Blue Shield of California

Product Implementation Analyst, Senior

Blue Shield of California  •  El Dorado Hills, CA (Hybrid)  •  29 days ago
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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, Senior will report to the Senior Manager. In this role, you will be responsible for assignments of medium 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. This position provides critical support to our key stakeholders as a subject matter expert for Blue Shield of California’s benefit and plan offerings. In this role, you will work cross functionally with a focus on medium 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:

  • Develop and sustain detailed knowledge of all product types and plan designs.
  • Understands and comply with Federal and State regulations, Blue Shield regulatory guidelines, and Blue Shield policies and procedures
  • Collaborate cross-functionally with departmental and business stakeholders, ensuring accurate and timely delivery of product artifacts. Primary focus on medium complexity custom and self-funded products
  • Be accountable for tracking quality and progress on all work efforts and reporting to management
  • Collaborate with Sales partners to collect requirements, ensuring the intent of each account is accurately captured
  • Works 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
  • Coordinate work processes between peers to ensure consistent and quality delivery
  • Guides continuous processes, delivery, and quality improvement efforts

Your Knowledge and Experience

  • Requires a college degree or equivalent experience and a minimum of 5 years of prior relevant experience
  • 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 required
  • Work under general supervision, using established procedures required
  • Excellent interpersonal and verbal/written communication skills required


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.

Blue Shield of California

About Blue Shield of California

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue.

Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities.

For more news about Blue Shield of California, please visit news.blueshieldca.com.

Industry
Finance & Insurance
Company Size
5,001-10,000 employees
Headquarters
Oakland, California
Year Founded
1939
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