Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Blue Shield of California
Job Description
Your Role
The Custom Product Consultant team is responsible for the creation of custom fully insured and self-funded employer group plan selections including creating plan designs in the product platform system, providing member documents and internal benefit requirements. The Product Implementation Analyst, Consultant will report to the Senior Manager. In this role, you will be responsible for assignments of medium to high complexity while applying comprehensive understanding of the company's healthcare products, functions and regulatory guidelines to create plans and plan documents for RFPs, renewals, and new implementations. In this role, you will work cross functionally with a focus on medium to high complex plan designs along with other activities to support business metrics associated with production as defined by the business needs of the organization.
Responsibilities
Your Work
In this role, you will:
- Collaborate cross-functionally with departmental and business stakeholders, ensuring accurate and timely delivery of product artifacts. Primary focus on high complexity portfolio, custom and self-funded products
- Lead work projection and planning efforts to accomplish objectives of all stakeholders
- Be accountable for tracking quality and progress on all work efforts and reporting to management.
- Develop and sustain detailed knowledge of all product types and plan designs. Educate others to deepen and expand their knowledge
- Understand and comply with Federal and State regulations, Blue Shield regulatory guidelines, and Blue Shield policies and procedures
- Collaborate with Sales partners to collect requirements, ensuring the intent of each account is accurately captured
- Work cross-functionally in analyzing, designing, and developing business solutions that support team initiatives through reengineering of workflows, delivery and testing of web-based system requirements, and assisting with management of change functions
- Direct work processes between peers to ensure consistent and quality delivery
- Identify and lead continuous processes, delivery, and quality improvement efforts
Qualifications
Your Knowledge and Experience
- Requires a bachelor's degree or equivalent experience
- Requires 7 years of experience in the related area.
- Strong knowledge of employer group health plans, benefits, federal and state mandates, and regulatory guidelines
- Strong analytical and problem-solving skills required
- Competency in Microsoft Excel and Word required
- Ability to manage high volumes and multiple priorities with a high degree of ambiguity
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
About the Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
Our Values:
- Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
- Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
- Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model
We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
- For most teams, this means coming into the office two days per week.
- Employees living more than 50 miles from an office locati