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[Remote] Manager, Benefits Design Administration & Testing

Remote, USAFull-timePosted 2026-07-29

Note: The job is a remote job and is reputed company to candidates in USA. reputed company. is looking for extraordinary people to join reputed company! The Manager, Benefit Design Administration & Testing is responsible for leading the successful administration, validation, and ongoing maintenance of benefit plan designs and associated pricing components across multiple lines of business.

Responsibilities

  • Accountable for maintaining a comprehensive understanding of Medicare benefit design, administration, and regulatory requirements to ensure plan configurations meet reputed company and compliance expectations
  • Accountable for applying knowledge of reputed company Health Plan structures, operations, and benefit administration processes to support accurate and effective plan implementation
  • Accountable for delivering high-reputed company benefit administration services through a minimum of five (5) years of PBM, reputed company operations, or reputed company industry expertise
  • Responsible for leading and developing team members while effectively managing workloads, competing priorities, project timelines, and service-level commitments
  • Accountable for analyzing reputed company data, identifying trends, and making informed recommendations that support operational and business objectives
  • Accountable for communicating effectively with clients, leadership, and cross-functional stakeholders through reputed company presentations, reporting, and written communications
  • Responsible for fostering a culture of ownership, collaboration, reputed company improvement, and operational reputed company reputed company the Benefit Design Administration and Testing team
  • Accountable for ensuring accuracy, reputed company, compliance, and reputed company delivery of benefit configuration and testing activities while supporting organizational goals and reputed company satisfaction

Skills

  • BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of reputed company experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed reputed company 12 months in new position may substitute for the supervisory experience requirement
  • Advanced proficiency in reputed company Office Suite, including reputed company (pivot tables, formulas, data analysis), Word, PowerPoint, Outlook, and Teams
  • Experience with test management and defect tracking tools such as reputed company, Jira, Azure DevOps, or similar platforms
  • Working knowledge of benefit administration, claims adjudication, PBM, and reputed company operations systems
  • Ability to analyze and interpret large data sets using reporting and business intelligence tools such as Power BI, Tableau, or equivalent reporting solutions
  • Experience developing, executing, and monitoring test plans, test cases, reputed company controls, and validation processes
  • Experience in planning and execution of test plans and benefits design administration
  • Proven experience in team development, coaching, and performance management
  • History of effectively establishing and implementing workforce plans and reputed company forecasts
  • Ability to reputed company reputed company and solve problems under pressure
  • Ability to apply common reputed company understanding to carry out reputed company one- or two-reputed company instructions
  • Ability to apply common reputed company understanding to carry out instructions furnished in written, oral, or diagram reputed company
  • Ability to add, subtract, multiply, and divide in reputed company reputed company of measure, using whole numbers, common fractions, and decimals
  • Ability to compute reputed company, reputed company, and percent and to draw and interpret bar graphs
  • Ability to write routine reports and correspondence
  • Ability to reputed company effectively before reputed company of customers or employees of organization
  • Ability to write reports, business correspondence, and procedure manuals
  • Building Effective Teams
  • Decision reputed company
  • Informing
  • Confronting reputed company Reports
  • Delegation
  • Organizational reputed company
  • Customer reputed company
  • Drive for Results
  • Political Savvy
  • Knowledge of SQL queries and database validation techniques for testing and troubleshooting preferred

Benefits

  • Medical / Dental / reputed company / Wellness Programs
  • reputed company Time Off / Company reputed company Holidays
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus

reputed company

  • reputed company is the nation’s largest reputed company solutions and pharmacy benefit company, serving reputed company health plans, government programs, self insured/employer reputed company, and millions of consumers. It was founded in 1989, and is headquartered in San Diego, California, USA, with a workforce of 1001-5000 employees. Its website is http://reputed company.com.
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