Account Implementation Consultant

Jan 21 2023
Category: Healthcare
Job Description

Job Summary

 

 **Hybrid Work Environment - Must reside in Hawaii **

The Account Implementation Consultant (AIC) is responsible for identifying and proactively resolve complex enrollment, eligibility and billing issues/inquiries across multiple Programs to prevent adverse customer impacts or experience. Analyze business problems and performance results for designated groups and implement recommended improvements.

The AICs also plans, coordinates and manages implementation activities to ready operations and systems for simple group-initiated changes and transition to an electronic enrollment and/or online billing platforms.

 

Minimum Qualifications

  1. Bachelor's degree and two years of related work experience; or equivalent combination of education and related work experience.
  2. Effective verbal and written communication skills.
  3. Demonstrated knowledge in identifying and resolving issues, collecting data, and analyzing and interpreting information.
  4. Demonstrated knowledge in planning, coordinating, and managing projects.
  5. Basic working knowledge of Microsoft Office applications including but not limited to Word, Outlook/Email, Excel, and PowerPoint.

 

Duties and Responsibilities

  1. Develop a plan and manage the "onboarding" and implementation of the system for designated customers, serving as a liaison with internal and external customers to move them onto an electronic platform. Work with large and/or complex accounts or their designated Third Party Administrators to negotiate enrollment requirements and standards.
  2. Coordinate open enrollment dates and benefit changes with other units, departments and vendor partners to ensure that operations and systems are ready to support open enrollment activities, TPA changes, and/or employer group buyouts/mergers.
  3. Analyze business problems and performance results of the employers and recommend controls and/or procedural changes to ensure quality and performance standards are met. Work with other units and/or departments to implement procedures that will meet corporate, BCBSA and employer group performance levels.
  4. Reports and analyzes data for use in management planning, budgeting, and decision-making.
  5. Performs all other miscellaneous responsibilities and duties as assigned or directed.

 

 

**For more information and to apply, please visit www.hmsa.com/careers**

 

 

Equal Opportunity Employer - Minorities/Women/Protected Veterans/Disabled