Job Description

Blue Cross Blue Shield of Arizona is a local, independent Blue Cross Blue Shield Association and a not-for-profit health insurance company headquartered in Phoenix. Founded in 1939, the company has more than 1,800 dedicated employees throughout its Phoenix, Tucson, Chandler and Flagstaff offices. Providing health insurance products, services and networks to more than 1 million Arizonans, Blue Cross Blue Shield of Arizona offers various health plans for individuals, families, and small and large businesses. Blue Cross Blue Shield of Arizona also offers Medicare supplement plans to individuals over age 65.

Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Manages account installation, re-installation, or special requests from clients requiring cross-functional management.  Matrix manages an internal team to ensure adherence to client requirements and expectations.  Develops and manages project schedules.  Provides complete, accurate and timely responses to clients, internal management, consultants, and brokers.  Develops relationships with client and other external stakeholders to extract detailed requirements and to inspire confidence in BCBSAZ ability to implement flawlessly.

REQUIRED QUALIFICATIONS

Required Work Experience

Level 1

2 years Experience in customer service, account management, or sales

Level 2

4 years Experience in customer service, account management, or sales

1 years Working in health insurance or similar field

2 years Experience developing business plans and customer specifications

1 years Experience in project management

Level 3

6 years Experience in customer service, account management, or sales

2 years Working in health insurance or similar field

3 years Experience developing business plans and customer specifications

3 years Experience in project management

Required Education

  • High-School Diploma or GED in general field of study

Required Licenses

  • Valid Arizona driver license with acceptable driving record

Required Certifications

  • N/A
     

PREFERRED QUALIFICATIONS

Preferred  Work Experience

Level 1

3 years Experience in customer service, account management, or sales

Level 2

5 years Experience in customer service, account management, or sales

3 years Working in health insurance or similar field

5 years Experience developing business plans and customer specifications

3 years Experience in project management

Level 3

7 years Experience in customer service, account management, or sales

5 years Working in health insurance or similar field

7 years Experience developing business plans and customer specifications

5 years Experience in project management


Preferred Education

  • Bachelor’s Degree in Business or related field

Preferred Licenses

  • Active, current, and unrestricted AZ Department of Insurance Life and Health Insurance License

Preferred Certifications

  • Industry Professional Designations
  • PMP - Project Management Professional

ESSENTIAL job functions AND RESPONSIBILITIES

LEVEL 1 - Entry-level position focused on external client implementation
 

Client Implementation

  • Accountable for the successful implementation of new customer and renewal implementations.
  • Lead less complex implementation projects and participate on larger-scale implementations.
  • Establish business relationships with group customers.
  • Review enrollment materials to identify contract benefits and ensure information is accurate and complete.
  • Participate in the development, analysis, and creation of documentation, including Summary Plan Descriptions (SPDs) and Summaries of Benefits and Coverage (SBCs) Participate in or assist with small implementation projects.
  • Interact with clients during benefit collection.
  • Facilitate client meetings and present information regarding benefits and the implementation processes.
  • Assist Client Service Managers as needed to ensure a smooth hand-off after implementation into Service Units.

Process Management

  • Research, respond to, and finalize questions or requests for research received from internal customers.
  • Assist with tracking and reporting on team metrics and project plans.
  • Ensure required paperwork and documentation is complete and distributed to internal and external stakeholders.
  • Meet timeliness and accuracy goals

LEVEL 2 - Intermediate-level position, focused on less complex implementations with oversight from levels 3 and Supervisor

Client Implementation

  • Accountable for the successful implementation of new customer and renewal implementations.
  • Lead less complex implementation projects and participate on larger-scale implementations.
  • Research, communicate, and resolve any implementation issues for assigned clients; escalate as appropriate.
  • Establish business relationships with group customers.
  • Work with sales and external stakeholders to develop overall benefit structure and implementation strategy.  
  • Facilitate cross functional work sessions, along with external stakeholders, to develop and document detailed requirements necessary for successful implementation.
  • Facilitate client meetings and present information regarding benefits and the implementation processes.
  • Ensure a smooth hand-off after implementation into Service Units.


