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 of relevant experience in lieu of a degree)
  • 5 years of experience in custom health plan design and implementation
  • Deep understanding of employer group health plans, including regulatory mandates
  • Strong analytical and problem-solving skills, with the ability to tackle complex issues
  • Proficient in Microsoft Excel and Word for data management and documentation
  • Ability to manage competing priorities in a dynamic environment
  • Excellent communication skills, both verbal and written

Responsibilities

  • Develop and maintain expertise in product types and plan designs
  • Ensure compliance with Federal and State regulations, as well as internal policies
  • Collaborate with stakeholders to deliver accurate product artifacts on time
  • Analyze and design business solutions that support team objectives
  • Track quality and progress of assignments, reporting to management regularly
  • Gather requirements from Sales and ensure accurate representation of client needs
  • Coordinate with peers to ensure consistent delivery of projects
  • Contribute to continuous improvement initiatives for processes and quality

Benefits

  • Hybrid work model with flexibility for remote and in-office work
  • Opportunity to work with diverse teams across the organization
  • Access to extensive resources and support as a subject matter expert
  • Engagement in continuous process improvement efforts
  • Potential for professional development opportunities through collaborative work
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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