Manager of Benefit Eligibility & ID Card Operations Job at Personify Health

Job Description

The Manager of Benefit Eligibility & ID Card Operations ensures that every member receives accurate identification cards that serve as their gateway to healthcare access. By overseeing the complete ID card lifecycle—from design and production to distribution—you directly impact members' ability to receive care without delays or confusion. Your leadership in coordinating vendor partnerships, establishing efficient processes, and managing quality assurance programs ensures operational excellence across eligibility operations. Through strategic oversight and team development, you'll build systems that support thousands of members while maintaining the accuracy and compliance that healthcare administration demands.

Job Responsibility

Oversee ID card operations: Lead complete lifecycle of ID card processes including procedure changes, updates, additions, and distribution/mailing for new groups and renewals
Coordinate vendor partnerships: Work with ID card team to manage vendor relationships on updated processes, procedures, and guidelines while creating rules to design cards and develop overlays for groups
Drive operational excellence: Monitor system performance, identify and resolve problems, audit staff performance, and manage system and process improvement and quality assurance programs
Lead team development: Supervise department personnel including interviewing, hiring, training, work assignment, performance appraisal, rewards/discipline recommendations, and problem resolution
Maintain communication standards: Keep team informed of updates in ID card guidelines, Zelis procedures, plans, and department procedures to ensure consistent execution
Provide strategic reporting: Prepare department performance reports by collecting, analyzing, and summarizing data and trends for leadership decision-making
Establish operational standards: Create work procedures and processes that support company and departmental standards while implementing measurements and controls for effective operations
Support strategic initiatives: Use appropriate judgment in upward communication regarding department concerns while working with senior staff and legal counsel on ID card guidelines
Apply continuous improvement: Utilize critical thinking and operational excellence principles to analyze processes, define work content, and drive improvements that produce strong results

Requirements

Bachelor's degree in business administration or related degree desirable
Prior leadership experience in self-funded health plan eligibility and ID cards, or equivalent combination of education and experience
Computer proficiency and working knowledge of Microsoft Office Suite
Ability to navigate through and utilize PC applications efficiently
Experience with Zelis or similar ID card management systems preferred
Strong leadership abilities to motivate employees and drive team performance while managing hiring, training, and development initiatives
Excellent interpersonal and communication skills with strong customer orientation for internal and external stakeholder engagement
Detail-oriented focus with analytical capabilities for monitoring system performance and preparing data-driven reports
Strategic thinking to establish procedures supporting company standards while applying critical thinking to drive continuous improvement
Strong organizational and time management skills for overseeing complex operational processes and vendor partnerships

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts
Flexible work arrangements
Retirement planning support
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders
Learning budget
Unlimited PTO policy
Benefits effective day one

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Manager of Benefit Eligibility & ID Card Operations

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