Job Description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. BCBSAZ 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.

This position is remote within the state of AZ only.  This remote work opportunity requires residency , and work to be performed, within the State of Arizona.

  • Manage day-day Enrollment Services activities, process, and workflow for department(s). Provide oversight development, problem resolution, and leadership for team. Ensure operations and service goals are achieved per departmental and corporate standards. Improve quality and business process for assigned area of responsibility.
  • Assures the timely and accurate completion of inbound phone calls, eligibility processes, maintenance, accounts receivable reconciliation, system and reporting functions or training.

REQUIRED QUALIFICATIONS

Required Work Experience

  • 3 years of experience in supervisory/management field

Required Education

  • High-School Diploma or GED in general field of study

PREFERRED QUALIFICATIONS

Preferred Work Experience
  • 5 years of experience in health care administration or customer service field
  • 2 years of working knowledge managing, interpreting reporting and/or processing enrollment and financial transactions related to CMS on-exchange business

Preferred Education

  • Bachelor's Degree in general field of study

 

ESSENTIAL job functions AND RESPONSIBILITIES

  • Oversee the day-to-day activities of a unit of employees engaged diverse levels of both internal and external customer service operations.
  • Direct, evaluate, define, and improve the quality, quantity, and timeliness standards to achieve individual and department goals as defined within the department guidelines.
  • Administer, interpret, and maintain current working knowledge of the required BCBSAZ systems, procedures, forms, and manuals as related to area of responsibility.
  • Develop and maintains competent staff to carry out assigned functions with particular emphasis on supervisory or analyst level of management.
  • Plan, monitor and coordinate direct activities need to support corporate goals and objectives.
  • Represent the department/division in external meetings.  Participates on an internal basis in meetings and decision-making processes as it relates to the specific area of responsibility.
  • Consult and coordinate with various internal departments, external plans, groups, brokers, as a representative of the area of responsibility.
  • Identify, research, process, resolve, and respond to customer inquiries and correspondence via telephone, written communication, and or/in person.
  • Evaluate and investigate computer system issues.
  • Provide motivation and encouragement to subordinates, conduct performance evaluations, identify, and coordinate training needs, make determinations regarding disciplinary actions.

  • The position requires a full-time work schedule.  Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.

competencies

REQUIRED COMPETENCIES

Required Job Skills

  • Strong written and verbal communication
  • Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
  • Intermediate skill in word processing, spreadsheet and database software
  • Intermediate PC proficiency

Required Professional Competencies

  •  Capable of investigatie and analytical research
  • Analytical knowledge necessary to generate reports based on available data and make decisions based on reported data
  • Practice interpersonal and active listening

  • Establish and maintain working relationships in a collborative environment
  • Maintain confidentiality and privacy
  • Must have the ability to make appropriate decisions based on information at hand with the ability to focus on the big picture while looking for opportunities for improvement.

Required Leadership Experience and Competencies

  • Prior management experience
  • Ability to build effective teams

PREFERRED COMPETENCIES


Preferred Leadership Experience and Competencies

  • Ability to optimize the use of resources at all times to ensure cost effective operations. This includes proactively planning to move staff from one role to another as staffing needs change, business priorities change or as workload changes or challenges require.

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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