Blue Shield Of California

Product Implementation Analyst, Senior

Blue Shield Of California$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • College degree or equivalent experience with 5+ years in relevant roles.
  • In-depth knowledge of employer group health plans and regulatory guidelines.
  • Strong analytical and problem-solving capabilities.
  • Proficient in Microsoft Excel and Word.
  • Ability to manage multiple priorities and high volumes under ambiguity.
  • Experience working under general supervision with established procedures.
  • Excellent communication skills, both verbal and written.

Responsibilities

  • Develop and maintain a comprehensive knowledge of product types and plan designs.
  • Ensure compliance with federal and state regulations and company policies.
  • Collaborate with stakeholders for timely delivery of product documents.
  • Track quality and report progress to management.
  • Gather requirements from Sales partners to align with account intentions.
  • Analyze and redesign workflows to enhance business solutions.
  • Coordinate with peers for consistent and quality outputs.
  • Drive continuous improvement initiatives in processes and delivery.

Benefits

  • Hybrid work model with in-office collaboration two days a week.
  • Flexible work arrangements for employees living more than 50 miles from an office.
  • Opportunity to work with a leading company in healthcare products.
  • Engagement in cross-functional teams emphasizing collaboration and innovation.
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.
  • 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


Qualifications

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.

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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