Supervisor of Membership

Blue Cross Blue Shield of North Dakota•Fargo, ND

10d•$60,000 - $77,000•Hybrid

About The Position

This position is responsible for leading the enrollment team that oversees government, employer group and individual enrollment file processing and/or analyzing. This position serves as a subject matter expert in enrollment and keeps abreast of regulatory changes, ensures that proper procedures are followed, collaborates with external stakeholders as well as internal stakeholders throughout the organization, and evaluates and implements process improvements to ensure optimal system functionality.

Requirements

Provides staff leadership and mentorship to support team success.
Builds strong relationships through effective communication and collaboration.
Applies membership enrollment expertise to support accurate and efficient operations.
Partners across teams to achieve shared goals and improve outcomes.
Adapts easily to changing priorities and business needs.
Manages priorities, deadlines, and competing responsibilities effectively.
Associate's degree in Business, Finance, Healthcare, or related and a minimum of 5 years of experience in the healthcare, insurance, government regulations, billing or related field.
1 year of supervisory/staff leadership experience is preferred.

Responsibilities

Directly supervises and guides employees in accomplishing work objectives within the unit. Coaches, motivates, and recognizes employees. Sets clear goals and objectives and performance expectations and holds employees accountable for achieving results.
Serves as an expert in systems and process functionality, resolution, and enhancements with internal and external partners to ensure overall business operations are efficient and effective.
Keeps abreast of state and federal regulations impacting the team and ensures that internal processes are documented and followed, including complex issues related to enrollment, qualifying life events, and working with the Federally Facilitated Exchange (FFE).
Ensures applications and ID cards are accurate and properly reflect eligibility rules and regulations.
Works to improve the effectiveness and efficiency of procedures in the department.
Serves as a subject-matter expert to internal staff and other divisions for issues related to enrollment.
Collaborates with the North Dakota Department of Insurance to resolve member filed complaints, when necessary.
Leads, serves and/or participates on committees, strategy meetings or special projects and programs to ensure operations are running effectively and procedures are followed.
Collaborates with external stakeholders as well as other departments within the organization to resolve and educate on complex inquires and assists with interpretation of government regulations and internal procedures.

Benefits

Affordable medical, dental and vision coverage accepted throughout the United States
Employer funded Lifestyle Spending Accounts and Health Savings Accounts. Voluntary employee contributions to Health Savings Accounts and Flexible Spending Accounts
Employer-paid life and disability insurance
401(k) retirement plan with company match and immediate vesting
Paid holidays, paid time off (PTO), PTO donation program, and paid parental leave
Voluntary benefits including Accident, Hospital Indemnity, Critical Illness, Term/Whole Life, Cancer Care Insurance, and more.
Robust mental health offerings including an Employee Assistance Program, Learn to Live, meQ.
Comprehensive learning and development opportunities and an Educational Assistance Program.
16 hours of paid volunteer time with a $200 donation to a charity of your choice upon completion of all volunteer hours.
Employee recognition, community initiative events and yearly company outings.
Workplace flexibility offering different options for working arrangements and the freedom to make time for important commitments.
Opportunities to connect through employee committees.