Product Operations Analyst at Independence Blue Cross LLC in Philadelphia, Pennsylvania

Job Description:

Significant Job Duties:

• Manage the implementation of Dental products, including launches, enhancements, and ongoing product maintenance in the annual Affordable Care Act (“ACA”) 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’s 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:

·       Bachelor’s degree with preference in analytical, problem solving, and/or process optimization related fields, or equivalent work experience

·       3-5 years’ work experience

·       Strong Powerpoint / Excel skills, a plus

·       Demonstrated success in working on a fast-paced, deadline driven team

·       Excellent communication and socialization skills, including reading, interpreting and communicating mandates

·       Problem-solver and self-starter

·       Strong attention to detail

·       Ability to coordinate multiple and varied initiatives and activities simultaneously