Mgr - Enrollment: Medicaid Segment - HYBRID

Blue Cross Blue Shield of Arizona•Phoenix, AZ

1d•Hybrid

About The Position

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month Onsite: daily onsite requirement based on the essential functions of the job Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week. This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona. PURPOSE OF THE JOB Manage day-to-day Enrollment Services activities, processes, and workflow for assigned department(s). Provide oversight, development, problem resolution, and leadership for the team. Ensure operations and service goals are achieved according to departmental and corporate standards. Continuously improve quality and business processes for the assigned area of responsibility. Ensure timely and accurate completion of inbound phone calls, eligibility processes, maintenance activities, accounts receivable reconciliation, system tasks, reporting functions, and/or training.

Requirements

3 years of experience in a supervisory or management role
High School Diploma or GED
Strong written and verbal communication
Intermediate proficiency with office equipment (copiers, fax machines, scanners, telephones)
Intermediate skills in word processing, spreadsheets, and database software
Intermediate PC proficiency
Strong investigative and analytical skills
Ability to generate reports and make decisions based on available data
Effective interpersonal and active listening skills
Ability to build and maintain collaborative working relationships
Commitment to confidentiality and privacy
Ability to make sound decisions while considering both detailed information and the broader business impact
Prior management experience
Ability to build and lead effective teams
Residency within the State of Arizona

Nice To Haves

5 years of experience in healthcare administration or customer service
2 years of experience managing, interpreting reporting, and/or processing enrollment and financial transactions related to CMS on-exchange business
Bachelor’s Degree
Ability to optimize resource utilization and ensure cost-effective operations
Ability to proactively adjust staffing based on workload, business priorities, and changing needs

Responsibilities

Oversee day-to-day activities of a team performing various levels of internal and external customer service operations
Direct, evaluate, define, and improve quality, productivity, and timeliness standards to achieve individual and departmental goals
Administer, interpret, and maintain working knowledge of systems, procedures, forms, and manuals related to area of responsibility
Develop and maintain a competent staff to perform assigned functions, with emphasis on supervisory and analyst-level development
Plan, monitor, and coordinate activities to support corporate goals and objectives
Represent the department in external meetings; participate in internal meetings and decision-making processes
Consult and coordinate with internal departments, external plans, groups, and brokers
Identify, research, process, resolve, and respond to customer inquiries via phone, written communication, or in person
Evaluate and investigate system-related issues
Motivate team members, conduct performance evaluations, identify training needs, and manage disciplinary actions
Perform all other duties as assigned