Lead Client Implementation Analyst - Philadelphia, United States - Independence Blue Cross

Independence Blue Cross

Verified Company

Philadelphia, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

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:

Provide training to new hires of the Client Setup department, as well as any key stakeholders
Track and review work inventory at the team level for timely and accurate completion
Set up all new business, benefit and administrative changes and cancellations when needed
Ability to recognize Underwriting guideline differences for PA vs. NJ
Organize reference materials and ensures written processes and procedures are being followed
Responds to high priority internal and external customer inquiries and issues surrounding customer set-up.
Provide guidance to team members on complex cases.
Track ongoing customer issues and recommend improvements to enhance customer relationship and corporate image
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
Resolve issues, answer questions and act as liaison with other departments on most complex client setup issues
Acts as consultant to Sales on form submission and accuracy
Knowledge of benefit template format and language
Coach and train client implementation specialists on benefit template accuracy
Provide reports to management regarding training needs, the customer/group set-up process and administrative processes
Provide technical assistance and guidance to Sales and other areas relative to the new business enrollment process
Conduct system testing as needed
Subject matter expert for business requirements
Research and troubleshoot benefits and any other issues
Perform additional duties as assigned
Serve as expert on group set-up including structure and system limitations
Represent the department in internal and external implementation meetings and other workgroups/meetings as needed
Identify discrepancies in systems and paperwork received from Sales; Ensure all requests meet Underwriting guidelines
Work closely with internal and external customers to resolve issues.
Understand renewal change requested by client, pull together set up documents including benefit templates
Confirm benefits on detailed benefit templates
Investigate and resolve complex client setup issues in core platform systems; such as FOS and CSIW
Investigate and resolve pharmacy setup issues, including complex clients. Resolve access to care for members in pharmacy benefit system
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.

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