Plan Building Specialist II - Remote

Overview

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.

In Short

• Responsible for implementation and programming of clients' benefit plans.
• Manage third-party vendor files and ensure correct programming of benefits.
• Review prior SPD’s and make recommendations for new group implementations.
• Create and update plan summaries for client renewals.
• Assist with programming updates for complex renewals.
• Resolve complex customer service issues.
• Maintain vendor file for buy-up products.
• Work with vendors for accurate EOB design.
• Conduct peer-to-peer audits for programming.
• Assist in training of junior team members.

Requirements

• Experience in healthcare administration.
• Strong customer service skills.
• Ability to manage complex benefit plans.
• Knowledge of regulatory requirements.
• Proficient in programming and claims systems.
• Ability to work collaboratively in a team.
• Excellent communication skills.
• Detail-oriented with strong problem-solving abilities.
• Experience with vendor management.
• Ability to train and mentor junior staff.

Benefits

• Inclusive and flexible work culture.
• Comprehensive salary and benefits package.
• Pay transparency.
• Opportunities for personal development and growth.
• Work/life balance.
• Meaningful work with a clear purpose.
• High standards and collaborative environment.
• Recognition as one of Washington’s Best Workplaces.
• Supportive team atmosphere.
• Opportunities to contribute to important healthcare initiatives.