Mgr, Ops Solutions Group II

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health.  For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.  Our members are our neighbors, our friends, and our families.  It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. 

The Manager, Operations Solution Group II leads a team that provides analytical and operational support and direction for a wide variety of initiatives aimed at optimizing operational efficiencies and improving service delivery in support of Service Division. The Manager II is responsible for ensuring the implementation one or more work streams in the overall portfolio of projects in support of the Service Division and in partnership with other divisions. Projects include, but are not limited to Blue List, CCB, operational effectiveness (BPI), new business or process implementations.

Job Responsibilities:

• Lead team members for enterprise initiatives impacting Service Division in areas of operational change management, operational readiness, and end to end workflow development, including the workforce implications of the initiatives.
• Lead due diligence efforts that support major program implementations and contribute to the overall enterprise long term strategy. Ensure the appropriate level of business due diligence is applied through development and follows a structured operational readiness and change management process while engaging with SMEs from across the divisions.
• Identify operational gaps, complete analytics and develop solutions that are aligned to cross divisional needs as related to major program implementations.
• Develop, lead and monitor post implementation activities which include, inventory, success metrics, issue tracking and resolution and executive reporting.
• Lead the development of departmental operational effectiveness initiatives, business cases and ROI models as well as the ongoing monitoring and implementation of efforts. Also responsible for monitoring and reporting key operational metrics at a department level.
• Responsible for departmental application security recertification.

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Education/Experience:

• High School Diploma/GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• Requires 5 years of leadership experience in service operations or a related support organization for service operations.
• Requires 3 years of experience in leading or supporting large programs focused on improving operational effectiveness and business capabilities.
• Requires experience in working with senior management to align strategies and solutions.
• Proven experience in process definition and implementation.

Skills and Abilities:

• In depth understanding of call center and/or, claims and /or enrollment operational areas.
• Ability to perceive and understand problems, patterns, relationships between operational processes, technology and people.
• Demonstrated abilities with financial, capacity modeling and planning skills.
• Demonstrated business management leadership skills to obtain broad support and operational alignment.
• Ability to manage continuous change to energize and motivate teams.
• Strong interpersonal, collaboration and negotiation skills with an ability to drive consensus and commitment.
• Critical thinking and problem solving ability.

Travel (If Applicable):

• May require travel between Horizon BCBSNJ locations.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

$135,900 - $185,535

​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.  This range has been created in good faith based on information known to Horizon at the time of posting.  Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law.  Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

Salary : $135,900 - $185,535