Product Benefit Manager, Consumer *Remote*

Portland, OR, United States

Job 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, Consumer who will:

Be accountable for Providence Health Plan's detailed benefit management supporting the consumer lines of business

Be responsible to support detailed benefits requirements and deliverables for the full life cycle of the Medicare product portfolio including but not limited to: Benefit scenario analysis

Operational impact analysis

Business decision documentation

Develop and maintain product data source of truth

Clearly defining product requirements

Prepare benefit plan documentation to support regulatory filing

Develop and support the annual materials process and Medicare product-life cycle deliverables by phase

Be responsible for a highly detailed understanding and expertise of PHP Medicare benefits across the portfolio

Provide support and thought partnership to all stakeholders and team members supporting the successful annual life cycle and delivery of the Medicare portfolio

Maintain effective and efficient working relationships with relevant teams and functions, including the Consumer Product and Marketing, Sales, Operations, Business Delivery, Finance, and Compliance

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

Essential Functions: Clear understanding of new regulations and how regulations affect benefits

Conduct detailed scenario analysis for Medicare portfolio planning including benefits that cross lines of business

Provide detailed benefit categorization and alignment for bid submission

Support MPD audit and review

Provide benefit support for material development, review and publication

Manage annual benefit change control process

Support benefit management in relation to regulatory mandates, competitive environments, risk management, price impact, medical policy and operational feasibility

Support training process and materials creation regarding Medicare benefits

Develop business decision documentation and tracking process related to benefits administration

Maintain functional working relationships with vendors to complete deliverables for the Medicare product annual life cycle

Required qualifications for this position include: Bachelor's Degree in Business or Healthcare Administration -OR- a combination of equivalent education and experience

5+ years of experience working with benefits in a fast-paced Medicare product annual life-cycle capacity

Preferred qualifications for this position include: 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 Us

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.