Specialty Services Product Implementation & Operations Manager

Job Summary: 

The Specialty Services Product Implementation & Operations Manager will manage important initiatives for the Dental and Vision lines of business from the perspective of:

• Leading the implementation of product launches, enhancements, and maintenance for product offerings in the Large Group (non-Affordable Care Act) segments within the Independence Blue Cross Family of Companies (“IBX FOC”)
• Manage operational strategy, including process improvement, identification and implementation of platform investments
• Manage annual audits on benefit configuration and administration to ensure plan IDs and benefits are setup correctly with our Dental and Vision vendors, Benefit highlight, etc.
• Communicate with our external vendor-partners for successful dental and vision product delivery and response to audit needs.
• Represent Specialty Services Dental & Vision with various departments across the Independence Blue Cross Family of Companies (“IBX FOC”) including Sales, Client Setup, BTS, Customer Service, Product Admin, and others.

Significant Job Duties:

• Develop & manage operational strategy.  Duties include:
  • Identify operational inefficiencies and issues and perform root cause analysis, leading stakeholders including IHG operations departments (i.e., Client Set Up, BTS, Customer Service, Product Operations, etc.), and vendor-partners.
  • Develop and recommend solutions, leading solution implementation across the IBX FOC and with external vendors.
  • Identify investment opportunities including platform enhancements and lead the process to secure funding.
  • Monitor cost, schedule, risk, compliance and technical/process performance of component projects and operations, while working to ensure the ultimate success of the program.
• Manage operations and implementation of Dental and Vision products, including launches, enhancements and maintenance, for Large Group products.  Duties include:
  • Project manage the filing and implementation process.
  • Provide support with the evaluations of product lines and recommend improvement in benefit design, and product administration.
  • Recommend process for cross functional implementation to support new or modified products.
  • Manage and maintain Product Configurator Models and Benefit Highlights. Responsible for working with Product Admin to get all large group vision and dental plans keyed into Product Configurator.
  • Lead relationship with Legal and providing subject matter expertise for development of accurate filings, assess whether filings are accurate, approve and provide final sign-off from Specialty Product department of filings.
  • Lead relationship and communication with vendor/partners to ensure accurate plan administration.
• Provide secondary project management support and backfill support for Consumer and Small group operational support.
• Lead internal and external audit requests which includes working with corporate audit departments to understand requirements, communicate requirements to vendor/partners, and coordinating with vendor/partners to obtain and QA needed data.

Job Requirements:

·        Bachelor’s degree or equivalent work experience in analytical major

·        8+ years’ work experience in areas such as benefits administration and health care management, or analytical field

·        Demonstrated experience working on a fast-paced, deadline driven team

·        Excellent communication and socialization skills

·        Excellent interpersonal skills, to include influencing others and negotiation

·        Experience in innovative problem solving

·        Strong relationship building skills

·        Problem-solver and self-starter

·        Strong attention to detail

·        Passion and energy for driving and supporting change

·        Ability to coordinate multiple and varied initiatives and activities simultaneously

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

IBX is an Equal Opportunity 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.

Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.