Manager - Enrollment and Billing Operations

Blue Cross Blue Shield of Michigan • Detroit, MI

6d

About The Position

This position provides leadership to an assigned business unit and serves as a subject matter expert and consultant in billing and payment processing platforms (e.g., ACI) and digital payment solutions. Responsible for advancing enrollment, membership, billing, delinquency, and electronic payment capabilities through strategic initiatives, technology-enabled solutions, and process improvements. Partners closely with business, technology, and vendor teams to define requirements, assess operational impacts holistically, support solution delivery, and implement enhancements that improve customer experience, operational efficiency, compliance, and business outcomes.

Responsible for planning, organizing and managing an assigned business unit. Operate within broad objectives to ensure optimum utilization of resources; adapt business unit plans and priorities to address resource and operational challenges. Evaluate policies, procedures and business unit goals to make decisions and solve problems.

Requirements

• Bachelor's Degree in a related field is required.
• Five (5) years of experience in a related field is required.
• Previous experience leading projects and/or teams is required.
• Ability to effectively lead, coach and develop team members.
• Ability to work effectively in a team environment.
• Strong organizational, planning, analytical, and problem-solving skills.
• Working knowledge of corporate organizational structures, including functional responsibilities.
• Strong verbal, written communication and interpersonal skills.
• Ability to manage multiple priorities concurrently.
• Ability to solve practical problems and deal with moving variables in situations with limited standardization and alignment.
• Ability to interface and present to all levels of the organization.
• Ability to build relationships and work collaboratively with cross-functional teams.

Nice To Haves

• Master's Degree in a related field is preferred.
• Contract administration experience including vendor management, negotiations, financial forecasting, and budget oversight.
• Experience serving as a liaison between business operations, Digital Experience, Information Technology, and external vendors.
• Knowledge of membership, enrollment, billing, delinquency, and payment systems, processes, dependencies, and regulatory and compliance requirements for Medicare and MarketPlace customers.
• Understanding of payment processing platforms, billing/payment integrations, and customer-facing digital solutions, including Member Portal and SalesForce.
• Experience supporting vendor-managed applications, including release and defect management, root cause analysis, enhancement prioritization, and operational governance.
• Ability to evaluate business capabilities and influence strategic roadmap and transformation initiatives.

Responsibilities

• Manage activities of a department including, but not limited to planning, problem solving, staff development and communication.
• Manage the evaluation of new and existing business processes to identify areas of opportunity and execute on business unit objectives, supporting continuous improvement.
• Lead, direct, evaluate and develop the work of assigned employees.
• Responsible for special projects, programs and initiatives to ensure successful delivery of business outcomes.
• Provide effective and efficient solutions to complex business problems
• Ensure that day to day business unit operations align with organizational objectives.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager