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
