Supv Business Configuration

Independence Blue Cross, LLC in; Philadelphia (Philadelphia County); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Independence Blue Cross is seeking a Senior Operations Supervisor to lead a team focused on benefits, medical policy and product operations enablement in a hybrid work model. You will oversee project evaluation, capacity planning, resource estimation, and timely responses to business partners, while ensuring compliance with state and federal regulations and quality standards.

You will partner with cross-functional leaders, track dashboards, and drive process improvements across claims and client

Qualifications

• Bachelor's Degree required.
• 5+ years proven supervisor experience in operations, medical policy and product management.
• Experience with Client Setup, Benefits, Medical Policy and Claims is preferred.
• Ability to manage teams with tight deliverables.
• Strong communication skills for complex ideas to staff, management, vendors and external customers.
• Advanced analytical and problem-solving skills.
• Ability to define business solutions, make decisions, coordinate resources and implement changes.
• Ability to develop, plan, and create timelines and dashboards for senior management visibility.

Responsibilities

• Supervise team responsible for benefits, medical policy and product operations enablement.
• Evaluate projects, mandates, capacity plans and efficiency of department and allocate resources accordingly.
• 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 a clear course of action from multiple sources.
• Develop timely, complete, and accurate responses to business partners.
• Collaborate with Operational leaders to identify business process improvement opportunities.
• Consider downstream impacts on claims processing, costs for self-funded customers, coding changes, compliance, and client satisfaction.

Skills

Leadership

Communication

Analytical thinking

Problem solving

Project planning

Stakeholder management

Process improvement

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 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.