This job is closed
We regret to inform you that the job you were interested in has been closed. Although this specific position is no longer available, we encourage you to continue exploring other opportunities on our job board.
Sr. Benefits Manager, Individual and Family Plans
UnitedHealth Group - Minnetonka, MN
posted 2 months ago
About the position
The Sr. Benefits Manager for Individual and Family Plans (IFP) at UnitedHealthcare is responsible for managing key product deliverables related to health insurance plans. This role involves ensuring that benefit information is clear, accurate, and delivered timely to internal partners. The manager will serve as a subject matter expert on IFP benefits, translating plan designs and regulations into detailed business requirements, and ensuring accurate implementation of benefits. The position requires a deep understanding of product implementation processes and aims to improve the clarity and efficiency of benefit configurations.
Responsibilities
- Support onboarding, training, and development of high-performing team members.
- Develop and document policies and requirements for better understanding of plan designs and benefit intent.
- Translate plan design strategies and regulatory changes into detailed requirements for benefit configuration.
- Coordinate with IFP Product team members to ensure accurate and consistent benefit requirements across regions.
- Manage plans and benefits hand-offs to internal and external partners; develop and manage change control processes.
- Partner with various teams to achieve benefit and configuration design solutions that align with business requirements.
- Serve as the IFP Product lead on claims testing and quality assurance activities for assigned markets.
- Provide subject matter expertise to address escalated benefit inquiries and complex issues.
- Identify opportunities to improve processes and build best practices for translating product strategy into configuration requirements.
- Demonstrate systems thinking to 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, including organizing and leading cross-functional meetings.
- Expertise in analyzing and translating complex data and regulations into actionable insights.
- Proficiency in communicating and documenting business/configuration requirements and benefit content.
- Working knowledge of benefit configuration processes and tools.
- Working knowledge of medical coding (Revenue Codes, HCPCS, CPT, ICD-10).
- Proven ability to efficiently identify, analyze, and resolve 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 and managing time effectively.
- Experience interacting with senior leadership.
- Working knowledge of claims processing.
- Working knowledge of Affordable Care Act (ACA) market requirements.
- Intermediate or higher proficiency in Microsoft Office applications.
- Proven ability to balance strategic thinking with urgency.
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
