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.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

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.

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