Process Management

  • Plan and organize detailed course of action that ensures successful accomplishment of implementation objectives.
  • Plan, track, and report on established team metrics and project plans for assigned implementations; provide measurements of success for each implementation and any associated cost/benefit analysis.
  • Perform on-going risk analysis and escalate to management any high profile concerns or issues.
  • Develop documentation needed for internal execution of implementation tasks for new or renewing clients.
  • Ensure required paperwork and documentation is complete and distributed to internal and external stakeholders.
  • Meet timeliness and accuracy goals.


Matrix Management

  • Manage an implementation team that includes internal implementation, sales, operations, and management participants along with external clients and vendors.
  • Invest in relationships to successfully influence and build shared goals to achieve optimal implementation results
  • Drive performance through management and execution of organizational plans and activities

LEVEL 3 - Senior-level position, able to manage large and/or complex implementations and handle multiple projects. Provides strategic input and oversight for Levels 1 and  2

Client Implementation

  • Accountable for the successful implementation of new customer and renewal implementations.
  • Establish business relationships with group customers.
  • Review enrollment materials to identify contract benefits and ensure information is accurate and complete.
  • Participate in the development, analysis, and creation of documentation, including Summary Plan Descriptions (SPDs) and Summaries of Benefits and Coverage (SBCs) Participate in or assist with small implementation projects.
  • Interact with clients during benefit collection.
  • Facilitate client meetings and present information regarding benefits and the implementation processes.
  • Assist Client Service Managers as needed to ensure a smooth hand-off after implementation into Service Units.
  • Facilitate strategic thinking with sales and external stakeholders to stay attuned to changing dynamics, so that the organization can stay in front of client demands and present implementation plans that meet emerging needs.
  • Drive ideas and information across diverse audiences and entities for organizational performance and effectiveness towards the goal and aligning client needs with BCBSAZ capabilities.
  • Provide guidance and direction for escalated issues and engage management when needed.
  • Define and consult on measurement strategies, tools, scorecards and surveys.
  • Develop any relevant service measurements and monitor for a defined period after each implementation.  Report on any deficiencies to appropriate management.
  • Back up supervisor as needed.

Process Management

  • Define metrics and measure for end-to-end processes that will provide a high-level of customer satisfaction.
  • Ensure scalability of service model and connectivity to the broader environment.
  • Analyze processes and performance results and drive improvement initiatives for future implementation efforts.
  • Ensure appropriate use of tools to track and monitor the performance of all tasks associated with a project.
  • Assist internal customers in the development of procedures, guidelines, and training programs as they relate to customer implementation processes.
  • Coordinate and participate in development of training materials and departmental documentation.
  • Ensure required paperwork and documentation is complete and distributed to internal and external stakeholders.
  • Meet timeliness and accuracy goals .
  • Provide peer review and mentoring to levels 1 and 2.

Matrix Management

  • Participate or lead medium to large projects to implement changes including new product development, cost containment measures, and benefit design modification to provide innovative responses to marketplace and legislative mandates.
  • Manage an implementation team that includes internal implementation, sales, operations, and management participants along with external clients and vendors.
  • Drive performance through expert management and execution of organizational plans and activities.
  • Embrace and promote innovation and change as a way to enhance personal, team and organizational effectiveness.
  • Partner with matrix organizations to ensure that appropriate action is taken to identify and implement high potential process improvements .

ALL LEVELS

  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform all other duties as assigned.

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank You

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.


Imagine doing life-changing work and helping more than one million Arizonans live healthier and longer lives. That’s the kind of satisfaction you’ll find when you work here. Our exceptional teams in Phoenix, Tucson, Chandler, and Flagstaff have been transforming healthcare for more than 80 years. Explore what's possible with a career at Blue Cross® BlueShield® of Arizona



Posted 2 Days Ago

Full time

R717

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