Benefit Development Specialist II

Cambia Health Solutions • Salt Lake, UT

12d • Hybrid

About The Position

Benefit Development Specialist II Hybrid role (3 days/week in office) at our Boise, ID, Portland, OR, Renton, WA, Salt Lake City, UT or Fargo, ND offices. Candidates must reside within commutable distance of that location or be willing to relocate. Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia's dedicated team is living our mission to make health care easier and lives better. As a member of the Product Development team, our Benefit Development Specialists analyze, develop, and monitor health benefit offerings while ensuring compliance with state and federal regulations — all in service of creating a person-focused health care experience. Do you have a deep passion for healthcare policy and benefit design? Do you thrive in a fast-paced environment where your analytical expertise and collaborative spirit drive meaningful outcomes? Then this role may be the perfect fit.

Requirements

• Bachelor's degree in Business, Healthcare, or a related field, plus a minimum of five years of experience in benefit administration, project coordination, or an equivalent combination of education and experience
• Broad knowledge of the health insurance industry, including benefit design, market demands, and compliance requirements
• Extensive knowledge of benefit regulations at both the Cambia service area and federal levels
• Demonstrated ability to think analytically, gather benefit information from diverse sources, and deliver in-depth analysis and actionable recommendations
• Experience in report preparation, project documentation, or policy and procedure writing, including the ability to interpret statistical data and communicate findings clearly
• Excellent written and verbal communication skills, with the ability to engage effectively at all levels of management; strong presentation skills required
• Demonstrated ability to organize, prioritize, and manage workload effectively while adapting to shifting priorities
• Proven ability to lead and mentor team members in a fast-paced environment to achieve departmental goals and objectives
• Demonstrated ability to collaborate effectively across all levels of the organization.

Nice To Haves

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• Lead ongoing benefit development activities, including auditing complex benefit contracts and overseeing benefit change proposals to ensure compliance with state and federal laws
• Track, analyze, and present regulatory updates to the Product Platform Team, and respond to inquiries from regulators regarding benefit design and compliance
• Partner with cross-functional teams — including Product Development, Sales, Actuarial, and Marketing Communications — to implement, communicate, and monitor benefit-related activities
• Lead the Medicare benefit design bid submission process to CMS for the Medicare PPO line of business, including competitive research and benefit analysis
• Analyze competitive benefit trends and communicate strategic implications to internal management to help drive the product development process
• Prepare and deliver benefit presentations and training to internal and external audiences, and respond to RFP/RFI proposals regarding benefit information and design
• As a member of our strong leadership community, provide direction to your team, engage them towards common goals, and create a positive experience that helps people flourish

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level