Plan Benefits Analyst
Western Health Advantage•Sacramento, CA
•Hybrid
About The Position
If you’re the kind of person who loves turning complexity into clarity, spotting inconsistencies before anyone else does, and making systems run like a well-oiled machine—this role is built for you. At Western Health Advantage, our Plan Benefits Analysts are the behind-the-scenes architects ensuring our benefit plans are accurate, compliant, and seamlessly delivered to members. You’ll be part analyst, part problem-solver, and part project manager—owning critical processes that directly impact the member experience.
Requirements
- Bachelor’s degree (preferred)
- ~2+ years in benefits administration or a related field
- Understanding of medical and pharmacy benefit structures
- Familiarity with healthcare systems and regulations
- Strong analytical skills (Excel, Access, Word required; Smartsheet a plus)
- Exceptional attention to detail in a highly regulated environment
- Ability to manage multiple priorities and meet deadlines
- Critical thinking and problem-solving
- Clear communication and collaboration
- Ownership mindset with a focus on quality and accuracy
Nice To Haves
- Experience with Facets (a plus)
Responsibilities
- Evaluate system capabilities and support the rollout of new or updated benefit plans
- Lead benefit configuration projects with internal teams and external vendors
- Identify opportunities to improve accuracy and efficiency through automation
- Manage key systems such as Central Benefits Driver (CBD) and Master Health Plan (MHP)
- Perform audits, testing, and validation to ensure data accuracy and compliance
- Troubleshoot configuration and data-related issues
- Serve as the primary resource for benefit design and configuration questions
- Provide documentation, insights, and guidance to internal stakeholders
- Support front-line teams with clear and accurate information
- Partner with IT, Compliance, Legal, Marketing, and vendors
- Support regulatory filings (e.g., SERFF, QHP, CalHEERS)
- Contribute to member-facing materials such as Welcome Kits and Summary of Benefits
- Coordinate incoming work requests and manage priorities
- Track deliverables and ensure timely implementation of benefit changes
- Maintain documentation for systems, processes, and updates
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
