Sales Contract Benefit Specialist

Company: myGwork
Location: Springfield
Posted on: January 21, 2023

Job Description:

Looking for a way to make an impact and help people? Join 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 Responsibilities:

• Serve as the sales subject matter expert for interpreting competitor plan benefits in contrast with the PacificSource product standards.
• 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 alternatives.
• 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 PacificSource.
• 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 Responsibilities:
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • 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
    • Adaptability
    • 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 community.
      • 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+ professionals,
        students, inclusive employers & anyone who believes in workplace equality.
        

Keywords: myGwork, Springfield , Sales Contract Benefit Specialist, Sales , Springfield, Oregon