Sales Contract Benefit Specialist
Posted on: January 21, 2023
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PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified
applicants will receive consideration for employment without regard
to status as a protected veteran or a qualified individual with a
disability, or other protected status, such as race, religion,
color, national origin, sex, sexual orientation, gender identity or
age. Diversity and Inclusion: PacificSource values the diversity of
the people we hire and serve. We are committed to creating a
diverse environment and fostering a workplace in which individual
differences are appreciated, respected and responded to in ways
that fully develop and utilize each person's talents and strengths.
Position Overview: The Sales Contract Benefit Specialist will
support the new and renewing business needs which include but are
not limited to review and consultation on competitor medical plan
benefits, documents, forms, benefit customizations. This position
will assist the sales team throughout the RFP process to assess and
determine deviations to PS product standards. Essential
- Serve as the sales subject matter expert for interpreting
competitor plan benefits in contrast with the PacificSource product
- Serve as the sales subject matter expert to assist, audit,
review the Benefit Detail Forms for fully insured and self-funded
plans. Communicate with internal operational departments to ensure
accurate distribution and communication of detail form information
across operational teams.
- Liaise with other departments to establish and maintain
consistent language and operation requirements and support in
relation to the organization's sales, materials management,
production, and overall operating functions.
- Work to identify potential competitor benefit customization
- Identify issues and advance recommendations for process
improvements regarding Benefit Detail Form creation and accuracy
for fully insured and self-funded products sold or represented by
- Coordinate with the RFP team and sales to review client core
materials and identify benefit deviations from PacificSource's
standard benefit offerings.
- Work with Administrative Services department and Plan Document
Specialists to interface with sales in resolving plan document
discrepancies related to the Benefit Details forms.
- Attend internal and external meetings as required. Supporting
- Meet department and company performance and attendance
regulations concerning confidentiality and security of protected
- Perform special projects and other duties as assigned. SUCCESS
PROFILE Work Experience: Minimum of five years of technical
background experience in the health insurance industry specific.
Must have a thorough understanding of commercial services and
products, administrative procedures, documents requirements and
compliance within the health insurance industry. Education,
Certificates, Licenses: Bachelor's degree or demonstrated
equivalent work experience required. Knowledge: A thorough
understanding of insurance products, contracts, administrative
procedures, and the health insurance industry's legal and mandatory
guidelines preferred. Strong working knowledge of state and federal
laws affecting business lines. Ability to remain current on
PacificSource procedures and products, healthcare, and the health
insurance industry. Must possess excellent communication skills,
particularly in writing and must be able to communicate and work
effectively with a wide variety of internal and external customers.
Ability to work under pressure and meet all deadlines. Ability to
handle complex regulatory language to describe processes,
functions, and requirements under state, federal and PacificSource
guidelines. Must possess strong skills in Microsoft Word, Excel,
and PowerPoint. Ability to pay attention consistently and
effectively to detail, produce high quality work in a timely
manner, and strive to increase production without sacrificing
quality. Ability to handle sensitive issues with diplomacy and
persuasiveness. Must possess strong analytical, planning,
organizational, and time management skills Competencies
- Building Customer Loyalty
- Building Strategic Work Relationships
- Building Trust
- Continuous Improvement
- Contributing to Team Success
- Planning and Organizing
- Work Standards Environment: Work inside in a general office
setting with ergonomically configured equipment. Travel is required
approximately less than 5% of the time. Our Values We live and
breathe our values. In fact, our culture is driven by these seven
core values which guide us in how we do business:
- We are committed to doing the right thing.
- We are one team working toward a common goal.
- We are each responsible for customer service.
- We practice open communication at all levels of the company to
foster individual, team and company growth.
- We actively participate in efforts to improve our many
communities-internally and externally.
- We actively work to advance social justice, equity, diversity
and inclusion in our workplace, the healthcare system and
- We encourage creativity, innovation, and the pursuit of
excellence. Physical Requirements: Stoop and bend. Sit and/or stand
for extended periods of time while performing core job functions.
Repetitive motions to include typing, sorting and filing. Light
lifting and carrying of files and business materials. Ability to
read and comprehend both written and spoken English. Communicate
clearly and effectively. Disclaimer: This indicates the general
nature and level of work performed by employees within this
position and is subject to change. It is not designed to contain or
be interpreted as a comprehensive list of all duties,
responsibilities, and qualifications required of employees assigned
to this position. Employment remains AT-WILL at all times. This
employer is a corporate member of
myGwork - LGBTQ+ professionals, the business community for LGBTQ+
students, inclusive employers & anyone who believes in workplace
Keywords: myGwork, Springfield , Sales Contract Benefit Specialist, Sales , Springfield, Oregon
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