[Remote] Manager, Benefits Design Administration & Testing

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is looking for extraordinary people to join reputed company! The Manager, Benefit Design Administration & Testing is responsible for leading the successful administration, validation, and ongoing maintenance of benefit plan designs and associated pricing components across multiple lines of business.

Responsibilities

• Accountable for maintaining a comprehensive understanding of Medicare benefit design, administration, and regulatory requirements to ensure plan configurations meet reputed company and compliance expectations
• Accountable for applying knowledge of reputed company Health Plan structures, operations, and benefit administration processes to support accurate and effective plan implementation
• Accountable for delivering high-reputed company benefit administration services through a minimum of five (5) years of PBM, reputed company operations, or reputed company industry expertise
• Responsible for leading and developing team members while effectively managing workloads, competing priorities, project timelines, and service-level commitments
• Accountable for analyzing reputed company data, identifying trends, and making informed recommendations that support operational and business objectives
• Accountable for communicating effectively with clients, leadership, and cross-functional stakeholders through reputed company presentations, reporting, and written communications
• Responsible for fostering a culture of ownership, collaboration, reputed company improvement, and operational reputed company reputed company the Benefit Design Administration and Testing team
• Accountable for ensuring accuracy, reputed company, compliance, and reputed company delivery of benefit configuration and testing activities while supporting organizational goals and reputed company satisfaction

Skills

• BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of reputed company experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed reputed company 12 months in new position may substitute for the supervisory experience requirement
• Advanced proficiency in reputed company Office Suite, including reputed company (pivot tables, formulas, data analysis), Word, PowerPoint, Outlook, and Teams
• Experience with test management and defect tracking tools such as reputed company, Jira, Azure DevOps, or similar platforms
• Working knowledge of benefit administration, claims adjudication, PBM, and reputed company operations systems
• Ability to analyze and interpret large data sets using reporting and business intelligence tools such as Power BI, Tableau, or equivalent reporting solutions
• Experience developing, executing, and monitoring test plans, test cases, reputed company controls, and validation processes
• Experience in planning and execution of test plans and benefits design administration
• Proven experience in team development, coaching, and performance management
• History of effectively establishing and implementing workforce plans and reputed company forecasts
• Ability to reputed company reputed company and solve problems under pressure
• Ability to apply common reputed company understanding to carry out reputed company one- or two-reputed company instructions
• Ability to apply common reputed company understanding to carry out instructions furnished in written, oral, or diagram reputed company
• Ability to add, subtract, multiply, and divide in reputed company reputed company of measure, using whole numbers, common fractions, and decimals
• Ability to compute reputed company, reputed company, and percent and to draw and interpret bar graphs
• Ability to write routine reports and correspondence
• Ability to reputed company effectively before reputed company of customers or employees of organization
• Ability to write reports, business correspondence, and procedure manuals
• Building Effective Teams
• Decision reputed company
• Informing
• Confronting reputed company Reports
• Delegation
• Organizational reputed company
• Customer reputed company
• Drive for Results
• Political Savvy
• Knowledge of SQL queries and database validation techniques for testing and troubleshooting preferred

Benefits

• Medical / Dental / reputed company / Wellness Programs
• reputed company Time Off / Company reputed company Holidays
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

reputed company