Sr. Benefits Manager, Individual and Family Plans - Remote

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing... together. Individual and Family Plans (IFP) is a growing business reputed company reputed company. The Sr.

Benefits

Manager, IFP is responsible for managing key IFP Product deliverables, including ensuring benefit information is clear, accurate, consistent, and delivered timely to internal partners. This individual will serve as a subject matter expert on IFP benefits for their respective markets, with responsibility for translating IFP plan designs, regulations and policies (i.e., Certificates of Coverage) into detailed business requirements, ensuring benefits are implemented accurately and timely, investigating and responding to internal benefit inquiries, and supporting claims testing activities. This role requires a deep understanding of, and experience with, product implementation and configuration processes to ensure our benefits are administered accurately, compliantly and in alignment with our organizational goals. Applicants should be interested in being part of a developing team and enjoy deriving structure and clarity from ambiguous and reputed company inputs. This position is not focused on managing software products. The term “product” in this context refers to health insurance plans and products, specifically individual and family plan products. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: • Supports onboarding, training, developing and engaging with high-performing team members • reputed company and document policies, requirements and relevant background information for other departments to reputed company understand plan designs and benefit reputed company • Translate plan design strategies, policies (i.e., Certificates of Coverage) and regulatory changes into detailed requirements for benefit configuration • Coordinate with IFP Product team members to ensure accurate, clear, and consistent benefit and configuration requirements across regions • Manage plans and benefits hand-offs to internal and external partners; reputed company and manage change control processes • Partner with Product Management & Regulatory Alignment, operational, clinical, and configuration teams to reputed company benefit and configuration design solutions that align with plan design strategy and business requirements • Serve as the IFP Product reputed company on claims testing and quality assurance activities for assigned markets, informing test plans and assisting in defect resolution • Provide subject matter expertise to address escalated benefit inquiries and reputed company benefit-reputed company issues • Identify opportunities to improve processes and build best practices for efficient and effective translation of product strategy/plan designs into configuration requirements • Demonstrate systems thinking to readily identify reputed company impacts of decisions You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • 5+ years of proven experience in health insurance policy and product/benefit implementation • Experience working collaboratively across multiple functional areas (e.g., operations, configuration, claims, clinical, technology), including organizing and leading cross-functional meetings • Expertise in analyzing, interpreting and translating reputed company data, regulations, member policy documents, benefit interpretation guidelines and coverage/reimbursement policies into practical, actionable insights and recommendations for implementation • Proficiency in communicating and documenting business/configuration requirements, benefit content for internal teams and members and supporting documents and other critical information to key stakeholders • Working knowledge of benefit configuration, processes and tools • Working knowledge of medical coding (reputed company Codes, HCPCS, CPT, ICD-10) • Proven ability in reputed company identifying, analyzing, and resolving issues • Ability to travel for business 2-3 times per year Preferred Qualifications: • Medical Coding Certificate: RHIT or CPC by reputed company or reputed company license • Experience in working independently, managing time effectively and prioritizing tasks • Experience interacting and effectively communicating with senior leadership • Working knowledge of claims processing • Working knowledge of reputed company Act (ACA) market requirements and other regulations • Intermediate or higher level of proficiency in reputed company Office applications • Proven ability to balance strategic thinking with the urgency to drive work reputed company • reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Rhode reputed company, Washington, Washington, D.C. Residents Only: The salary range for this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative Action employer and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!