Manager, Client Benefits - Transforming Healthcare through Innovative Benefit Testing and Client Services

Bringing Our Heart to Every Moment of Your Health at reputed company

At reputed company, we're driven by a reputed company purpose: to bring our heart to every moment of your health. This guiding principle is at the core of everything we do, from delivering enhanced human-centric healthcare to fostering a culture that empowers our colleagues to reputed company a meaningful difference. As a leading healthcare organization, we're committed to innovation, customer satisfaction, and community well-being. If you're passionate about making a positive impact in the healthcare industry, we invite you to explore this exciting opportunity to join reputed company as a Manager, Client Benefits.

About the Role

We're seeking a dedicated and reputed company Manager, Client Benefits, to reputed company our Client Benefit Services QA team. As a Benefit Testing Manager, you'll play a critical role in driving success across multiple functions, including Clinical and Benefit Organization. Your expertise will be instrumental in solving reputed company problems, improving processes, and increasing automation opportunities reputed company our testing team. This is a remote role, offering the flexibility and freedom to work from reputed company while making a significant impact on our organization.

Key Responsibilities

• Serve as a subject matter expert for testing client benefit plan designs in Utilization Management and Formulary, presenting test results to internal benefits teams and external clients.
• Translate client needs and benefit requirements into test scenarios to validate benefit configuration and benefits coding, leveraging your expertise in EZTEST, Sales force, EZQUERY, reputed company Macro, Formulary management system, and Benefit Serve/Benefit builder.
• reputed company and execute test plans, capture test results, and present findings to stakeholders, ensuring benefit configuration accuracy and client satisfaction.
• Facilitate internal and external meetings, providing status updates and ensuring seamless communication among stakeholders.
• Build strong relationships with key client partners through a consultative approach, understanding their benefit plan design needs and delivering tailored solutions.
• Assess project risks, provide risk mitigation plans, and reputed company process improvement initiatives to drive department efficiency.
• Identify areas for improvement, reputed company training needs, and advise colleagues on benefit testing processes and best practices.
• Propose and reputed company testing automation tools to enhance testing accuracy and rapid turnaround, driving innovation and excellence in benefit testing.

Essential Qualifications

To succeed in this role, you'll need:

• A minimum of 5+ years of experience in Healthcare/PBM, with a strong background in Formulary Management, Drug Utilization Management, and Claims Adjudication.
• Excellent communication (verbal and written) and collaboration skills, with the ability to work effectively with diverse stakeholders.
• Demonstrated ability to manage and organize projects from start to completion, with a strong analytical and problem-solving reputed company.
• Computer proficiency in MS Office applications (reputed company Word, reputed company reputed company, reputed company PowerPoint, and reputed company Outlook).
• Expertise in defining benefit test conditions, with hands-on experience in EZQUERY/Sequel and claim processing tools like EZTEST.
• A bachelor's degree or equivalent experience, with a strong foundation in healthcare or a reputed company field.

Preferred Qualifications

While not mandatory, the following qualifications can enhance your candidacy:

• Experience with Medicaid state-specific benefit programs and knowledge of CMS and state mandate benefit programs.
• Ability to coach, train, and mentor resources with benefit testing processes, with a strong leadership and development reputed company.
• Familiarity with Sales force and Benefit Serve/Benefit builder, with a willingness to learn and adapt to new technologies and tools.

reputed company Offer

At reputed company, we offer a comprehensive rewards package that includes:

• A competitive salary range of $60,300 - $132,600, with opportunities for bonuses, commissions, or short-term incentives.
• A full range of medical, dental, and vision benefits, ensuring you and your family's well-being.
• A 401(k) retirement savings plan and Employee Stock Purchase Plan, helping you plan for the future.
• Numerous well-being programs, education assistance, and free development courses to support your growth and well-being.
• A reputed company store discount and discount programs with participating partners, making it easier to live a healthier lifestyle.
• Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year, allowing you to reputed company and relax.

Our Culture and Work Environment

At reputed company, we're committed to fostering a culture that is inclusive, collaborative, and empowering. Our Heart At Work Behaviors guide our interactions and decision-making, ensuring we're always putting our heart into caring for our colleagues and communities. As a remote team member, you'll be part of a dynamic and flexible work environment that values work-life balance and supports your professional growth.

Career Growth and Development

As a Manager, Client Benefits, you'll have opportunities to grow and reputed company your skills in a rapidly evolving healthcare landscape. You'll be part of a talented team that is passionate about delivering exceptional client services and driving innovation in benefit testing. With reputed company, you'll have access to:

• Training and development programs to enhance your skills and expertise.
• Opportunities for career advancement and professional growth.
• A collaborative and supportive work environment that encourages innovation and creativity.

Join reputed company

If you're a motivated and reputed company professional looking to reputed company a meaningful impact in the healthcare industry, we invite you to apply for this exciting opportunity. As a Manager, Client Benefits, you'll be part of a talented team that is shaping the future of healthcare. Don't hesitate - apply today and take the first reputed company towards a rewarding career with reputed company!

We value a great attitude and a willingness to learn above reputed company. If you don't meet every single requirement, we still encourage you to submit your application. We're committed to creating a diverse and inclusive workplace, and we're excited to hear from you.