Group Benefits Manager

Be accountable for Providence Health Plan's detailed benefit management, requirements, design and customizations supporting the Large Group and ASO lines of business.

The Benefit Manager should have a highly detailed understanding and expertise of health insurance products in this line(s) of business, providing support and thought-partnership to all stakeholders and team members supporting the successful annual product development life cycle and delivery of the portfolio.

Responsibilities

Define plan benefits per strategic intent and determine related business requirements for portfolio planning and execution.
Assess impact of medical policy, claims processing, pricing and billing, configuration, etc. on benefit design
Develop and maintain product data source of truth, customization guidelines and business decisions to support organizational process and regulatory requirements
Detailed benefit support for member documentation content development, review and publication.
Preparation of benefit plan documentation to support regulatory filing
Audit benefit information internally and externally (such as member materials, marketing materials and websites) to ensure benefits are accurately represented across all channels
Support the successful annual life cycle and delivery of the portfolios as well as group specific requests.

Requirements

Bachelor’s degree in business or healthcare administration -OR- a combination of equivalent education and experience
Proven experience working with teams and staff of various capacities, approach and work-styles
Proven effective meeting facilitation experience
Experience working in an environment with shifting priorities requiring flexibility and the ability to prioritize work
Experience supporting scenario and impact analysis in support of annual strategic benefit planning and change impact
Experience working with compliant standard and custom benefit plans
Experience working with Facets
Experience with product portfolio and annual life-cycle process in the healthcare industry

CERTIFICATIONS:

Bachelor's Degree in Business or Healthcare Administration