Government Programs Consultant

Capital Blue Cross

Government Programs Consultant overseeing the implementation of health insurance products and benefit enhancements. Supporting operational workflows and ensuring compliance with regulations in the health insurance sector.

Posted 4/16/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesMid-LevelSenior💰 $63,350 - $119,390 per yearWebsite

About the role

Key responsibilities & impact

Support the overall success of the Government Programs (GP) Division
Support the implementation of new products and benefit enhancements of existing products
Responsible for planning, developing and improving operational workflows
Lead implementation cycles, updating/tracking annual timelines
Provide oversight of operational support systems in support of GP performance goals
Ensure compliance accuracy and ensure products meet requirements/expectations of external and internal customers
Development and oversight of implementation activities from CMS and state application and regulatory filings through product launch and the entire product life cycle
Manage cross-segment projects and initiatives that require problem solving, relationship building, influencing and analyzing
Partner with various departments to ensure effective product offerings meet the division's strategic priorities

Requirements

What you’ll need

Minimum 3-5 years' experience in health insurance organization managing benefits, pricing, and the operational systems that support them
Knowledge and understanding of Medicare regulations preferred
Proven successful experience leading complex projects, preferably in Government Programs products
Effective communication skills and strong skills with common PC software applications (i.e. Microsoft Office) required
Excellent analytical and organizational skills required
Previous experience with the development of project plans and timelines,
Ability to build successful collaborative business relationships and partner with large cross-functional teams on new product implementations and changes
Excellent presentation skills required including presentation development, product training, process improvements, and developing policies & procedures
Experience using effective problem solving and decision-making techniques to develop recommendations and present to management/stakeholders
Position requires strong attention to detail and high level of accuracy.

Benefits

Comp & perks

Medical, Dental & Vision coverage
Retirement Plan
Generous time off including Paid Time Off
Holidays
Volunteer time off
Incentive Plan
Tuition Reimbursement
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

project managementoperational workflowsproduct developmentregulatory compliancebenefit enhancementsdata analysistimeline managementproblem solvingdecision-makingpresentation development

Soft Skills

effective communicationanalytical skillsorganizational skillsrelationship buildingcollaborationinfluencingattention to detailaccuracypresentation skillsprocess improvement