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Customer Implementation Executive

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  • Job
    Full-time
    Senior & Expert Level
  • Business, Operations & Strategy
  • Philadelphia

Requirements

  • Bachelor’s degree in business administration, Health Care Administration or related field or an equivalent combination of education and experience.
  • Preferred:
  • Master's Degree or MBA
  • Project Management Certification
  • 8 or more years' experience in one or more of the following areas within the healthcare industry: account services, sales, service installation/ implementation, health plan operations such as claims, enrollment, benefits administration or group set-up
  • Knowledge:
  • Demonstrated experience managing complex project implementations
  • Experience with Optum RX Claim and RX Operational activities
  • Working knowledge of Self-Funding and Fully Insured Health Plans
  • Understanding of healthcare insurance products and processing
  • Expertise in billing and claims administration functional areas
  • Ability to educate and influence complex, cross-functional business partners on Self-Funded products and services
  • Ability to define, develop, document, and implement formal Policies and Procedures related to Self-Funded products and services
  • Strong interpersonal skills to include persuasion and negotiation
  • Demonstrated ability to influence operational management

Responsibilities

  • Develops strategy and execution plan for all accounts managed by Customer Implementation Team
  • Responsible for implementation project delivery for new large customers and significant changes to current customer benefits.
  • Leads customer implementations across the enterprise.
  • Develops and improves customer implementation processes
  • Oversees customer implementation processes for designated accounts
  • Manages cross-functional teams in the end-to-end complex implementation process (matrix model)
  • Serves as lead resource for Sales, Marketing, Operations and IS Management
  • Serves as primary customer interface and sole point of contact for all business areas that touch customer implementation for the implementation process
  • Directs dedicated functional experts (billing, customer service, claims, EDI etc…) on corrective action steps/ issue resolution to ensure end-to-end resolution of issues.
  • Leads, directs, and communicates the results of the customer implementation.
  • Root Cause Analysis:
  • Responsible for the identification of issues in the Implementation process and determination of root cause.
  • Responsible for the identification of alternative solutions to issues that are complex and require an understanding of how the outcome will affect the customer, other stakeholders, and multiple internal areas/ departments.
  • Communication:
  • Responsible for the implementation communication plan for customers and all stakeholders (internal and external)
  • Communicates effectively with customers, technical systems associates, sales and marketing, and all business areas involved in the customer implementation process.
  • Risk Mitigation Planning:
  • Responsible for risk mitigation planning for the customer implementation process.
  • Understands the issues that may be potential roadblocks to a smooth successful customer implementation and develops mitigation plans to ensure successful execution
  • Customer Implementation Point Person:
  • Acts as an implementation consultant to the customer and across the organization
  • Maintains on-going knowledge of the organization and the customer implementation process and capabilities
  • Acts as resource for understanding the implementation process
  • Acts as a resource to the customer and Sales for understanding the options and capabilities available to the customer

FAQs

What is the main purpose of the Customer Implementation Executive role?

The main purpose of the Customer Implementation Executive role is to lead the implementation process for new large customers and significant changes to current customer benefits, ensuring effective communication and coordination across various business areas to achieve successful implementations.

What educational background is preferred for candidates applying for this position?

The preferred educational background includes a Master's Degree or MBA, along with a Bachelor's degree in business administration, Health Care Administration, or a related field, or an equivalent combination of education and experience.

What type of experience is required for the Customer Implementation Executive role?

Candidates should have 8 or more years of experience in areas such as account services, sales, service installation/implementation, or health plan operations, including claims, enrollment, benefits administration, or group set-up within the healthcare industry.

What are some of the key responsibilities of the Customer Implementation Executive?

Key responsibilities include developing and executing implementation strategies, managing cross-functional teams, serving as the primary point of contact for customer implementations, conducting root cause analysis, and overseeing risk mitigation planning.

Is a Project Management Certification necessary for this role?

While a Project Management Certification is not explicitly required, it is preferred and indicates a strong competency in managing complex project implementations.

What skills are important for a Customer Implementation Executive?

Important skills include demonstrated experience in managing complex projects, strong interpersonal skills (persuasion and negotiation), the ability to influence operational management, understanding healthcare insurance products, and expertise in billing and claims administration.

Can the Customer Implementation Executive work remotely?

Yes, the role supports a hybrid work model where associates work in the office three days a week (Tuesday, Wednesday, and Thursday) and remotely two days a week (Monday and Friday). However, work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.

What types of communication responsibilities does the Customer Implementation Executive have?

The Executive is responsible for creating and executing an implementation communication plan for customers and stakeholders, which includes effective communication with customers, technical systems associates, sales and marketing teams, and any business areas involved in the customer implementation process.

Does Independence Blue Cross have any policies regarding equal opportunity employment?

Yes, Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer, and all qualified applicants will receive consideration for employment regardless of age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.

What technologies or tools should a candidate be familiar with for this position?

Candidates should have an understanding of systems related to health plan operations, particularly with Optum RX Claim and operational activities, and should be proficient with Microsoft tools, including the use of Microsoft Authenticator on compatible Android or iOS devices.

Finance
Industry
5001-10,000
Employees
1938
Founded Year

Mission & Purpose

Independence Blue Cross is the leading health insurance organization in southeastern Pennsylvania. For 85 years, we have been enhancing the health and well-being of the people and communities we serve. We deliver innovative and competitively priced health care products and services; pioneer new ways to reward doctors, hospitals, and other health care professionals for coordinated, quality care; and support programs and events that promote wellness.