Implementation Specialist

Job Description

This position works directly with clients and agents. Accountable for leading and managing large group implementations (new groups and some renewals) for Local 100+, Public and Natl/Major Accounts segmentations with unique/significant Non-Standard & Eligibility benefits. Serves as liaison for Sales organization to internal partners to ensure timely and successful implementation and renewal of large accounts. Acts as a central point of contact for all internal/external organizations.

• Manage and coordinate all NLGP implementations
• Responsible for pre-builds of SPRs, planning, coordinating and establishing timelines with key internal and external partners to ensure timely implementations
• Manages, evaluates and analyzes new group and renewal sale processes. Accountable for pre-calculation, final rating calculation, and implementation of all sales processes (ancillary business)
• Develop project plans for implementation, manage activity and prioritize to the timeline
• Coordinate review of key documents
• Coordinate meetings with internal partners to monitor status, document implementation progress and resolve issues
• Develop implementation-related communications
• Ensure BCBSF process and plan changes are incorporated into implementation materials and processes
• Build and manage effective business relationships to understand impact of product/ process/program changes that impact the implementation process
• Establish and maintain strategic relationships with key internal partners including Underwriting, EM&B, Application Maintenance, PRA, Member Service Organizations, Provider Service Organization, FCL, etc.
• Communicate non-standard Account requests to impacted departments
• Facilitate the work required to coordinate with internal partners to brainstorm and/or develop alternative solutions to account requests that may otherwise require manual processing
• Engage in relationships with external partners during finalist presentation, including group decision makers, group benefit administrators, agents/brokers and consultants
• Participate in face-to-face meetings with the group as well as through conference calls developing and/or framing expectations and ensure understanding of benefit application, enrollment timelines, etc.
• Communicate group needs and specifics to Senior Leadership and key internal stakeholders including progress made, plans determined and issues identified and resolved
• Manage and track resolution of barriers and issues during implementation and through post-implementation period
• Develop action plans for key issues
• Track completion of post implementation activities
• Accountable for process improvement / continuous improvement initiatives identified during implementation

• 3+ years related work experience
• Related Bachelor’s degree or additional related equivalent work experience
• FL Health and Life Insurance License (2-15) upon hire
• Previous sales, account servicing, customer or similar experience with large groups
• Demonstrated experience in managing projects and/or improvement initiatives
• Knowledge of BCBSF Sales organization and health plan products
• Effective in all the programs in MS Office and PC-based software skills (i.e. Word, Excel, PowerPoint, Project)
• Demonstrated results-oriented performance
• Experience working with continuous improvement disciplines, including the use of
• Process Improvement tools, methodologies and applications
• Experience with complex decision-making and problem solving
• Experience setting clear, actionable objectives and tactical plans for result attainment
• Understanding of the business and its impact on the organization
• Experience in developing and maintaining effective working relationships
• Excellent verbal and written…