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Independence Blue Cross LLC

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Business Optimization Manager (Finance)



Business Optimization Manager

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.

Responsibilities for the Business Optimization Manager are:

Delivery

·       Identify, define and execute strategic initiatives, with business area requirement customizations as required that drive optimized business processes, improved output, cost containment opportunities, enhanced customer and member experience consisting of:

o   Development of business cases / project charters to quantify cost and value of opportunities driving growth, cost-effectiveness, and efficiency.

o   Scoping of growth and continuous improvement efforts in collaboration with Business owners and corporate functions.

·       Provide actionable recommendations of business enhancements to stakeholders and lead prioritized evaluation of existing capabilities (e.g., products, vendors, and processes) for sustainable, repeatable, and measurable growth and optimization and cost containment opportunities. Drive change and process transformation through:

o   Vendor or product assessment and implementation.

o   Process redesign and optimization.

o   Recommendations for relevant staffing model changes, personnel training, and role revision.

o   Relevant technology enhancements, workflow tools, and automation.

·       Be accountable for and drive business outcomes and in partnership with the functional leaders, drive key decisions related to the initiative, including target setting, performance management, and financial management with a focus on reducing costs, increasing efficiency and cycle time, and maximizing investment returns.

·       Generate, collect, and analyze data associated with processes to establish performance baselines, evaluate performance, solution issues, and identify opportunities for improved efficiency and effectiveness.

o   Assessment of internal systems to ensure desired end result and member experience is achieved

o   Assess compliance with state and federal regulations as needed

·       Communicate effectively as a spokesperson and leader for owned strategic initiatives.

·       Lead team(s) of process analysts, development resources, and business analysts (often in x-functional matrix) to conduct or support growth and continuous improvement initiatives.

·       Collaborate with functional leaders and associates to ensure consistency in approach/methodology, execution of initiatives and communication to stakeholders.

·       Responsible for coordination with overlapping AmeriHealth and IBX FOC shared service functions to ensure that changes are properly documented and communicated.

·       Partner with shared service owners to develop and execute documentation and training for implemented products, processes, systems, and policies in collaboration with business owners.

·       Work in conjunction with planning teams and functional areas to develop and operationalize any applicable reporting and analytics to measure the efficacy and efficiency of processes.

 Governance

·       Responsible for the development and governance of a standardized intake processes and pipeline of proposed AmeriHealth strategic initiatives. This includes:

·       Creating a documented methodology, tools, and guidance to support intake and prioritization.

·       Owning and facilitating the governance of an intake process to ensure alignment with AmeriHealth strategic priorities.

·       Supporting corporate strategy and driving

·       Readiness to serve the customer

·       Efficiency with a focus on cost containment

·       Effectiveness, and quality

·       Driving a culture of continuous improvement (process driven) at all levels of the organization.

·       Enable AmeriHealth products and programs to compete in the marketplace and promote growth.

·       Develop requirements for reporting and tracking mechanisms to help teams maintain efficient processes

·       Stay informed of AmeriHealth and IBX FOC strategy, annual operating plan, and organizational goals to inform organizational priorities.

·       Align competing priorities and develop solutions that drive the greatest return across AmeriHealth's functional areas

·       Build and maintain relationships at all levels throughout the organization.

·       Anticipate needs, assess, and manage business risk taking; escalate issues that may impact their end-to-end process globally;

Qualifications:

·       Bachelor's Degree in Business or related field, or equivalent experience. Master's Degree, Lean Six certification, etc. a plus.

·       8+ years of related experience with minimum of 2-3 years of specific project related/process improvement experience.

·       Working knowledge of insurance and insurance operations.

This role supports both Philadelphia and Cranbury offices. However primary location will be Cranbruy NJ.

 

IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

 Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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