Manager of Eligibility & Card Operations

Overview

Who We Are

Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve healthand reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we’re shaping a healthier, more engaged future.

Ready to Lead the Operations That Connect Members to Their Healthcare Benefits?

Why This Role Matters

The Manager of Benefit Eligibility &  Operations ensures that every member receives accurate identification cards that serve as their gateway to healthcare access. By overseeing the complete  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.

What You'll Actually Do

✓ Oversee  operations:Lead complete lifecycle of  processes including procedure changes, updates, additions, and distribution/mailing for new groups and renewals.

✓ Coordinate vendor partnerships:Work with  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  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  guidelines.

✓ Apply continuous improvement:Utilize critical thinking and operational excellence principles to analyze processes, define work content, and drive improvements that produce strong results.

What You Bring to Our Mission

The leadership foundation:

• Bachelor's degree in business administration or related degree desirable
• Prior leadership experience in self‑funded health plan eligibility and , or equivalent combination of education and experience

The technical competencies:

• Computer proficiency and working knowledge of Microsoft Office Suite
• Ability to navigate through and utilize PC applications efficiently
• Experience with Zelis or similar  management systems preferred

The professional qualities:

• 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

Why You’ll Love It Here

We believe in total rewards that actually matter—not just competitive packages, but benefits…