Manager - Membership Business Services

Blue Cross Blue Shield of Minnesota•Eagan, MN

22h•Hybrid

About The Position

About Blue Cross and Blue Shield of Minnesota At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us. The Impact You Will Have In this position, you will be responsible for leading and developing people while managing work plans and deliverables for Member Operations. You will act as a resource expert for Membership, ISC, and Customer Service systems, processing, and business needs. Ensuring business requirements are translated into accurate technical requirements, while fostering team performance, accountability, and engagement.

Requirements

7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
1 years staff, team lead or project lead experience.
Demonstrated ability to effectively organize, direct and planning in an operational role for government business.
Strong oral and written skills.
Ability to matrix manage and leadership skills.
Proven record of staff management and staff development.
Experienced in project management.
Experience related to the support of Enrollment, Billing, ID Cards, and/or Customer Service
High school diploma (or equivalency) and legal authorization to work in the U.S.

Nice To Haves

Bachelors degree in Business Management or other related field.

Responsibilities

Overall accountability for ensuring Business, Legal, and Regulatory requirements are met related for Membership activities within the matrixed environment. Includes but not limited to Enrollment, Billing, Claims, ID Cards, Incoming Service Center, Service, Network Management, Benefit and Group Set up, and MN Sure data.
Directs staff in the implementation of new processes and review of existing processes related to all Operational areas of accountability.
Directs analysis of business needs for system development or enhancements to BCBS operating systems according to regulatory, legal, and Product Management requirements for all Operational areas and all Membership lines of business.
Development of communication and implementation plans to meet Membership regulatory and/or business needs for all Operational areas and all lines of business.
Directs staff and cross-functional teams throughout the matrixed environment in process analysis, modeling, system and interfaces analysis and information flows related to all Membership and ISC activities and in accordance with all Regulatory, Legal, and Business requirements.
Collaborates with internal staff and external clients to assess system needs related to enhancements and regulatory changes.
Translates requirements to BCBS IT, vendors and Operational subject areas.
Ensures business continuity and efficiency across Membership operational areas.
Represents Membership in Senior Leadership and Sales meetings related to Membership in renewals and bids.
Directs staff in resolution of errors related to Membership processing.
Collaborate with internal and external stakeholders including Sales department, Prime, MN Sure and BCBS IT.
Manages the department including interviewing and hiring employees following required EEO and Affirmative Action guidelines and ensuring employees receive the proper training.
Conducts performance evaluation, and is responsible for managing employees, including skill and career development, policy administration, coaching on performance management and behavior, employee relations and cost control.