• Job Description

  Req#: R2025353
  The Supervisor of Account Set-Up is responsible for the supervision regarding the maintenance and implementation of new and existing individual and employer business within Membership. Responsible for applying benefit plan corrections, as well as reporting these corrections for claims review and adjustments. Plan, coordinate, and organize the workload within the unit to provide the most efficient and accurate maintenance and set up of groups and members, for Blue Cross and Blue Shield of Kansas Responsible for benefit communication team PE System Specialists to identify, research, resolve, and implement resolutions for benefit related issues from end-to-end processing. Accountable for quick resolution of all issues. Supports implementation of process improvements through the down-stream work streams within Membership. Actively engaged in relationships with stakeholders, partners, and vendors. Provides direction to key stakeholders as to the operational execution and changes made within the process. Facilitates and drives team resolution to internal efficiency discussion and execution. Responsible for Corporate and Department goals
  
  
  “This position is eligible to work onsite, remote, or hybrid (9 or more days a month onsite) in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.”
  
  This position will be required to report to the Topeka campus at least once quarterly.
  
  Why Join Us?
  
  • Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
  • Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
  • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
  • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  • Stability: 80 years of commitment, compassion, and community
  • Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
  • Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  • Real World Experience: You will work hand in hand with our team in learning our business and applying your classroom learning.
  • Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.
  
  Compensation
  
  $30.11- 35.80
  Non- Exempt 14
  • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.

  Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

  What you’ll do

  General Activities: Responsible for forecasting and analysis of workload within the unit and monitors and coach performance to meet department and corporate goals and objectives and to be utilized for performance/salary. Supervise the maintenance and implementation of new and existing individual and employer business, utilizing paper application or 834 enrollments. Supervise the application of corrected benefit plans to all impacted groups and insureds. Communicate retro-active benefit plan changes to the claims department for claims review and adjustment. Supervise billing configurations while collaborating with claims billing and presentment to ensure customer needs are met. Responsible for loading individual and employer group rates for invoice presentment. Responsible for employer group cancelation and issuance of appropriate notification. Responsible for team interpretation of contractual languages, benefit coding, benefit summaries of all contracts, and any new contracts which may be developed in the future. Keep current on all policy changes, benefit changes, and understand impacts to new benefit coding. Responsible for team coordination of contractual language administration. Responsible for team maintenance of Coverage/BGT and Benefit Plan data for the interpretation of present contractual languages and any new contracts which may be developed. Responsible for evaluating corporate and unit procedures and making changes to unit procedures as needed to attain higher levels of employee performance and customer satisfaction. Review all system problems and system changes and change unit procedures as needed. Create and maintain a good working relationship with all areas that are involved with Membership, providing constructive feedback to improve workflow and efficiencies between units and departments.

  Plan, organize and implement special projects to meet the needs of management and/or groups. Responsible for evaluation of staffing needs within the unit and submission of recommended changes to management. Responsible for advising management of potential problems with groups or processes that will require notification to other units/departments or could potentially result in dissatisfaction for a customer. Ensure employees receive appropriate training for production work they are responsible for.

  Encourage and recognize employees for maintaining or improving performance or process improvements that enhance the customer experience.

  Must comply with and implement corporate information security policies, standards, and guidelines relative to access control. Responsible for maintaining an awareness and understanding of the business unit recovery plan for the department you work in and the corporation’s business continuity program in general.

  What you need

  Knowledge/Skills/Abilities

  Strong analytical skills and the ability to use sound judgement in resolving multiple complex issues. Ability to develop department strategy to achieve corporate goals and provide for optimal customer satisfaction. Ability to analyze information to project staffing needs and workload distribution. Ability to learn and understand Membership responsibilities, especially around the benefit repository, group configurator and components, and the effect on downline processes. Demonstrated success in organizational skills, written and verbal communication skills, company project management, communication with senior management, and presentation skills. Demonstrated ability to develop, document, and maintain operational policies and procedures. Strong technical understanding and knowledge of the Agile process.

  Education and Experience:

  High school education or equivalency required. College degree in Business Administration, Management, or Communications preferred. Five years membership experience preferred. Three years supervisory or leadership experience is required.

  Other Job Functions:

  Performs job related projects as assigned by management. Represents and leads the Membership Department on cross-divisional teams or projects impacting Membership Systems or processes.

  Benefits & Perks

  • Base pay is only one component of your competitive Total Rewards package:
    • Incentive pay program (EPIP)
    • Health/Vision/Dental insurance
    • 6 weeks paid parental leave for new mothers and fathers
    • Fertility/Adoption assistance
    • 2 weeks paid caregiver leave
    • 5% 401(k) plan matching
    • Tuition reimbursement
    • Health & fitness benefits, discounts and resources

  Our Commitment to Diversity, Equity, Inclusion, and Belonging

  At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of diversity, equity, inclusion, and belonging (DEIB), where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.

  We believe that embracing diversity and authentically promoting inclusion, equity, and belonging among our team members is crucial to our collective success. By intentionally recruiting, developing, and retaining a diverse pool of talent, we cultivate an environment where everyone feels valued, heard, and empowered to contribute. Accommodations are available for applicants with disabilities upon request, ensuring an inclusive and accessible hiring process for all.

• About the company

  Health insurance and dental plans, related health care benefits for Medicare, individual or group health insurance. Manage your health care choices with BCBSKS.

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