Job Description

Your Role

The Custom Product Consultant team is responsible for the creation of custom fully insured and self-funded employer group plan selections including creating plan designs in the product platform system, providing member documents and internal benefit requirements. The Product Implementation Analyst, Consultant will report to the Senior Manager. In this role, you will be responsible for assignments of medium to high complexity while applying comprehensive understanding of the company’s healthcare products, functions and regulatory guidelines to create plans and plan documents for RFPs, renewals, and new implementations. In this role, you will work cross functionally with a focus on medium to high complex plan designs along with other activities to support business metrics associated with production as defined by the business needs of the organization.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

• Collaborate cross-functionally with departmental and business stakeholders, ensuring accurate and timely delivery of product artifacts. Primary focus on high complexity portfolio, custom and self-funded products
• Lead work projection and planning efforts to accomplish objectives of all stakeholders
• Be accountable for tracking quality and progress on all work efforts and reporting to management.
• Develop and sustain detailed knowledge of all product types and plan designs. Educate others to deepen and expand their knowledge
• Understand and comply with Federal and State regulations, Blue Shield regulatory guidelines, and Blue Shield policies and procedures
• Collaborate with Sales partners to collect requirements, ensuring the intent of each account is accurately captured
• Work cross-functionally in analyzing, designing, and developing business solutions that support team initiatives through reengineering of workflows, delivery and testing of web-based system requirements, and assisting with management of change functions
• Direct work processes between peers to ensure consistent and quality delivery
• Identify and lead continuous processes, delivery, and quality improvement efforts

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires 7 years of experience in the related area.
• Strong knowledge of employer group health plans, benefits, federal and state mandates, and regulatory guidelines
• Strong analytical and problem-solving skills required
• Competency in Microsoft Excel and Word required
• Ability to manage high volumes and multiple priorities with a high degree of ambiguity

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.