Product Implementation Analyst, Senior

About the 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, Senior will report to the Senior Manager. In this role, you will be responsible for assignments of medium 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. This position provides critical support to our key stakeholders as a subject matter expert for Blue Shield of California’s benefit and plan offerings.

Responsibilities

• Develop and sustain detailed knowledge of all product types and plan designs
• Understand and comply with Federal and State regulations, Blue Shield regulatory guidelines, and Blue Shield policies and procedures
• Collaborate cross-functionally with departmental and business stakeholders, ensuring accurate and timely delivery of product artifacts
• Primary focus on medium complexity custom and self-funded products
• 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
• Be accountable for tracking quality and progress on all work efforts and reporting to management
• Collaborate with Sales partners to collect requirements, ensuring the intent of each account is accurately captured
• Coordinate work processes between peers to ensure consistent and quality delivery
• Guide continuous processes, delivery, and quality improvement efforts

Qualifications

• Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• 5 years of prior relevant experience
• Strong knowledge of employer group health plans, benefits, federal and state mandates, and regulatory guidelines
• Strong analytical and problem-solving skills
• Competency in Microsoft Excel and Word
• Ability to manage high volumes and multiple priorities with a high degree of ambiguity
• Excellent interpersonal and verbal/written communication skills

About Us

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. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest
• Human
• Courageous

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.