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.

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:

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

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.

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.

Check out our benefits page for more information about our Benefits and Rewards.

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: 289859
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
Pay Range: $41.71 - $66.03
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.
Check out our benefits page for more information about our Benefits and Rewards.

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