remote Full-time

Bank of New Zealand is hiring a Business Project Specialist, Proclaim Benefit Utility - Evernorth - Remote

About the Role

Evernorth Health Services, a division of The Cigna Group, is hiring a Business Project Specialist for the Proclaim Benefit Utility. This role directly supports the Proclaim Plan Automation and QA teams, ensuring process consistency and improving operational performance. You will serve as the key business partner contact for Sales, enterprise project teams, Claims, and other service partners, responsible for timely and accurate benefit automation end-to-end.

What You'll Do

  • Act as Benefits expert for Strategic Product & Service initiatives to maintain operational Service, Productivity & Quality.
  • Develop and share realistic Op Impact Assessments for initiatives with Operational Leads and Project teams.
  • Work with management, technical coaches and training to implement action plans for change/improvement.
  • Ensure workflow consistency among teams and across claim platforms.
  • Recommend process improvements to impact the quality and timeliness of Proclaim Benefits.
  • Develop innovative ideas for driving department results.
  • Serve as a business and technical resource for Tech Coaches and Management.
  • Serve as Benefit Consultant for PBAB, ERC, Claims, Implementation and other service partners.
  • Act as key Proclaim Plan Automation partner to ensure quality & timely templates, BOTs and macro builds.
  • Serve as contact for Production Support for definition and prioritization of system problems and enhancement requests.
  • Perform testing of Plan Automation function changes prior to system releases and sign off on operational performance.
  • Provide clarification on the application of protocols and Standard Operating Procedures.
  • Identify global trends related to Systems and Benefits to Management for action plan development.
  • Actively participate in providing coaching to employees when appropriate.
  • Work with Trainer, front-line managers and QA to identify trends from quality data to develop action plans.
  • Identify best practices for the organization and be responsible for implementation.
  • Participate and/or take leadership role in special projects as requested.
  • Drive specific initiatives with limited Management support.

What We're Looking For

  • High school diploma or GED
  • 3+ years Proclaim Plan Automation experience
  • Proficient knowledge of Plan Specs, ePro, Leg tool, Proclaim Claim System, Access, Word and Excel
  • Knowledge applying project management principles and methodologies
  • Demonstrated business and technical acumen; technical experience in operations including Benefits and Claim
  • Self-starter mindset working autonomously with minimal direction
  • Proven ability to work cross functionally with key stakeholders and business partners
  • Demonstrated proficiency to troubleshoot and problem solve issues
  • Excellent communication (oral and written), presentation, and facilitation skills
  • Proficient using MS Office software
  • Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice to Have

  • Bachelor’s degree

Technical Stack

  • Plan Specs, ePro, Leg tool, Proclaim Claim System, Access, Word, Excel, MS Office

Team & Environment

This role supports the Proclaim Plan Automation and QA teams.

Benefits & Compensation

  • Annual salary range: $75,700 - $126,100
  • Medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year and paid holidays
  • Eligibility to participate in an annual bonus plan

Work Mode

This is a remote position.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Required Skills
Proclaim Claim SystemPlan SpecseProLeg toolAccessExcelMS OfficeProject ManagementBusiness AnalysisRequirements GatheringProcess ImprovementStakeholder ManagementAgile MethodologiesData AnalysisSystems Implementation
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About company
Bank of New Zealand

A bank working to create innovative solutions for New Zealanders.

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Job Details
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Posted 18 days ago