Skip to content
CV Rocket
Get started
How it worksThe enginePricingBlogContactSign in

Open nowPosted 6 days ago

Manager, EDI Customer Operations

bcbsla28 open roles

Where
Corporate - Baton Rouge, LA
Get the CV for this job

From $25 per CV, paid once. No subscription.

Your applicationOpen nowManager, EDI Customer Operationsbcbsla · Corporate - Baton Rouge, LA

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on bcbsla's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market. bcbsla postings stay open a median of 7 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 57.8%60 days
This job: posted 6 days ago

bcbsla median: 7 days open

The posting

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us.

Residency in or relocation to Louisiana is preferred for all positions.

Applicants must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support. Louisiana Blue will not provide current or future employment-based immigration sponsorship or other immigration support for this opportunity, including H-1B, L-1, O-1, H-1B1, E-3, TN, or J-1 sponsorship or F-1 OPT/STEM OPT/CPT support. Applicants who would require such sponsorship or employer support during their employment should not pursue this opportunity.

POSITION PURPOSE

Provides leadership and oversight for the EDI Customer Operations team, directing EDI services, provider connectivity solutions, clearinghouse operations, and provider-facing digital platforms. Oversees daily operations, including transaction processing, systems support, issue resolution, testing, implementations, customer and provider support, reporting, vendor management, and project execution to ensure the accurate, timely, and secure exchange of healthcare information. Leads initiatives to enhance operational performance, customer experience, automation, compliance, and service delivery while developing staff and fostering a culture of accountability, collaboration, innovation, and continuous improvement.

How You Contribute to the Company’s Mission in This Role

  • Provides leadership, direction, and development for staff responsible for EDI operations, provider connectivity, systems support, implementation activities, and customer support services
  • Oversees the organization’s electronic transaction ecosystem and provider-facing digital services, ensuring system reliability and the accurate, timely, secure, and compliant exchange of healthcare transactions and information.
  • Ensures compliance with applicable HIPAA, CMS, Blue Cross and Blue Shield Association, state, federal, and other regulatory requirements governing electronic transactions, provider connectivity, data exchange, and related operational processes.
  • Leads operational support, incident management, root-cause analysis, process improvement, automation, and technology enhancement initiatives to improve efficiency, scalability, accuracy, service delivery, and customer satisfaction.
  • Monitors operational performance through metrics, reporting, forecasting, and trend analysis. Manages strategic planning, budgeting, resource allocation, vendor relationships, and operational priorities to support current and future business needs.
  • Partners with leaders, business areas, technology teams, healthcare providers, clearinghouses, vendors, government agencies, regulatory bodies, and other external parties to establish priorities, resolve issues, coordinate system enhancements, and implement enterprise projects and regulatory changes.

Required Qualifications

  • Bachelor’s degree in Computer Science, Information Systems, Business Administration, Healthcare Administration, or a related field. Four years of directly related experience may be substituted for a degree.
  • 5 years of experience in healthcare operations, EDI, provider connectivity, systems operations, healthcare technology, or a related field.
  • 2 years of leadership experience.
  • Advanced knowledge of HIPAA Transactions and Code Sets, healthcare EDI standards, and electronic healthcare transaction processing.
  • Strong understanding of healthcare claims, clearinghouse operations, provider connectivity, and related business processes.
  • Demonstrated ability to lead operational, technology, and process improvement initiatives, including project delivery, change management, automation, and continuous improvement efforts.
  • Proven analytical, critical-thinking, and problem-solving skills, including the ability to diagnose complex business and technical issues and implement effective solutions.
  • Strong leadership, communication, organizational, and interpersonal skills, with the ability to build partnerships, influence stakeholders, and lead cross-functional teams.
  • Ability to interpret technical documentation, operational metrics, and business requirements to drive informed decision-making and operational excellence.
  • Commitment to delivering exceptional customer and provider experiences while managing competing priorities in a dynamic environment.

Preferred Qualifications

  • Project management, process improvement, or operational transformation experience.

Additional Accountabilities and Essential Functions

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.

  • Perform other job-related duties as assigned, within your scope of responsibilities.
  • Job duties are performed in a normal and clean office environment with normal noise levels.
  • Work is predominantly performed while standing or sitting.
  • The ability to comprehend, document, calculate, visualize, and analyze is required.

An Equal Opportunity Employer

All internal employees please apply through Workday Careers.

PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)

Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [email protected] for assistance.

In support of our mission to improve the health and lives of Louisianians, we encourage the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

We perform background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, we are a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

From $25, paid onceGet the CV for this job

What happens when you press

One press. We do the rest.

  1. A CV for this posting

    Written against bcbsla's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on bcbsla's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    bcbsla's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

    AI helps you write the email, checks it and sends it. We show you whether the recruiter read it.

  6. The interview in your calendar

    Full integration with your calendar. The invitation goes straight in.

    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
Get the CV for this job

From $25 per CV, paid once. No subscription.

Why it works

3×

more interviews than doing it yourself with ChatGPT.

ChatGPT writes a CV and never learns what happened to it. We see every reply. For each CV we know:

  • How it was written, and how the review scored it
  • When we applied, and how long after the posting went up
  • Which posting, which company, which city
  • Who got the interview, and who heard nothing

That is how we know which CVs get called.

Get the CV for this job

From $25 per CV, paid once. No subscription.

The numbers game

More applications. More interviews.

Every application goes out with its own CV, written for that posting and paid once. Send enough of them and the law of large numbers finds you the job.

Get the CV for this job
By hand5–10
With CV Rocket100
applications a day

Nearby

Live postings like this one

Same employer first, then the same role elsewhere.

Before you press

Straight answers

Get the CV for this job

From $25 per CV, paid once. No subscription.

What if my background isn't good enough?

We make the most of the background you have. The CV uses every piece of relevant proof your profile holds, and one of the 25 readers reads your whole profile and flags what the CV left out.

Do you really apply for me?

Yes, on the employer's own form, the hardest ones included. Where a question needs you, you answer it right there and AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

Is it a subscription?

No. You pay once per CV, from $25. Every application goes out with its own CV, written for that posting.

One job. One CV.
Paid once.

Pick the posting you want. We write for it, apply for you and catch the reply.

Get the CV for this job

From $25 per CV, paid once. No subscription.