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Benefits Manager
5 months ago
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 include:
o Define plan benefits per strategic intent and determine related business requirements for portfolio planning and execution.
o Assess impact of medical policy, claims processing, pricing and billing, configuration, etc on benefit design
o Develop and maintain product data source of truth, customization guidelines and business decisions to support organizational process and regulatory requirements
o Detailed benefit support for member documentation content development, review and publication.
o Preparation of benefit plan documentation to support regulatory filing
o Audit benefit information internally and externally (such as member materials, marketing materials and websites) to ensure benefits are accurately represented across all channels
o Support the successful annual life-cycle and delivery of the portfolios as well as group specific requests
-3 years in healthcare insurance either as a Benefits Manager/Benefits Administrator
- If in an Administrator role, must have an interest to take the next step in your career as well as portray previous management of benefit projects/material
* If no healthcare insurance, must have 5+ years' in another insurance setting (home, auto, loan, etc.)
-Proficiency with MS Word and Excel
-Project management skills, exceptional organization, and problem solving skills
-Must have experience working with cross functional teams across different lines of businesses
-Understanding of insurance claims
