El Dorado Hills or Long Beach or Lodi or Oakland or Rancho Cordova or Redding or San Diego or Woodland Hills Hybrid Employment USD 102,700 - 173,800 Yearly

Blue Shield of California is hiring a Product Insights and Reporting

About the Role

Blue Shield of California Group is hiring a Product Insights and Reporting specialist to own and manage transactional print vendor operations for our Integrated Output Solutions team. You will be responsible for all aspects of production and vendor health, ensuring reliable delivery of critical documents.

What You'll Do

  • Manage daily output vendor operational performance as a product, including project backlog, SLA monitoring, incident and compliance metrics, and acting as a liaison between stakeholders and vendor.
  • Represent vendor’s business process and technical output requirements to stakeholders, guide project requirements, and track/triage file failures and production incidents.
  • Own vendor metrics and work confidently in Excel and Tableau to create MBR/QBR/KPI material to highlight vendor outcomes, performance, and support all invoicing and budget activities.
  • Proactively identify situational needs, regularly manage up 1 to 2 levels, and drive work, including self-identification of what is urgent and acting on that urgency.
  • Learn the details of your vendor’s contract and ensure vendor management is aligned. Initiate and manage contract amendments with GBS in support of stakeholder needs.
  • Work very closely with output types such as EOBs, Checks, Bills, and letter systems such as MHK, Care Connect, and Smartcomms.
  • Facilitate process mapping sessions and participate in transformation sessions to help the team transform to a best-in-class output management vendor.
  • Work fluently in Jira, creating epics, stories, and tasks to accurately and timely reflect your work.
  • Manage different transactional print vendors, initially assigned to Broadridge, while cross-training on other vendors.

What We're Looking For

  • Requires a bachelor’s degree or equivalent experience.
  • Requires at least 5 years of prior relevant experience.
  • Expertise in managing transactional printed output (metadata file + source docs).
  • Knowledge of document transfer methodologies, such as IP Switch, SFTP, API, Sterling, MQMFT.
  • Proven track record to work cross-functionally with operations and technology teams.
  • Highly skilled in incident analysis, corrective action and resolution.
  • Experience with agile methodologies, Jira, Grid, Confluence, and enterprise reporting systems.

Nice to Have

  • Preference to a candidate who can explain sweep times, read XML and JSON file formats, and articulate differences between AFP and various types of PDF files.
  • Preference for experience with EOBs, Checks, Bills, and Letter Systems such as SmartComms, MHK, Care Connect.
  • Experience with Smart Communications, Salesforce and Pega platforms preferred.

Technical Stack

  • Analytics & Reporting: Excel, Tableau
  • Project Management: Jira, Grid, Confluence
  • File Formats: XML, JSON, AFP, PDF
  • Transfer Protocols: IP Switch, SFTP, API, Sterling, MQMFT
  • Systems: Smart Communications, Salesforce, Pega

Team & Environment

You will be part of the Integrated Output Solutions team, working closely with vendors and internal stakeholders to ensure seamless document production.

Work Mode

This role follows a hybrid work model.

All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Required Skills
ExcelTableauJiraConfluenceXMLJSONAFPPDFIP SwitchSFTPAPISterlingMQMFTReportingData Analysis
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About company
Blue Shield of California

Blue Shield of California is a nonprofit health plan focused on creating a healthcare system worthy of our family and friends and sustainably affordable. It is part of the Ascendiun Family of Companies, which includes Blue Shield of California Promise Health Plan, Altais, and Stellarus.

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Job Details
Department Data and Analytics
Category data
Posted 14 days ago