence to filed benefits, client and member dissatisfaction.

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 self-funded 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 problem-solving 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 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.