Commercial Benefits Manager

Description

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.

This position is accountable for Providence Health Plan's detailed benefits management supporting the Commercial lines of business. The Commercial Benefits Manager is responsible to support detailed benefits requirements and deliverables for the full life cycle of the Commercial product portfolio: including benefit scenario analysis ensuring all products meet the appropriate actuarial value requirements, operational impact analysis, business decision documentation development, developing and maintaining the master product documents, submitting the medical portion of the QHP filings, creating and distributing the benefit summaries and related documentation and auditing benefit information internally and externally to ensure benefits are accurately represented across all channels.

Providence Health Plan welcomes 100% remote work for applicants who reside in one of the following States:

• Washington
• Oregon
• California

Please note the following important detail regarding this role:

• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Portland, Oregon

Required qualifications:

• Bachelor's Degree in Business or Healthcare Administration -OR- a combination of equivalent education and 5 years of relevant work experience
• Experience supporting scenario and impact analysis in support of annual strategic benefit planning and change impact
• Experience with product portfolio and annual life-cycle process in the healthcare industry
• Experience working in an environment with shifting priorities requiring flexibility and the ability to prioritize work
• Experience working with QHP products and filings
• Proven experience working with teams and staff of various capacities, approach and work-styles
• Proven effective meeting facilitation experience
• Experience working with Facets

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.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 342241

Company: Providence Jobs

Job Category: Member Services Enrollment & Billing

Job Function: Health Plans Services

Job Schedule: Full time

Job Shift: Day

Career Track: Business Professional

Department: 5018 PRODUCT DEVELOP AND MARKETING OR REGION

Address: OR Portland 4400 NE Halsey St

Work Location: Providence Office Park Portland Bldg 1-Portland

Workplace Type: Remote

Pay Range: $42.55 - $66.06

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.