Sr. Benefits Manager, Individual and Family Plans - Remote

$104,700 - $190,400/Yr

UnitedHealth Group - Minnetonka, MN

Full-time - Mid Level

Remote - Minnetonka, MN

Insurance Carriers and Related Activities

About the position

The Sr. Benefits Manager for Individual and Family Plans (IFP) at UnitedHealthcare is responsible for managing key product deliverables, ensuring that benefit information is clear, accurate, consistent, and delivered timely to internal partners. This role serves as a subject matter expert on IFP benefits, translating plan designs, regulations, and policies into detailed business requirements. The position requires a deep understanding of product implementation and configuration processes to ensure compliance and alignment with organizational goals, while also supporting claims testing activities and addressing internal benefit inquiries.

Responsibilities

• Support onboarding, training, developing, and engaging with high-performing team members.
• Develop and document policies, requirements, and relevant background information for other departments to better understand plan designs and benefit intent.
• Translate plan design strategies, policies, and regulatory changes into detailed requirements for benefit configuration.
• Coordinate with IFP Product team members to ensure accurate, clear, and consistent benefit and configuration requirements across regions.
• Manage plans and benefits hand-offs to internal and external partners; develop and manage change control processes.
• Partner with Product Management & Regulatory Alignment, operational, clinical, and configuration teams to achieve benefit and configuration design solutions that align with plan design strategy and business requirements.
• Serve as the IFP Product lead on claims testing and quality assurance activities for assigned markets, informing test plans and assisting in defect resolution.
• Provide subject matter expertise to address escalated benefit inquiries and complex benefit-related issues.
• Identify opportunities to improve processes and build best practices for efficient and effective translation of product strategy/plan designs into configuration requirements.
• Demonstrate systems thinking to readily identify downstream impacts of decisions.

Requirements

• 5+ years of proven experience in health insurance policy and product/benefit implementation.
• Experience working collaboratively across multiple functional areas (e.g., operations, configuration, claims, clinical, technology), including organizing and leading cross-functional meetings.
• Expertise in analyzing, interpreting, and translating complex data, regulations, member policy documents, benefit interpretation guidelines, and coverage/reimbursement policies into practical, actionable insights and recommendations for implementation.
• Proficiency in communicating and documenting business/configuration requirements, benefit content for internal teams and members, and supporting documents and other critical information to key stakeholders.
• Working knowledge of benefit configuration, processes, and tools.
• Working knowledge of medical coding (Revenue Codes, HCPCS, CPT, ICD-10).
• Proven ability in efficiently identifying, analyzing, and resolving issues.
• Ability to travel for business 2-3 times per year.

Nice-to-haves

• Medical Coding Certificate: RHIT or CPC by AAPC or AHIMA license.
• Experience in working independently, managing time effectively, and prioritizing tasks.
• Experience interacting and effectively communicating with senior leadership.
• Working knowledge of claims processing.
• Working knowledge of Affordable Care Act (ACA) market requirements and other regulations.
• Intermediate or higher level of proficiency in Microsoft Office applications.
• Proven ability to balance strategic thinking with the urgency to drive work forward.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution