Manager, Delegation & Assessment at Independence Blue Cross LLC in Philadelphia, Pennsylvania

Job Description:

Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals.  If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.  

The Manager, Delegation & Assessment's responsiblities include, but are not limited to:

• Leads and guides staff in accomplishing work objectives including setting clear goals and objectives, sets performance expectations, and holds associates accountable for achieving results.


• Develop and document new policies and procedure and annually update existing policies and procedures. 


• Responsible for developing, drafting, and amending Delegation agreements  of varying scope and complexity as well as implement related processes and procedures. 


• Coordinate annual audits to measure the performance, including the request, receipt, and closure of corrective action plans


• Reviews department work to ensure appropriate guidelines are followed and training is provided. Monitors workload inventory to ensure timely completion.


• Manages overall Delegation Oversight Department content strategy, in collaboration with leadership, and the coordination of strategic content creation and execution to improve administrative or work efficiencies.


• Reviews and analyzes Delegates related data from various sources to understand impact, and partners with internal business operations and vendors to develop strategic solutions as necessary.


• Leads and oversees special projects,  within the department.  


• Develops proactive and positive cross-functional working relationships with other internal divisions/departments to resolve vendor issues.


• Leads the analysis of the department workstreams, with the goal of creating a positive impact and create higher efficiency. 


• Perform other duties as necessary or appropriate for the position.

Qualifications:

• Bachelor’s degree in Business Management, Health Administration, or related field. 5+ years relevant management experience required.


• Prior experience with highly regulated environments including federal, state, and national accreditation standards preferred.


• Working knowledge of Medicare, Medicaid, National Committee for Quality Assurance (NCQA)  and health plan administration required. 


• Excellent verbal and written communication skills.

Hybrid

Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania.