The Program Manager -- Healthcare is responsible for supporting the Healthcare & Disability Leadership by managing multiple initiatives, analyzing health care data and proposals, participating in the collective bargaining process and assisting with vendor management. The specific duties include management and oversight of FCA's fully-insured medical, dental and vision programs and the Employer Group Waiver Plan (EGWP) pharmacy plan.
The successful candidate will also:
Work with external counsel and benefit actuaries to analyze new offerings and ensure compliance with applicable laws
Negotiate annual rate renewals with vendors and oversee/direct the development of annual Cash Pay and COBRA premium rates
Help prepare bid specifications, analyze proposals and renewal information for assigned programs
Interpret insurance carrier contracts and ensure fulfillment
Research current benefit trends and regulatory/legislated requirements and recommend programs/changes
Analyze health care data, benchmark competitors and uncover best practices as input to the department's strategic planning and evaluation
Perform other duties as assigned
This role will partner with internal and external stakeholders of the health care, wellness, pharmacy and disability teams as part of a high performing organization and culture. Good judgment and decisiveness are necessary while working knowledge of healthcare management and demonstrate a personal commitment to professional growth.
Minimum 5 years of experience in benefits, benefits finance or clinical program management
Working knowledge of health plans such as medical, dental, pharmacy, vision, etc.
Direct or indirect experience with vendor management, specifically with healthcare insurers
Experience with benefit data warehouse reporting and benefit plan modeling
Organizational and leadership skills, goal driven and ability to multi-task
Ability to think strategically
Strong networking and collaborative skills
Excellent verbal and written communication skills and presentation skills
Highly proficient in Microsoft Office tools and G Suite
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