Supervisor Operations
The Supervisor Quality Operations is responsible for overseeing and maintaining high standards of quality in all operational transactions. This role ensures that all processes, transactions, and member interactions comply with regulatory requirements and internal policies. The supervisor leads a team, monitors performance, and implements quality control strategies to drive continuous improvement. Additionally, the supervisor is expected to proactively identify areas for improvement and implement innovative solutions that enhance operational efficiency and member satisfaction.
Key Responsibilities:
- Supervise and guide the quality team in reviewing transactions, documents, and processes for accuracy and compliance.
- Reassign work based on deadlines and priorities. Escalate staff concerns and issue trends to management.
- Conduct regular audits, analyze findings, and report results to management, recommending corrective actions when necessary.
- Train staff on systems and workstreams, fostering a culture of quality and accountability.
- Collaborate with the business areas to resolve quality-related issues, review monthly accuracy scorecards, recommend efficiency and process improvements and identify trends.
- Develop staff through coaching, training, and annual goal setting; monthly performance evaluations and year-end reviews.
- Maintain documentation of quality reviews and audit findings, ensuring records are accurate and readily accessible for regulatory inspections.
- Work with the business areas to implement new quality workstreams.
- Support cross-functional projects and initiatives aimed at improving quality standards and compliance throughout the organization.
- Bachelor’s degree in healthcare administration, business, or a related field preferred.
- Previous experience in quality control, auditing, or compliance within a health insurance or healthcare setting.
- Strong leadership, communication, inventory management and analytical skills.
- Knowledge of health insurance, Medicare regulations, claims processing, client setup and the Affordable Care Act.
- Proficiency in the Microsoft Office Suite, Sigmify, Front Office System, Health Rules Payor, Tableau and Service Now.
- Ability to adapt to a fast-paced environment and manage multiple priorities effectively.
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.