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Benefit Development Specialist II/III
Cambia Health Solutions. Analyze, develop, and monitor health benefit offerings .
About the role
Key responsibilities & impact- Analyze, develop, and monitor health benefit offerings
- Lead ongoing benefit development activities, including auditing complex benefit contracts
- Oversee benefit change proposals to ensure compliance with state and federal laws
- Track, analyze, and present regulatory updates to the Product Platform Team
- Respond to regulator inquiries regarding benefit design and compliance
- Partner with Product Development, Sales, Actuarial, and Marketing Communications teams
- Implement, communicate, and monitor benefit-related activities
- Lead Medicare PPO benefit design bid submissions to CMS
- Conduct competitive research and benefit analysis
- Analyze competitive benefit trends and communicate strategic implications to management
- Prepare and deliver benefit presentations and training to internal and external audiences
- Respond to RFP/RFI proposals regarding benefit information and design
- Provide direction to the team, engage team members toward common goals, and foster a positive team experience
Requirements
What you’ll need- Bachelor's degree in Business, Healthcare, or a related field, plus a minimum of five years of experience in benefit administration, project coordination, or an equivalent combination of education and experience
- Broad knowledge of the health insurance industry, including benefit design, market demands, and compliance requirements
- Extensive knowledge of benefit regulations at Cambia service-area and federal levels
- Ability to think analytically, gather benefit information from diverse sources, and deliver in-depth analysis and actionable recommendations
- Experience in report preparation, project documentation, or policy and procedure writing
- Ability to interpret statistical data and communicate findings clearly
- Experience with AI tools and technologies highly desired
- Excellent written and verbal communication skills
- Strong presentation skills
- Ability to organize, prioritize, and manage workload while adapting to shifting priorities
- Ability to lead and mentor team members in a fast-paced environment
- Ability to collaborate effectively across all levels of the organization
- Must reside within commutable distance of the selected office or be willing to relocate
- Background check required
- Personal mobile device required for MFA setup
- Wired internet connection required for work-from-home options, with minimum 5 Mbps upload and 10 Mbps download speeds
Benefits
Comp & perks- Competitive salary
- Bonus opportunities; 10% bonus target for Oregon, Washington, Utah, and Idaho roles
- Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
- Annual employer contribution to a health savings account
- Generous paid time off varying by role and tenure
- 10 company-paid holidays
- 401(k) retirement plan with significant company match
- Potential discretionary retirement contribution based on company performance, with no vesting period
- Up to 12 weeks of paid parental time off after 12 months of continuous service
- Award-winning wellness programs that reward participation
- Employee Assistance Fund
- Commute and parking benefits
- Work from home options for most roles
- Employee resource groups
- Community outreach opportunities
- Wired internet requirement for work-from-home arrangements
- Personal mobile device support for required MFA setup