Manager Benefit Administration - Sharp Health Plan Finance - Sharp Tech Way - Day Shift - Full Time

Sharp HealthCare•San Diego, CA

3d•$55 - $88

About The Position

This position is responsible for managing, coaching and developing the Benefits Administration team across multiple lines of business (Medicare Commercial, Government, etc.) to ensure benefit plans are designed appropriately and consistently and performance guarantees, service level agreements and operational goals are met. Ensures benefit information is clear, accurate, consistent, and delivered timely to internal and external partners. This individual will serve as a subject matter expert on benefits, with responsibility for translating plan designs and policies (i.e., Certificates of Coverage) into detailed business requirements, ensuring benefits are implemented accurately and timely, investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit Administration team members. Assumes additional responsibilities in the absence of the Director.

Requirements

5 Years in HMO or Health Insurance Management.
2 Years leadership experience working collaboratively across multiple functional areas (e.g., operations, configuration, clinical, IT, plan design) and fostering teamwork.
Experience with spreadsheets, data reporting, and word processing applications.
Bachelor's degree in business, health services, or related field; or 4 years of relevant experience may substitute for degree.

Nice To Haves

Other Course work or prior experience in education and training.
3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role.