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Location

Remote | United States

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Job description

Job Title Group Benefits Manager

Locations: Remote - Portland, Oregon (OR) Washington (OR) California

Fulltime

Industry : Healthcare / Health Services

Job Category : Medical / Health Administration

Large Group Benefits Manager who will:

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

Required qualifications:

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 workstyles

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

experience working with teams and staff of various capacities, approach, and work styles

experience working in an environment with shifting priorities requiring flexibility and the ability

experience supporting scenario and impact analysis in support of annual strategic benefit planning

experience working with compliant standard and custom benefit plan

experience working with product portfolio and annual life-cycle process in the healthcare industry

Thanks and Regards!

Lavkesh Dwivedi

Amtex System Inc.

28 Liberty Street, 6 th Floor | New York, NY - 10005

[email protected]
646-200-7139

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