Lead Client Implementation Analyst
Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health.
The role of the Lead Client Implementation Analyst is responsible for the following job duties:
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1. Provide training to new hires of the Client Setup department, as well as any key stakeholders 2. Track and review work inventory at the team level for timely and accurate completion 3. Set up all new business, benefit and administrative changes and cancellations when needed 4. Ability to recognize Underwriting guideline differences for PA vs. NJ 5. Organize reference materials and ensures written processes and procedures are being followed 6. Responds to high priority internal and external customer inquiries and issues surrounding customer set-up. 7. Provide guidance to team members on complex cases. 8. Track ongoing customer issues and recommend improvements to enhance customer relationship and corporate image 9. May participate in on-site visits to new employer groups and administrators to explain the set up process, educate on system capabilities and confirm compliance with underwriting guidelines 10. Resolve issues, answer questions and act as liaison with other departments on most complex client setup issues 11. Acts as consultant to Sales on form submission and accuracy 12. Knowledge of benefit template format and language 13. Coach and train client implementation specialists on benefit template accuracy 14. Provide reports to management regarding training needs, the customer/group set-up process and administrative processes 15. Provide technical assistance and guidance to Sales and other areas relative to the new business enrollment process 16. Conduct system testing as needed 17. Subject matter expert for business requirements 18. Research and troubleshoot benefits and any other issues 19. Perform additional duties as assigned 20. Serve as expert on group set-up including structure and system limitations 21. Represent the department in internal and external implementation meetings and other workgroups/meetings as needed 22. Identify discrepancies in systems and paperwork received from Sales; Ensure all requests meet Underwriting guidelines 23. Work closely with internal and external customers to resolve issues. 24. Understand renewal change requested by client, pull together set up documents including benefit templates 25. Confirm benefits on detailed benefit templates 26. Investigate and resolve complex client setup issues in core platform systems; such as FOS and CSIW 27. Investigate and resolve pharmacy setup issues, including complex clients. Resolve access to care for members in pharmacy benefit system 28. May develop new capabilities for the department in conjunction with other departments and vendors |
A. High School Diploma required, bachelor’s degree in business or related field preferred. Must have 5-7 years relevant experience.
B. Excellent time management and organizational skills required. Ability to prioritize workload and meet deadlines in a fast-paced environment with some supervision. Flexibility and adaptability are a must. Willingness to be cross trained is required to assist other team members. Strong communications skills required – position interacts with all levels of management and may communicate with external clients as well. Must be strong problem-solver and be able to follow-up and take an issue to resolution. Aptitude to understand benefits and Underwriting rating methodology. Some critical thinking skills: Capability to understand Underwriting guidelines and apply them. High level technical aptitude required - ability to use Microsoft Office and to learn proprietary and vendor systems. High level of professionalism is necessary to progress.
Hybrid
Independence has implemented a “Hybrid” model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the “Hybrid” model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey or Pennsylvania
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.