Support new product or benefit development, implementation, and testing efforts. Work closely with the Product and Benefits Administration System teams as well as stakeholders within the region and nationally, regarding impact of new benefit and system administration. Supports national communities of practice and committees to ensure accurate benefit policies and interpretation. Participate issues, weigh practical considerations in addressing issues, and seek input from Products, Sales and Marketing and other partners to resolve. Support testing coordination including end to end testing of systems updates to facilitate product and benefit administration. Stands by decisions that benefit members even if they are unpopular or impact short term. Maintain project plans and prepare reports utilizing a variety of computer applications to ensure deadlines are achieved.
Essential Functions:
- Coach, oversee, and direct a staff of three in appropriate and effective product administration assessment, maintenance, and interpretations.
- Lead, organize, or staff regional (or national) committee's to assess new benefits, policies, or legislation i.e. Interregional Benefit Design Group (IBDG); Regional Benefits Committee (RBC).
- Ensure department provides RFP (Request for Proposal) and RFI (Request for Information) support for benefit related questions.
- Provide support to the Product team on new product portfolio and benefit exception process with HPSA (Health Plan Services Administration), Care Delivery, NWP, and other downstream system partners to ensure appropriate system administration and configuration.
- Provide quality review and coordination to ensure accuracy of communications regarding benefits (e.g. member collateral; benefit summaries).
- Prepare, maintain, and present customized benefit training presentations in partnership with Products team to internal and external customers.
- Oversee, monitor, and manage the benefit content of website tools including Benefit & Eligibility Administration Manual (BEAM).
- Act as main resource for regional, national and external stakeholders for benefit related inquiries, research, analysis of benefit designs, and policy development.
- Ensure that various internal departments are educated on benefit system changes and new product offerings that affect multiple functional areas.
- Update project plans and prepare reports utilizing a variety of computer applications.
- Perform other duties as requested.
Qualifications:
Basic Qualifications:
- Three (3) or more years of progressively responsible leadership or management work in a health insurance/health care field with demonstrated ability to communicate effectively (written and oral).
- Experience working within a mainframe environment
- Work experience that demonstrates increased responsibility, initiative and excellent organizational skills.
- College degree in Business Administration, Communication, Marketing, or a related field and/or equivalent combination of education and experience.
- Working knowledge of PC and mainframe computer systems.
- Thorough knowledge of health care issues, health insurance industry.
- Excellent oral and written communication skills including ability to communicate technical information to non-technical people.
- Ability to manage multiple work priorities and requests from various staff.
- Must demonstrate initiative and excellent problem solving skills.
- Proven ability to work independently, communicate effectively, and to manage multiple tasks.
- Strong ability to effectively manage several projects at once.
- Demonstrated ability to work in teams and participate in team sponsored initiatives.
- Develop solutions to complex problems in a timely, accurate manner.
- Use PC and/or mainframe computer systems and software.
Preferred Qualifications:
- Three (3) or more years of experience in the health insurance/health care field with demonstrated ability to communicate effectively (written and oral) preferred.
- Proven fluency and experience with common software programs (MS Word, Excel, PowerPoint, etc.) and website development/management preferred.
- Bachelor's degree in Business Administration, Communication, Marketing, or a related field and/or equivalent experience in the health care field preferred.
- Working knowledge of health insurance/health care products (preferably managed care) preferred.
- Knowledge of Internet-related technologies preferred.
- Excellent oral and written communication skills including ability to communicate technical information to non-technical people preferred.
- Excellent project management skills preferred.
- Excellent ability to effectively manage several projects at once preferred.
- Must demonstrate initiative and excellent problem solving skills preferred.
- Proven ability to work independently, communicate effectively, and to manage multiple tasks preferred.
- Familiarity with Kaiser Permanente operations and planning processes preferred.
- Supports SOX activities and guidelines preferred.
- System and user acceptance testing preferred.
- Benefit System maintenance preferred.
Salary Range:
$81,100 - $111,100
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.