Best suited to candidates with project management experience and a background in healthcare payer operations working in Oakland, CA.
Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Blue Shield of California
Your Role
The Premier Accounts team manages all group business with 3,000 or more employees, with nearly 1 million total members. Our strategy to win in the market is to understand and meet the needs of commercial/national public-sector employers, labor trusts, and their consultants in a way that exceeds their expectations by providing easy, understandable interactions and affordable choices through efficient use of premium dollars to establish Blue Shield as the preferred choice in health plans. Reporting to the Senior Manager, Account Service, you will be an integral part of the account management team, serving as a liaison between customers/consultants, the account teams and the internal operations staff for the plan. You will be responsible managing key project deliverables for a complex, multi-sited employer group, supporting any technical & operational process improvements and supporting customer reporting with key informational updates to account teams and the HR staff directly.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Work
In this role, you will:
Maintain robust stakeholder relationships and build strong relationships with clients’ internal operations staff (e.g. HR/Benefits staff)Manage large-scale, complex client projects that involve multiple internal and external stakeholders Develop project charters, integrated project plan, resource plan, risk management plan, test plan and related project management artifacts for client-driven projectsDefine and track project milestones while developing, maintaining, and reporting on an overall integrated delivery plan for critical client-specific projectsFacilitate operational readiness (business, technical and operational) activities throughout the lifecycle of client initiatives including change management activities to support readinessDetermine key client issues, develop effective action plans, and implement delivery of products or solutions requested by the clientDemonstrate a clear and organized method of tracking client issues including maintaining agendas and meeting notes for regular client check-in calls; support requests, pull, review and distribution of client reportsMaintain a good understanding of upcoming developments in the healthcare market (healthcare reform, state and local healthcare legislation, new entrants, customer need shifts) and understand how they may impact client’s benefit offerings and member eligibilityWork collaboratively with internal functional groups including but not limited to: Claims Operations, IT infrastructure, Network Management, Data Analytics, Medical Care Solutions and others
Your Knowledge and Experience
Requires a bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree Requires 7 years of prior relevant experience Requires a current active Accident & Health Agent or Sickness and Life license with California Department of Insurance or the ability to acquire within the first 90 days of employment to maintain employment Requires valid California driver's license and proof of insurance Requires experience with data analytics tools including strong MS Office Suite, SharePoint and Teams skillsRequires experience in explaining complex concepts, ideas, and solutions for processes, products, and capabilities to a wide range of audiences including internal operations leaders, C-Suite & HR decision-makers, and external vendor partners, when applicableSome familiarity with formal project management strategies is preferred Knowledge of Blue Shield of California (BSC) or prior healthcare payer experience is preferred