Benefit Development Specialist II

Cambia Health Solutions

Benefit Development Specialist analyzing health benefit offerings and ensuring compliance for Cambia. Collaborating with cross-functional teams and executing benefit-related activities.

Posted 7/30/2026full-timeBoise • Idaho, North Dakota, Oregon, Utah, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $76,500 - $103,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in benefit design and compliance within the health insurance industry, with a strong focus on regulatory analysis and cross-functional collaboration. Proven ability to lead teams, deliver presentations, and manage complex projects effectively.

Highest-signal resume keywords

Benefit DesignRegulatory ComplianceProject CoordinationTeam LeadershipAnalytical Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit AdministrationMarket AnalysisReport PreparationPolicy WritingStatistical Data Interpretation

Soft Skills

Excellent Communication SkillsOrganizational SkillsMentoringCollaboration

Tools & Technologies

AI Tools

Industry Keywords

Health InsuranceBenefit RegulationsMedicareCompetitive ResearchProduct Development

About the role

Key responsibilities & impact

Lead ongoing benefit development activities, including auditing complex benefit contracts and overseeing benefit change proposals to ensure compliance with state and federal laws.
Track, analyze, and present regulatory updates to the Product Platform Team, and respond to inquiries from regulators regarding benefit design and compliance.
Partner with cross-functional teams — including Product Development, Sales, Actuarial, and Marketing Communications — to implement, communicate, and monitor benefit-related activities.
Lead the Medicare benefit design bid submission process to CMS for the Medicare PPO line of business, including competitive research and benefit analysis.
Analyze competitive benefit trends and communicate strategic implications to internal management to help drive the product development process.
Prepare and deliver benefit presentations and training to internal and external audiences, and respond to RFP/RFI proposals regarding benefit information and design.
As a member of our strong leadership community, provide direction to your team, engage them towards common goals, and create a positive experience that helps people flourish.

Requirements

What you’ll need

Bachelor's degree in Business, Healthcare, or a related field.
Minimum of five years of experience in benefit administration, project coordination, or an equivalent combination of education and experience.
Broad knowledge of the health insurance industry, including benefit design, market demands, and compliance requirements.
Extensive knowledge of benefit regulations at both the Cambia service area and federal levels.
Demonstrated ability to think analytically, gather benefit information from diverse sources, and deliver in-depth analysis and actionable recommendations.
Experience in report preparation, project documentation, or policy and procedure writing, including the ability to interpret statistical data and communicate findings clearly.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
Excellent written and verbal communication skills, with the ability to engage effectively at all levels of management; strong presentation skills required.
Demonstrated ability to organize, prioritize, and manage workload effectively while adapting to shifting priorities.
Proven ability to lead and mentor team members in a fast-paced environment to achieve departmental goals and objectives.
Demonstrated ability to collaborate effectively across all levels of the organization.

Benefits

Comp & perks

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.