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.
Your 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.
Required Skills and Experience
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.
Preferred Skills and Experience
Bachelors degree in Business Management or other related field.
Anchored in Connection
Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Compensation and Benefits$102,400.00 - $138,300.00 - $174,200.00 AnnualPay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
To discover more about what we have to offer, please review our benefits page.
Equal Employment Opportunity StatementAt Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
What We Do
Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the people of Minnesota for 80+ years. Blue Cross® and Blue Shield® of Minnesota is a nonprofit independent licensee of the Blue Cross® and Blue Shield® Association.
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