Blue Shield Of California

Product Implementation Analyst, Senior

Blue Shield Of California$95K — $115K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience (4 years relevant work instead).
  • 5+ years of related industry experience in health plans and benefits.
  • Deep understanding of federal/state regulations and Blue Shield guidelines.
  • Strong analytical and problem-solving skills are essential.
  • Proficiency in Microsoft Excel and Word for data management and documentation.
  • Ability to juggle high volumes of work and shifting priorities effectively.
  • Excellent communication abilities, both verbal and written.

Responsibilities

  • Develop and maintain in-depth knowledge of product offerings.
  • Ensure adherence to federal/state regulations and internal policies.
  • Collaborate across teams for timely delivery of product documentation.
  • Analyze, design, and create business solutions to enhance workflows.
  • Track progress and quality of tasks, reporting back to management.
  • Work with Sales to accurately gather client requirements.
  • Streamline processes for consistent quality delivery.

Benefits

  • Hybrid work environment with flexibility for in-office days.
  • Collaboration opportunities with various teams across the organization.
  • Support for professional growth through training and resources.
Full Job Description
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.

Responsibilities

Your Work

In this role, you will:
  • Develop and sustain detailed knowledge of all product types and plan designs
  • Understand 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
  • 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
  • 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
  • Coordinate work processes between peers to ensure consistent and quality delivery
  • Guide continuous processes, delivery, and quality improvement efforts


Qualifications

Your Knowledge and Experience
  • Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
  • 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
  • Competency in Microsoft Excel and Word
  • Ability to manage high volumes and multiple priorities with a high degree of ambiguity
  • Work under general supervision, using established procedures
  • Excellent interpersonal and verbal/written communication skills


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.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

About Blue Shield Of California

Blue Shield of California is a not-for-profit health plan provider that has been providing Californians with access to high-quality healthcare for over 80 years. The company offers a range of health insurance products and services to individuals, families, and employers. Blue Shield of California is committed to improving the health and wellbeing of its members and the communities it serves. The company is also committed to sustainability and has implemented a number of initiatives to reduce its environmental impact.
Learn more about Blue Shield Of California
Size
7,000 employees
Industry
Founded
1981

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