Jobs
>
Philadelphia

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

    Independence Blue Cross
    Independence Blue Cross Philadelphia, United States

    1 week ago

    Default job background
    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.

    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
  • Independence Blue Cross

    Lead Client Implementation Analyst

    1 week ago

    Independence Blue Cross Philadelphia, United States

    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 wh ...

  • Independence Blue Cross

    Sr. Client Implementation Analyst

    1 week ago

    Independence Blue Cross Philadelphia, United States

    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 wh ...

  • Savana Inc

    Implementation Analyst

    1 week ago

    Savana Inc Malvern, United States

    Job Description · Job Description · POSITION SUMMARY · The Implementation Analyst is responsible for supporting client's implementation of Savana's software. This position will provide product expertise, requirement gathering, configuration of the product, and triage client rep ...

  • Savana Inc

    Implementation Analyst

    1 week ago

    Savana Inc Malvern, United States

    Job Description · Job DescriptionPOSITION SUMMARY · The Implementation Analyst is responsible for supporting client's implementation of Savana's software. This position will provide product expertise, requirement gathering, configuration of the product, and triage client reported ...

  • Independence Blue Cross

    College Coop: Government Markets

    2 days ago

    Independence Blue Cross Philadelphia, United States

    Government Markets is looking for a Business Analyst Co-op to join its Supplemental Program's team. Our department implements and manages retrospective and prospective programs that are designed to improve our Medicare and ACA members experience with our health plan and the overa ...

  • Abundant Life Family Services

    Board Certified Behavior Analyst

    6 days ago

    Abundant Life Family Services Philadelphia, United States

    Are you a skilled and passionate Board Certified Behavior Analyst (BCBA) seeking a rewarding career in ABA therapy? · Look no further Abundant Life Family Services (ALFS), a recognized industry leader in the Tri-State area, is expanding its team. · **About Us**:At ALFS, we go bey ...

  • Abundant Life Family Services

    Community-based Board Certified Behavior Analyst

    6 days ago

    Abundant Life Family Services Philadelphia, United States

    Are you a skilled and passionate Board Certified Behavior Analyst (BCBA) seeking a rewarding career in ABA therapy? Look no further Abundant Life Family Services (ALFS), a recognized industry leader in the Tri-State area, is expanding its team. · **About Us**:At ALFS, we go beyon ...

  • Abundant Life Family Services

    Community-based Board Certified Behavior Analyst

    2 days ago

    Abundant Life Family Services Philadelphia, United States

    Are you a skilled and passionate Board Certified Behavior Analyst (BCBA) seeking a rewarding career in ABA therapy? Look no further Abundant Life Family Services (ALFS), a recognized industry leader in the Tri-State area, is expanding its team. · **About Us**:At ALFS, we go beyon ...

  • HHM Hotels (Philadelphia Corporate)

    Distribution Analyst

    1 week ago

    HHM Hotels (Philadelphia Corporate) Philadelphia, United States

    Overview: · **Job Title: Distribution Analyst** · We are seeking a proactive and detail-oriented Hotel Distribution Analyst to support the distribution team in maintaining the landscape of systems and technologies across the independent portfolio at HHM Hotels. In this role, you ...

  • Metro Assoc.

    Provider Compensation Analyst 3212647

    2 days ago

    Metro Assoc. Philadelphia, United States

    **Full-time Onsite with Paid Relocation** · Our Award Winning Client, a nationally recognized organization, is seeking a Senior Provider Contract Compensation Analyst to join their team. This role is responsible for ensuring adherence to contractual provisions governing payments ...

  • RSC2 INC

    Financial Systems Analyst

    1 week ago

    RSC2 INC Philadelphia, United States

    : · Founded in 2009, RSC2, Inc. is a Small Business Administration (SBA) Certified HUBZone Professional Services company headquartered in Baltimore, Maryland. RSC2 provides breakthrough expertise, support services, and technologies to make operations, programs and systems of reco ...

  • Realign LLC

    Workday Developer

    1 week ago

    Realign LLC Philadelphia, United States

    **Job Type: Contract**: · **Job Category: IT**: · Job Title: Workday Developer · Job Summary: · Responsibilities and Duties: · 1. Collaborate with business analysts and stakeholders to gather requirements and design solutions in Workday. · 2. Customize and configure Workday modul ...

  • City of Philadelphia

    Business Analyst

    6 days ago

    City of Philadelphia Philadelphia, United States

    **Company Description** · A best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. ...

  • Potential Inc.

    Board Certified Behavior Analyst

    19 hours ago

    Potential Inc. Philadelphia, United States

    **Board Certified Behavior Analysts (BCBAs) **at **Potential Inc.** supervise client cases throughout **Northeast Philadelphia** to ensure the highly effective implementation of Applied Behavior Analysis (ABA) services while providing support to clinicians working one-on-one with ...

  • Connect Fourward ABA

    Rbt (Registered Behavior Technician)

    2 days ago

    Connect Fourward ABA Philadelphia, United States

    Are you passionate about making a difference in the lives of individuals with Autism Spectrum Disorders (ASD)? Do you have a background in Special Education, Speech Therapy, or Social Work? Connect Fourward ABA is seeking dedicated ABA Therapists and Behavior Technicians to join ...

  • Athena Global Advisors

    Manager, Paid Social Strategy

    2 days ago

    Athena Global Advisors Philadelphia, United States

    Do you enjoy working with a top-notch team and being part of a growing, passionate, and forward-thinking company? Athena is becoming the best and most intensive high-touch consulting group in the country. Our exceptionally high standards and whole-brain, full spectrum approach ha ...

  • Abundant Life Family Services

    Registered Behavior Technician

    1 week ago

    Abundant Life Family Services Philadelphia, United States

    **Abundant Life Family Services** (ALFS) is an organization that provides physical, cognitive, communication, social-emotional, and adaptive developmental skills to children and their families in home, clinic, child care centers and community settings. Providing families with acc ...

  • Abundant Life Family Services

    Registered Behavior Technician

    6 days ago

    Abundant Life Family Services Philadelphia, United States

    **Abundant Life Family Services** (ALFS) is an organization that provides physical, cognitive, communication, social-emotional, and adaptive developmental skills to children and their families in home, clinic, child care centers and community settings. Providing families with acc ...

  • Commonwealth of PA

    Human Resource Analyst 2

    4 days ago

    Commonwealth of PA Philadelphia County, PA, United States

    **THE POSITION**: · Are you looking to make a lasting impact on employees within the Department of Military & Veterans Affairs (DMVA)? Do you have a desire to help employees and organizations learn, grow, and succeed? If so, we have the perfect opportunity for you in our office a ...

  • Amplity Health

    Financial Analyst- Est Remote

    4 days ago

    Amplity Health Philadelphia, United States

    Come join the true partner of global healthcare companies, Amplity Health. We continually challenge the boundaries of medical and commercial strategies to accelerate the approval and launch of new drugs to improve the lives of patients. · - Financial Analyst · - EST Remote_ · - J ...