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IMPLEMENTATION SPECIALIST - CONTRACT (HYBRID)

Green Shield Canada
$90,157 - $114,159 a year
Calgary, Alberta
Contract
3 weeks ago

WHO WE ARE
When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.

We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place.
We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.

Our mission is to create better health for all Canadians, and we know that starts with our employees.

THE ROLE IN A NUTSHELL


GreenShield Administration is a business unit within GSC and is more than a pharmacy benefits manager, it is a health benefits manager. With offices in Quebec and Ontario, GreenShield Admin provides customized white-label solutions that support drug, dental and extended health benefits for group benefits carriers, third-party payors, and government organizations across Canada.

GreenShield Administration is built on a foundation of proven technology, seamless branding, innovative claim management and administration capabilities, collaborative provider management, and solid industry expertise. They recognize that each client is unique and requires a business solution tailored to their needs.

This position reports to the Manager, Implementation Services; working closely with the PMO Manager, Enterprise Onboarding.

  • As a key business representative and GSA champion, you will support the on-boarding activities of our new Partners, closely collaborating with other areas within the Enterprise and provide ongoing support during post go live warranty phase; includes engagement to ensure a smooth transition to Operational Teams post launch.
  • Manage implementations for new Adjudication partners focusing on setting up their benefit plans on Advantage (rules-based system); includes but not limited to - building full plans (policy, billing division, offerings), billings components and analysis of all rules that govern adjudication.
  • Host meetings, lead workshops and gather the necessary business and technical requirements from our Partner’s stakeholders to launch their business; includes documenting all decision and action items as it relates to plan builds.
  • Work with other areas within the enterprise to ensure our partners’ interests are represented in our evolving products and services while sharing your insights and perspectives. (GreenShield Offering – GSO changes).
  • Manage communication and directions with our IT team(s) to ensure there is a clear understanding of our Partners’ business requirements and needs.
  • Support the building of implementation plans and adhering to timelines in order to ensure projects are on-time and on- budget, working closely and supporting Project Managers/Training Specialist with ongoing updates.
  • Forge strong and effective relationships with our new Partners.
  • Maintains knowledge of GSC business processes and best practices to support change management activities by the partner.
  • Work with internal and external stakeholders to develop test case scenarios for user acceptance testing as required; includes support of claims processing parrellism activities.
  • Analyze system issues raised by our Partners and see them through to resolution, ensuring a proactive approach; working closely with our technical support team to resolve production issues.
  • Look for opportunities to identify process and/or technology gaps and risks.
  • Develop a deep understanding of the Health Benefits and claims processing business landscape by working closely your team, our Partners, and others within the Enterprise.
  • Participate in various demos and presentations to prospective new partners as required; includes demo readiness activities and aligning scenarios and system set up in our WEBDEMO environments.
  • Some overnight travel will be required to destinations within Canada.

WHO WE'RE LOOKING FOR
  • Minimum of 3 years of experience in benefits and / or related industries. Previous experience working for an insurance carrier or Third Party Administrator/Payor would be an asset.
  • A committed individual who embraces learning, teamwork and working in a dynamic environment that focuses on delighting our Partners.
  • University degree or college diploma in Business and/or Computer Science Degree and/or related discipline.
  • Experience with health benefits and/or claims administration is desirable but not required.
  • An analytical mindset and the ability to navigate ambiguity, resolve confusion and be able to simplify complex situations for others.
  • Experience gathering user requirements; including use case mapping, experience with business workflows and data modeling would be an asset.
  • A proven track record of meeting objectives and project milestones.
  • Expert level user of Excel, Word, PowerPoint and Visio.
  • Highly organized and able to balance multiple activities and initiatives in a fast-paced environment.
  • Exceptional customer service focus with a commitment to deliver exceptional outcomes and superior customer service.
  • Desire to be part of a vibrant team, have fun and most importantly contribute to and celebrate success.

NICE TO HAVE

  • Demonstrates fluent oral and written communication skills in French and English.

THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded.

Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.

We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.

Here’s to Better Health for All!

A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.

GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through [email protected]. Information received relating to accommodation will be addressed confidentially.

Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).

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