Implementation Specialist

Florida Blue; Jacksonville (FL); Hybrid; USD 65,000 - 106,000; Full time

Benefits offered by this job

Medical, dental, vision

Retirement Savings Plan

Paid time off

Wellness program

Job summary

Florida Blue seeks a seasoned Implementation Lead to drive large group implementations and renewals across Local 100+, Public and Natl/Major Accounts segments. You will coordinate with Sales, Underwriting, and partners to ensure timely delivery and successful outcomes.

The role requires 3+ years of related experience, a Bachelor’s degree or equivalent, and a Florida 2-15 license. Hybrid work arrangement with competitive pay and benefits is offered.

Qualifications

• 3+ years related work experience.
• Bachelor’s degree or additional related equivalent work experience.
• Florida Health and Life Insurance License (2-15) upon hire.
• Experience with large groups and sales processes.
• Knowledge of continuous improvement tools and methodologies.

Responsibilities

• Lead and manage large group implementations and renewals.
• Coordinate with internal and external partners to ensure timely implementations.
• Develop implementation plans, timelines and action plans.
• Track progress, issues and post-implementation activities.
• Engage with sales, underwriting and service teams to optimize processes.

Skills

Project management

Communication

Presentation skills

Problem solving

Multi-tasking

Education

Bachelor’s degree or equivalent

Tools

MS Office

Job description

Job Description

This position works directly with clients and agents. Accountable for leading and managing large group implementations (new groups and some renewals) for Local 100+, Public and Natl/Major Accounts segmentations with unique/significant Non-Standard & Eligibility benefits. Serves as liaison for Sales organization to internal partners to ensure timely and successful implementation and renewal of large accounts. Acts as a central point of contact for all internal/external organizations.

Job Duties Include But Are Not Limited To

• Manage and coordinate all NLGP implementations
• Responsible for pre-builds of SPRs, planning, coordinating and establishing timelines with key internal and external partners to ensure timely implementations
• Manages, evaluates and analyzes new group and renewal sale processes. Accountable for pre-calculation, final rating calculation, and implementation of all sales processes (ancillary business)
• Develop project plans for implementation, manage activity and prioritize to the timeline
• Coordinate review of key documents
• Coordinate meetings with internal partners to monitor status, document implementation progress and resolve issues
• Develop implementation-related communications
• Ensure BCBSF process and plan changes are incorporated into implementation materials and processes
• Build and manage effective business relationships to understand impact of product/ process/program changes that impact the implementation process
• Establish and maintain strategic relationships with key internal partners including Underwriting, EM&B, Application Maintenance, PRA, Member Service Organizations, Provider Service Organization, FCL, etc.
• Communicate non-standard Account requests to impacted departments
• Facilitate the work required to coordinate with internal partners to brainstorm and/or develop alternative solutions to account requests that may otherwise require manual processing
• Engage in relationships with external partners during finalist presentation, including group decision makers, group benefit administrators, agents/brokers and consultants
• Participate in face-to-face meetings with the group as well as through conference calls developing and/or framing expectations and ensure understanding of benefit application, enrollment timelines, etc.
• Communicate group needs and specifics to Senior Leadership and key internal stakeholders including progress made, plans determined and issues identified and resolved
• Manage and track resolution of barriers and issues during implementation and through post-implementation period
• Develop action plans for key issues
• Track completion of post implementation activities
• Accountable for process improvement / continuous improvement initiatives identified during implementation

Job Requirements

• 3+ years related work experience
• Related Bachelor’s degree or additional related equivalent work experience
• FL Health and Life Insurance License (2-15) upon hire
• Previous sales, account servicing, customer or similar experience with large groups
• Demonstrated experience in managing projects and/or improvement initiatives
• Knowledge of BCBSF Sales organization and health plan products
• Effective in all the programs in MS Office and PC-based software skills (i.e. Word, Excel, PowerPoint, Project)
• Demonstrated results-oriented performance
• Experience working with continuous improvement disciplines, including the use of
• Process Improvement tools, methodologies and applications
• Experience with complex decision-making and problem solving
• Experience setting clear, actionable objectives and tactical plans for result attainment
• Understanding of the business and its impact on the organization
• Experience in developing and maintaining effective working relationships
• Excellent verbal and written communication skills
• Experience managing multiple job duties simultaneously
• Excellent presentation skills

Preferred

• Knowledge of health care industry
• Knowledge of branding guidelines and style manuals
• Knowledge of BCBSF policies and procedures to effectively manage and coordinate assigned general agency sales and service personnel
• Multi-lingual

General Physical Demands

Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

This position offers a hybrid work arrangement which combines flexibility with in-office engagement. Team schedules are determined based on role requirements and business needs. Travel to and from our corporate or regional offices may be required.

What We Offer

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Annualized Salary Range: $65,400 - $106,200

Typical Annualized Hiring Range: $65,400 - $81,700

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.