Benefit Development Specialist II
Hybrid role (3 days/week in office) at our Boise, ID, Portland, OR, Renton, WA, Salt Lake City, UT or Fargo, ND offices. Candidates must reside within commutable distance of that location or be willing to relocate.
Qualifications
- 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
Skills and Attributes- Broad knowledge of the health insurance industry, including benefit design, market demands, and compliance requirements
- Extensive knowledge of benefit regulations at both the Cambia service area and federal levels
- Demonstrated 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, including the ability to interpret statistical data and communicate findings clearly
- Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
- Excellent written and verbal communication skills, with the ability to engage effectively at all levels of management; strong presentation skills required
- Demonstrated ability to organize, prioritize, and manage workload effectively while adapting to shifting priorities
- Proven ability to lead and mentor team members in a fast-paced environment to achieve departmental goals and objectives
- Demonstrated ability to collaborate effectively across all levels of the organization.
What You Will Do at Cambia- Lead ongoing benefit development activities, including auditing complex benefit contracts and overseeing benefit change proposals to ensure compliance with state and federal laws
- Track, analyze, and present regulatory updates to the Product Platform Team, and respond to inquiries from regulators regarding benefit design and compliance
- Partner with cross-functional teams - including Product Development, Sales, Actuarial, and Marketing Communications - to implement, communicate, and monitor benefit-related activities
- Lead the Medicare benefit design bid submission process to CMS for the Medicare PPO line of business, including competitive research and benefit analysis
- Analyze competitive benefit trends and communicate strategic implications to internal management to help drive the product development process
- Prepare and deliver benefit presentations and training to internal and external audiences, and respond to RFP/RFI proposals regarding benefit information and design
- As a member of our strong leadership community, provide direction to your team, engage them towards common goals, and create a positive experience that helps people flourish
Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure/certifications; and performance history.
Oregon, Washington, Utah, and Idaho: The expected hiring range is $76,500-103,500, the full salary range is $72,000-117,000 and the bonus target is 10%.
North Dakota: The expected hiring range is $65,986-89,276 and the full salary range is $59,716- 95,546.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.
