An "Implementation Specialist Consultant" successfully manages highly complex, including but not limited to ASO/self-funded, client implementations and renewals that require a high degree of customization and novel management approaches.
Lead development of standard and customized implementation processes to meet complex and/or ASO/self-funded client requirements.
Responsible for development of highly customized project plan for complex and/or ASO/self-funded client-specific deliverables that may result in new process development.
Leads implementation strategy and timeline development through virtual and in-person client meetings (Brokers, Client Groups, and/or HR) to ensure complex and custom deliverables are met successfully.
Creates and presents customized collateral to educate client/broker on the enrollment through billing process
Oversees the collection process and system entry of group and member information, including templates and files used in the process.
Coordinates appropriate parties (IT, Ops, Client, CE, etc) to drive creative solutioning for complex issues.
Operates as the point of contact for escalations if group enrollment is at risk.
Leads cross-departmental teams to ensure complex and/or ASO/self-funded implementations are completed on schedule and presents status reports to leadership.
Attend client meetings in person where required.
Responsible for facilitating exception processes, per the contract, to ensure client's experience is well managed.
Post enrollment period, responsible for the identification and implementation of process improvements such as: modernizing client collateral and artifacts, optimization of internal enrollment processes, creation of improved performance measures, etc.
Excellent analytical and problem-solving skills.
Requires deep knowledge of job area typically obtained through advanced education combined with experience.
Typically, viewed as a specialist within discipline. May have broad knowledge of project management.
Typically, requires a college degree or equivalent experience and minimum 7 years of prior relevant experience.
Prior demonstrated experience managing, supporting or implementing ASO and/or other self-funded accounts with a health plan strongly preferred.
Blue Shield Of California