Manager Enrollment Services
The Manager of Commercial Enrollment is responsible for the accurate and timely processing of membership enrollment for ACA Consumer, Electronic 834 enrollment vendors and manual enrollment work within IBC and vendor systems including mPulse/H3O, EDI Portal and Health Proof. The accurate and timely processing of member ID Cards and various Member Correspondences. Effectively manages supervisors to ensure that productivity, fallout and quality standards, attendance policies, corporate training, and performance management timeline are being maintained.
Responsibilities:
- Effectively manages the inventory received from all sources with the supervisors, including but not limited, to the mailbox, e-mail to One Hub, Report Center, SNOW, vendor applications and the queues. Applies strategies to manage the inventory in under five days.
- Monitors that the supervisors apply their coaching and counseling skills when needed and apply corrective action when necessary.
- Manages daily huddles with the supervisors to plan inventory and priorities.
- Analyzes all aging and repetitive inquiries to determine root cause and works with business partners to find and implement solutions to resolve.
- Responds to customer RFPs and Performance Guarantees.
- Prepares and analyzes required data to determine if all corporate and divisional goals are being met to include operational efficiencies.
- Assists the Director to establish the strategic direction for the division.
- Facilitates regularly scheduled meetings with management team to discuss EDI, manual enrollment and id card issues, prioritization changes and other customer concerns.
- Establishes, defines and communicates IBC Enrollment policies and procedures with Director level approval.
- Creates and maintains a team atmosphere and work environment to promote work productivity.
- Represents Director at meetings, when needed.
- Performs other duties as assign.
Qualifications
Education and Experience:
- Bachelor’s degree is preferred or equivalent work experience
- Minimum 6 or more years’ experience in health care operations and 4-5 of supervisory experience.
- Demonstrated experience managing and dealing effectively with large teams and leading cross departments.
Knowledge and Skills:
- Familiarity with data processing and the ability to work with documented policies and procedures.
- Health Proof, Zelis, Web Integration, EDI Portal, Excel, Word, Visio, PowerPoint, SharePoint, Avaya or a system that logs productivity.
- Demonstrated experience with Health Insurance Regulations and enrollment systems and policies and procedures.
- Excellent verbal and written communications skills.
- Demonstrated leadership, decision making, strategic thinking and collaborative skills
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!
Equal Employment Opportunity
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.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.