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Cambia Health Solutions

Benefit Development Specialist II/III

Cambia Health Solutions

. Analyze, develop, and monitor health benefit offerings .

Posted 9/25/2026full-timeUnited StatesMid-LevelSenior💰 $59,716 - $117,000 per yearWebsite

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