bswift COBRA Practice Leader/Program Manager at bswift

| Chicago
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Job Description
bswift is currently seeking an experienced Practice Leader/Program Manager to join our Practice Leadership team.

The Practice Leadership team is responsible for ensuring that client teams have the knowledge, tools and resources to serve clients well. Taking learnings from every client engagement, they will create and maintain best practice approaches and documentation, evolve processes, and provide input to the product management function, while driving innovation, process improvement and knowledge management throughout client services. In other words, creating and maintaining “institutional knowledge.”

This role will lead projects across the bswift enterprise to further key Practice Leadership initiatives, with a specific focus on COBRA and Direct Bill Implementation and Ongoing Management.    

• Lead and manage COBRA and Direct Bill projects across a variety of teams throughout the bswift enterprise. Responsible for project management, project execution and governance.
• Maintain documentation, products and services as requirements change each year or as often as needed (this includes best practice documentation, playbooks, benefit class matrix, requirements document, rates, permissions, field options, site text, playbooks, project plans, etc.)
• Serve as a system expert by helping to manage and provide technical guidance during client/vendor implementations; manage ongoing maintenance/updates to client/vendor plans and materials; audit and test plans and materials.
• Create and/or assist with creation of bswift or department specific process and training documentation
• Conduct billing reconciliation when applicable
• Assist in business development, sales, and marketing activities
• Assist client(s) in the setup and maintenance of vendor files (electronic data integration)
• Communicate clearly with clients, carriers, vendors, third parties and co-workers in a pleasant, professional manner with a can-do attitude; keep emotions under control
• Coach and mentor team members, including vendor teams, internal bswift resources; may also mentor new hires to assist with onboarding and training
• Lead a team to coordinate with other bswift resources (product management, development, call center) to meet client/bswift/vendor deliverables
• Seeking global solutions that will help deliver a seamless best practice solution across the organization
• Creating and maintaining documentation
• Configuring system as needed for annual benefit program changes/acquisitions
• Executing on non-automated service delivery processes to satisfy scope requirements
• Researching and resolving vendor/client inquiries regarding system and process issues
• Training vendors/clients/co-workers on new and existing system features and services (prepare and conduct technical/product presentations and demo’s as required)
• Testing new and existing system functionality to ensure accuracy of system configuration
• Provide resolution of vendor/client/bswift issues by responding to questions and concerns about the use of bswift products; ability to leverage research to find resolution
• Maintain thorough understanding of all internal systems to respond to general and specialized vendor/client requests
• Triage tickets and/or questions (email and voicemail) within 24 hours; maintaining ownership from initial customer contact to call resolution which includes supporting escalations if appropriate and providing customer updates
• Look for and help drive continuous process improvements/efficiencies by maintaining a thorough understanding of all internal systems
• Work closely with one, or more, SVPs/VPs/Directors to provide outstanding support during implementation and/or ongoing service in a timely fashion
• Lead and create agendas for client meetings
• Responsible for special projects as assigned

Required Qualifications
• Bachelor's degree (B. A. or B.S) from four-year college or university; and three to five years related experience and/or training; or equivalent combination of education and experience.
• 10 + years of experience in COBRA and/or Direct Billing administration, which includes defining requirements and related processes
• 4+ Years of client/account management and/or bswift Account or Project Manager experience preferred
• Solid Technical background
• Familiar with COBRA regulations and how they relate to benefits administration
• Experience in converting or implementing COBRA and/or Direct Billing Services within benefits administration platform.
• Understands Direct Billing life cycle for COBRA, Leave of Absence, and or retiree members
• Must be proficient with MS Office and Adobe Writer tools – including: MSWord, MS Power Point, and Excel (VLOOKUP, Pivot Tables, Basic Functionality)
• Good written/verbal communication skills and the ability to communicate with both technical and non-technical personnel; ability to listen, clarify and respond well to questions
• Ability to operate and make timely decisions in a sometimes ambiguous and always fast-paced atmosphere
• High level of productivity, reliability, responsibility, attendance, dependability, organization and accuracy/thoroughness
• Must be able to quickly sort through complex subject material
• Strong analytical skill-set and ability to effectively use data for strategy
• Ability to take initiative to meet challenges with resourcefulness and new innovative approaches while maintaining a high level of quality
• Must possess a passion for teamwork, client service and reaching business results through problem solving Desired: Current or previous healthcare exchange/marketplace or carrier experience
• Experience with data auditing
• Experience with EDI

Preferred Qualifications
Please review required qualifications above


Bachelor's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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10 S Riverside Plaza, Suite 1100, Chicago, IL 60606

What are bswift Perks + Benefits

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
A flexible spending account lets you set aside pretax dollars to help pay for certain types of health care and/or dependent care expenses.
Dental Benefits
Choose between a dental maintenance organization plan and preferred provider organization plan. Both cover certain preventive care services at 100%. They also offer coverage for basic services.
Vision Benefits
You can enroll in a separate vision plan. It covers eyeglasses and contact lenses. Preventive vision exams are covered through the Aetna medical plan.
Health Insurance Benefits
You can choose from three types of medical plans: a health savings account, a health reimbursement arrangement or a hybrid health plan. Certain preventive care services are covered at 100 percent when
Life Insurance
All employees get term life insurance and business travel accident insurance at no added cost. You have the option to buy: Supplemental term life insurance Accidental death and personal loss insura
Wellness Programs
Our employee wellness program offers services such as wellness campaigns, weight-management programs and educational seminars.
Onsite Gym
Retirement & Stock Options Benefits
You can save a percentage of your pay in the 401(k) plan, on a pretax and/or Roth after-tax basis. You may participate in the 401(k) plan immediately following your hire.
401(K) Matching
We match a portion of your contribution. You can invest your contributions among various options offered in the plan.
Company Equity
You can purchase Aetna stock at a discount through a payroll deduction. In order to participate, eligible employees must enroll during the enrollment period announced by Aetna.
Vacation & Time Off Benefits
Generous PTO
During your first 3 years at Aetna, you receive the equivalent of 18 days off per year. The longer you work at Aetna, the more time you accrue per month.
Paid Volunteer Time
One of our values is to improve the quality of life in communities through employee volunteerism.
Paid Holidays
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Professional Development Benefits
Job Training & Conferences
Tuition Reimbursement
We encourage professional development. That's why we provide financial support for continuing education. This program covers a portion of tuition and registration fees for a college course.

Additional Perks + Benefits

The following programs, activities, and amenities are available to employees at bswift: complimentary fresh fruit, on-site flu shots, massages during open enrollment season, walking treadmill desk, foosball and ping-pong tables, casual attire, zen room for relaxation and nursing mothers, full week of employee appreciation, and proximity to public transportation • Healthy lifestyle incentive programs - This incentive program is offered to all eligible employees. You can earn up to $500 for healthy eating, physical activity and other healthy behaviors. Family members can also earn incentives • During your first 3 years at bswift, you receive the equivalent of 18 days off per year. The longer you work at bswift, the more time you accrue per month. Company holidays, jury duty, military leave, bereavement and community service time are in addition to your paid time off • You can purchase company stock at a discount through a payroll deduction.

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