Implementation Specialist

Our Implementation Specialists are responsible for the implementation and onboarding of new and renewing employer group health insurance benefit plans. Collaborates with internal and external partners to proactively manage group implementations while adhering to implementations strategies, standards and timelines. An understanding of health insurance benefits implementation and administration is needed in this role.

This position supports the Account Management and Sales teams, as an onsite position based at our Meridian Idaho campus. After training period, flexibility will be offered to work hybrid location of onsite and/or from a Treasure Valley Idaho location (onsite and work-from-home). At this time, relocation assistance is not offered with this opportunity.

Required Education: At Specialist II, Bachelor’s Degree is required, in Business or related field; OR equivalent work experience in lieu of degree (Two years’ relevant work experience equals one year of college to meet this requirement. If no completed degree, candidates must have 8/+ years' experience in addition to the listed required experience, for a total of 11/+ years' experience)

Required Experience

At Specialist I, 5/+ years' relevant experience such as health industry, health insurance, sales, account management, project management/coordination, or related healthcare/business administration experience. At Specialist II, experience must include completed college degree plus 3/+ years' relevant experience preferably to span:

• Knowledge of health insurance plans, including benefits administration, sales and account management processes, terminology, and operations as well as applicable laws and regulations. Ideally will have knowledge of self-funded and/or fully-insured plans.
• Project management: working under pressure, problem solving, and managing multiple tasks by coordinating activities (verbal/written communication skills) and organizing, planning, prioritizing and executing concurrent deliverables within time constraints
• Effective partnerships with Groups, team members, and other departments while successfully managing employer group expectations and creating solutions with systems and resources available. With a consultative approach, able to reach successful business outcomes, negotiate, and diplomatically resolve complex and sensitive projects and issues
• Digital literacy, including use of Microsoft Office Suite, CRM (such as Salesforce), data reconciliation and entry, database usage to build and maintain a variety of reports and files. Additional experience in Facets and SharePoint is helpful
  
  

Your Day May Look Like

• Administers the implementation of new groups benefit plans and ensures proper set-up. Coordinates, set-ups, and ensures group access to required systems and reports. Implements and revises benefits for new and renewing groups.
• Works with groups, brokers, and sales team members to ensure all required information is received for implementation and onboarding of new groups. Identifies and gathers missing information. Responds to inquiries, resolve issues, and educates brokers, groups, and/or sales staff through the implementation process.
• Ensures efficient and effective transfer of new groups to account management team.
• Provides internal coordination support for the request for information (RFI), request for proposal (RFP) process, implementation and renewal process. May participate in sales presentations, operation meetings, account management, and other internal teams to secure new customers and their successful implementation.
  
  

As of the date of this posting, a good faith estimate of the current pay range is $58,727 to $100,391 (Specialist I, Specialist II). The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equity, geography, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.