Job Description

Significant Job Duties:

• Manage the implementation of Dental products, including launches, enhancements, and ongoing product maintenance in the annual Affordable Care Act (\xe2\x80\x9cACA\xe2\x80\x9d) Consumer and Small Group cycle. Duties include:

• Project management for annual dental & vision portfolio updates and integration with the broader medical/Rx project management;
• Complete CMS templates (in partnership with vendors and/or medical project team), including reading & interpreting annual updates in CMS guidance, communicating those requirements to vendors, and performing gut check Q&A;
• Maintain and update the infrastructure for product grid templates, the source of truth for benefits;
• Research operational enhancements needed to support benefit enhancements and coordinate the implementation;
• Coordinate communication of plan level benefits with IBC\xe2\x80\x99s platformand vendors to ensure accurate plan administration; and
• Ensure accurate display of dental plans on Consumer retail platforms.
• Coordinate compliance with regulatory mandates and internal and external audit requests, including working with corporate audit departments to understand requirements, coordinating with vendor/partners to obtain and QA the requested data, and lead the vetting and implementation of operational enhancements, as needed.
• Lead Company wide systems updates from dental & vision perspective (examples include retail platform migration, benefit configuration system, etc.).
• Coordinate the resolution of setup & administration issues, including performing operational root cause analysis and developing and recommending solutions. Manage solution implementation across the IBC FOC and with external vendors.
• Develop processes and work to improve existing processes to prevent future operational issues and to promote efficiency.

Job Requirements:

\xc2\xb7 Bachelor\xe2\x80\x99s degree with preference in analytical, problem solving, and/or process optimization related fields, or equivalent work experience

\xc2\xb7 3-5 years\xe2\x80\x99 work experience

\xc2\xb7 Strong Powerpoint / Excel skills, a plus

\xc2\xb7 Demonstrated success in working on a fast-paced, deadline driven team

\xc2\xb7 Excellent communication and socialization skills, including reading, interpreting and communicating mandates

\xc2\xb7 Problem-solver and self-starter

\xc2\xb7 Strong attention to detail

\xc2\xb7 Ability to coordinate multiple and varied initiatives and activities simultaneously

Diversity, Equity, and Inclusion

At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

About Our Company

Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group - together with its subsidiaries - is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.

At Independence, we see each of our members as an individual, with unique needs and concerns. We\'re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at . We\'re revolutionizing health care, and our focus is on you!

Equal Employment Opportunity

Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

Agency Disclaimer

All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.

Independence Blue Cross