Benefits & Materials Analyst
On-siteBirmingham, Alabama, United States
Job Summary
Conduct vendor analysis, identification, and selection for Medicare Advantage plan services, including RFP development and coordination. Participate in annual Medicare bidding teams to ensure accurate submissions before CMS deadlines and manage Plan Benefit Package data entry and uploads. Customize model member materials, Annual Notices of Changes, and Evidences of Coverage to reflect submitted plan designs, coordinating mid-year amendments and ensuring timely CMS distribution. Populate income subsidy rider spreadsheets for premium and copay calculations, proof member benefit guides, drug formularies, and provider directories, and facilitate employee training on upcoming benefit changes. Coordinate new vendor implementations and perform ongoing monitoring and auditing to ensure contractual compliance. Submit service area expansion applications and Medicaid agency agreements to CMS as applicable. Requires a bachelor's degree or two years of benefit design experience; ability to work overtime during peak times.
Required Qualifications
- Bachelor's degree in relevant field or at least 2 years of experience in benefit design or member material development
- Excellent written and verbal communication skills
- Demonstrated critical thinking skills
- Excellent proofreading skills
- Detail orientation and willingness to check and double check key benefit information
- Strong technical skills to improve efficiency and reduce human error in the production of member materials including proficiency with MS Office Word, Excel, and Power Point as well as working knowledge of Adobe Acrobat or ability to gain such knowledge quickly
- Ability to work overtime during peak times and avoid voluntary time off to ensure critical deadlines are met
Desired Qualifications
- Health plan experience, especially in benefit design or member materials and/or in Medicare Advantage
- Project management experience
- Demonstrated expertise in facilitating diverse teams
- Project management experience or understanding of project management methodology
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