Independence Blue Cross · 9 hours ago
Specialty Services Product Implementation & Operations Manager
Philadelphia, PA
Full-time
Hybrid
Senior Level, Lead/Staff
8+ years expIndependence Blue Cross is seeking a Specialty Services Product Implementation & Operations Manager to manage key initiatives for their Dental and Vision lines of business. The role involves leading product launches, operational strategy, and ensuring compliance with benefit configurations through effective communication with vendor-partners.
Health CareHealth InsuranceInsuranceMedical
Responsibilities
Leading the implementation of product launches, enhancements, and maintenance for product offerings in the Large Group (non-Affordable Care Act) segments within the Independence Blue Cross Family of Companies ("IBX FOC")
Manage operational strategy, including process improvement, identification and implementation of platform investments
Manage annual audits on benefit configuration and administration to ensure plan IDs and benefits are setup correctly with our Dental and Vision vendors, Benefit highlight, etc
Communicate with our external vendor-partners for successful dental and vision product delivery and response to audit needs
Represent Specialty Services Dental & Vision with various departments across the Independence Blue Cross Family of Companies ("IBX FOC") including Sales, Client Setup, BTS, Customer Service, Product Admin, and others
Identify operational inefficiencies and issues and perform root cause analysis, leading stakeholders including IHG operations departments (i.e., Client Set Up, BTS, Customer Service, Product Operations, etc.), and vendor-partners
Develop and recommend solutions, leading solution implementation across the IBX FOC and with external vendors
Identify investment opportunities including platform enhancements and lead the process to secure funding
Monitor cost, schedule, risk, compliance and technical/process performance of component projects and operations, while working to ensure the ultimate success of the program
Project manage the filing and implementation process
Provide support with the evaluations of product lines and recommend improvement in benefit design, and product administration
Recommend process for cross functional implementation to support new or modified products
Manage and maintain Product Configurator Models and Benefit Highlights. Responsible for working with Product Admin to get all large group vision and dental plans keyed into Product Configurator
Lead relationship with Legal and providing subject matter expertise for development of accurate filings, assess whether filings are accurate, approve and provide final sign-off from Specialty Product department of filings
Lead relationship and communication with vendor/partners to ensure accurate plan administration
Provide secondary project management support and backfill support for Consumer and Small group operational support
Lead internal and external audit requests which includes working with corporate audit departments to understand requirements, communicate requirements to vendor/partners, and coordinating with vendor/partners to obtain and QA needed data
Qualification
Required
Bachelor's degree or equivalent work experience in analytical major
8+ years' work experience in areas such as benefits administration and health care management, or analytical field
Demonstrated experience working on a fast-paced, deadline driven team
Excellent communication and socialization skills
Excellent interpersonal skills, to include influencing others and negotiation
Experience in innovative problem solving
Strong relationship building skills
Problem-solver and self-starter
Strong attention to detail
Passion and energy for driving and supporting change
Ability to coordinate multiple and varied initiatives and activities simultaneously
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
Company
Independence Blue Cross
The leading health insurer in southeastern Pennsylvania. It is a sub-organization of Independence Blue Cross.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Alexandra Jorgensen
Senior Vice President Human Resources
Joe Geist
SVP & Market President, National
Recent News
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2026-01-14
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