Providence Health & Services Portland , OR 97228
Posted 5 days ago
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Product Benefits Manager who will:
Be accountable for Providence Health Plan's detailed benefits management in support of commercial lines of business
Be responsible to support:
Detailed benefits and customization requirements and deliverables for the full life cycle of the product portfolio including but not limited to:
Benefit scenario analysis
Operational impact analysis
Business decision documentation development
Develop and maintain product data source of truth
Clearly defining product requirements
Prepare benefit plan documentation to support regulatory filing
Create and distribute the benefit summaries and related documentation
Audit benefit information internally and externally to ensure benefits are accurately represented across all channels
Be responsible for a highly detailed understanding and expertise of commercial lines of business
Provide support and thought-partnership to all stakeholders and team members supporting the successful annual life-cycle and delivery of the portfolios as well as group specific requests
Maintain effective and efficient working relationships with relevant teams and functions, including the Product and Marketing, Sales, Operations, Business Delivery, Finance, and Compliance
Essential Functions:
Clear understanding of new regulations and how regulations affect benefits
Support product team in competitive research and analysis projects
Provide detail-level benefit support for claims analysis and pricing cycle
Provide detailed benefit assessment of group specific requests and customizations
Manage the customization guidelines
Support benefits management in relation to regulatory mandates, competitive environments, risk management, price impact and medical policy
Support training process and materials creation
Develop business decision documentation and tracking process related to benefits administration
Maintain functional working relationships with vendors to complete deliverables
Provide detailed benefit support for material development, review and publication
Please note the following important detail regarding this role:
Providence welcomes 100% remote work for residents who reside in the following States:
Washington
Oregon
California
Required qualifications for this position include:
Bachelor's Degree in Business or Healthcare Administration -OR- a combination of equivalent education and experience
Proven experience working with teams and staff of various capacities, approach and work-styles
Proven effective meeting facilitation experience
Experience working in an environment with shifting priorities requiring flexibility and the ability to prioritize work
Experience supporting scenario and impact analysis in support of annual strategic benefit planning and change impact
Experience working with compliant standard and custom benefit plans
Experience working with Facets
Experience with product portfolio and annual life-cycle process in the healthcare industry
Why Join Providence Health Plan?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Providence Health & Services