Manager of Benefit Eligibility & ID Card Operations

Personify HealthFresno, CA
3d$75,000 - $90,000

About The Position

The Manager of Benefit Eligibility & ID Card Operations ensures that every member receives accurate identification cards that serve as their gateway to healthcare access. By overseeing the complete ID card lifecycle—from design and production to distribution—you directly impact members' ability to receive care without delays or confusion. Your leadership in coordinating vendor partnerships, establishing efficient processes, and managing quality assurance programs ensures operational excellence across eligibility operations. Through strategic oversight and team development, you'll build systems that support thousands of members while maintaining the accuracy and compliance that healthcare administration demands.

Requirements

  • Bachelor's degree in business administration or related degree desirable
  • Prior leadership experience in self-funded health plan eligibility and ID cards, or equivalent combination of education and experience
  • Computer proficiency and working knowledge of Microsoft Office Suite
  • Ability to navigate through and utilize PC applications efficiently
  • Strong leadership abilities to motivate employees and drive team performance while managing hiring, training, and development initiatives
  • Excellent interpersonal and communication skills with strong customer orientation for internal and external stakeholder engagement
  • Detail-oriented focus with analytical capabilities for monitoring system performance and preparing data-driven reports
  • Strategic thinking to establish procedures supporting company standards while applying critical thinking to drive continuous improvement
  • Strong organizational and time management skills for overseeing complex operational processes and vendor partnerships

Nice To Haves

  • Experience with Zelis or similar ID card management systems preferred

Responsibilities

  • Oversee ID card operations: Lead complete lifecycle of ID card processes including procedure changes, updates, additions, and distribution/mailing for new groups and renewals.
  • Coordinate vendor partnerships: Work with ID card team to manage vendor relationships on updated processes, procedures, and guidelines while creating rules to design cards and develop overlays for groups.
  • Drive operational excellence: Monitor system performance, identify and resolve problems, audit staff performance, and manage system and process improvement and quality assurance programs.
  • Lead team development: Supervise department personnel including interviewing, hiring, training, work assignment, performance appraisal, rewards/discipline recommendations, and problem resolution.
  • Maintain communication standards: Keep team informed of updates in ID card guidelines, Zelis procedures, plans, and department procedures to ensure consistent execution.
  • Provide strategic reporting: Prepare department performance reports by collecting, analyzing, and summarizing data and trends for leadership decision-making.
  • Establish operational standards: Create work procedures and processes that support company and departmental standards while implementing measurements and controls for effective operations.
  • Support strategic initiatives: Use appropriate judgment in upward communication regarding department concerns while working with senior staff and legal counsel on ID card guidelines.
  • Apply continuous improvement: Utilize critical thinking and operational excellence principles to analyze processes, define work content, and drive improvements that produce strong results.

Benefits

  • Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
  • Mental health support and wellness programs designed by experts who get it
  • Flexible work arrangements that fit your life, not the other way around
  • Retirement planning support to help you build real wealth for the future
  • Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
  • Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
  • Professional development opportunities and clear career progression paths
  • Mentorship from industry leaders who want to see you succeed
  • Learning budget to invest in skills that matter to your future
  • Inclusive community where every voice matters and diverse perspectives drive innovation
  • Collaborative environment where we celebrate wins together and support each other through challenges
  • Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results
  • Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable
  • Competitive base salary that rewards your success
  • Unlimited PTO policy because rest and recharge time is non-negotiable
  • Benefits effective day one—because you shouldn’t have to wait to be taken care of

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Number of Employees

1,001-5,000 employees

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