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Job Summary
The Manager Customer Accounts oversees the operational and production activities that supports enrolling customers and maintaining their enrollment and financial data. The incumbent focuses on planning initiatives such as process standardization, staffing alignment and production matrices, improvement projects and controls, and operational performance reporting to ensure membership enrollment, renewal, and financial processing objectives adhere to all performance and quality requirements.
Requirements
EDUCATION
Bachelor’s degree in Business, Management, Human Resources, Healthcare, or related field. In lieu of degree, five (5) years' leadership experience will be considered.
EXPERIENCE
Minimum seven (7) years' operational experience, preferably in member enrollment, customer account, or membership financial. OR applicable Masters in related field with minimum five (5) years' experience.
Minimum two (2) years' operational leadership experience (role, team and/or project management).
Health insurance industry experience preferred.
ESSENTIAL SKILLS & ABILITIES
Leadership
Amysis
Customer Service Workstation
Rx Connect
POWER
Claims Processing
Quality Assurance (QA)
Problem Solving
Microsoft Word & Excel
Analytical Ability
Highly Organized
Oral & Written Communication
Professional Judgment
Skills
• Active Listening
• Activity Coordination
• Analyze Information
• Coaching Others
• Continued Learning
• Critical Thinking
• Customer Service
• Decision Making
• Employee Engagement Strategies
• Evaluating Information
• Interpersonal Communication
• Interpersonal Relationships
• Management Techniques
• Monitor Processes, Materials, or Surroundings
• Oral Communications
• Personnel Planning
• Problem Solving
• Service Oriented
• Systems Analysis
• Time Management
• Written Communication
Responsibilities
• Develops solutions to organizational and operational problems, responsible for organizational management (development, staffing, and conflict-resolution), and allocating resources.
• Develops standards, schedules, priorities, guidelines, processes, measurement (evaluation) systems, and performance management standards to ensure all standards for timeliness and quality of service performed meet all regulatory expectations.
• Implements operational goals and objectives for a range of complex departmental, divisional, and/or company-wide responsibilities and overall functions in which several projects and programs may be in progress with simultaneous, multiple resources and participants involved.
• Manages the hiring, coaching/training, employee development and performance management of assigned team.
• Provides leadership and expertise in the development of future long range and short-term planning initiatives and overall goals, objectives, and priorities for the department; recommends and establishes objectives and strategies for future operations and special projects to achieve these overall goals, objectives, and priorities
Certifications
Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.
Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.
Employment Type
Regular
ADA Requirements
1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.