Benefit Development Specialist II

Cambia Health Solutions • Portland, OR

16d • $76,500 - $103,500 • Hybrid

About The Position

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