PLAN BUILD SPECIALIST (HYBRID)

Green Shield Canada (GSC); Windsor; Hybrid; CAD 51,000 - 79,000; Full time

Job summary

Green Shield Canada (GSC) is seeking a Plan Build Specialist in Windsor to set up plan designs, changes and amendments for clients. You'll support both Group and Individual lines and collaborate with implementation and IT for large implementations.

The role requires a post-secondary degree and 3-5 years in benefits, with strong organizational, communication and project management skills. English/French bilingualism is a plus, and the organization emphasizes inclusive culture and meaningful

Qualifications

• Post-secondary degree or diploma in business, administration or related discipline.
• 3 - 5 years of experience in benefits and / or related industries.
• Proficient in benefit administration issues, claims processes, and group contracts / booklets.
• Excellent issue resolution, decision-making, communication meeting facilitation, and project management skills.
• Experience training and mentoring peers.
• Exhibits consistent attention to detail.
• Strong administrative, reporting, and analytical skills using MS Office tools.
• Ability to multi-task, manage and interpret large amounts of data, work under pressure, and work independently.

Responsibilities

• Participate in RFP reviews when required, review sale documents to gain understanding of what was sold, review and interpret previous carrier documents.
• Develop and map plan design on the Plan Design Template (includes details on benefit coverage, structure and billing requirements)
• Client Meeting facilitation – gather requirements, review documentation and obtain sign off
• Enter client’s structure and plan design into the Administrative System
• Collaborate with Client Administration on enrolment requirements, PSOS for rules attachments, Underwriting for financial information and IT for large implementation requirements
• Interpret and process plan changes and plan amendments, complete plan design analysis, respond to inquiries and manage issue resolution.
• Review of detailed history reports, complete accumulator mapping template and collaborate with Implementation
• Services and IT Support
• Manage multiple projects with varying degrees of complexity, meeting established timeline to complete projects and coordinate with internal stakeholders as required.
• Peer review work to confirm accuracy and ensure that supporting material is retained.

Skills

Plan design

Requirements gathering

Project management

MS Office

Attention to detail

Communication skills

Education

Post-secondary degree or diploma in business/administration

Job description

WHO WE ARE

GreenShieldis a proudly Canadian, national non-profit health care and insuranceorganization, driven by our mission of Better Health for All.We believe health care is aright, not a privilege, and we are committed to improving health outcomes,advancing health equity, and building a future where every Canadian can reachtheir full health and well-being potential.

Throughour unique integrated payer-provider ("payvider") model, we offerinsurance, administer benefits, and pay claims as a ‘payer’ while offeringhealth care services such as mental health, pharmacy, telemedicine, and chronicdisease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excessearnings to directly support underserved communities. Through GreenShieldCares, we positively impacted the health and well-being of over one millionCanadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additionalthree million Canadians by 2030 – across mental health, essential medicines,and chronic disease management – through scalable initiatives that delivermeaningful change in pursuit of our mission of Better Health for All.

AtGreenShield, our culture is where purpose meets passion and performance. Our teams work as one to delivermeaningful, measurable impact for the people and communities we serve.

THEROLE IN A NUTSHELL

Base Salary: CAD $51,383.00 - 79,261.00

The Plan Build Specialist reports to the Manager, Client Onboarding and is primarily responsible for set up including structure, plan design set up, plan changes and plan amendments for new and existing customers. This role primarily supports the Group and Individual lines of business and provides a specialized service.

• Participate in RFP reviews when required, review sale documents to gain understanding of what was sold, review and interpret previous carrier documents
• Develop and map plan design on the Plan Design Template (includes details on benefit coverage, structure and billing requirements)
• Client Meeting facilitation – gather requirements, review documentation and obtain sign off
• Enter client’s structure and plan design into the Administrative System
• Collaborate with Client Administration on enrolment requirements, PSOS for rules attachments, Underwriting for financial information and IT for large implementation requirements
• Interpret and process plan changes and plan amendments, complete plan design analysis, respond to inquiries and manage issue resolution.
• Review of detailed history reports, complete accumulator mapping template and collaborate with Implementation
• Services and IT Support
• Manage multiple projects with varying degrees of complexity, meeting established timeline to complete projects and coordinate with internal stakeholders as required.
• Peer review work to confirm accuracy and ensure that supporting material is retained.

WHO WE'RE LOOKING FOR

• Post-secondary degree or diploma in business, administration or related discipline.
• 3 - 5 years of experience in benefits and / or related industries.
• Proficient in benefit administration issues, claims processes, and group contracts / booklets
• Excellent issue resolution, decision-making, communication meeting facilitation, and project management skills
• Experience training and mentoring peers
• Exhibits consistent attention to detail
• Strong administrative, reporting, and analytical skills using MS Office tools
• Ability to multi-task, manage and interpret large amounts of data, work under pressure, and work independently
• Positive attitude and a willingness to learn new tasks
• Customer and solutions oriented
• Continuous improvement mindset
• Demonstrates / models GSC behaviours

NICE TO HAVE

• Bilingualism (English/French)

THE CULTURE

We believe a career should be meaningful. Not just ameans to earn a living. Our culture is one where everyone's voice is heard andvalued. Because that’s what it takesto create better health for all. We dare to challenge the status quo. And we’redriven by people who have challenged theirs. We believe that yourworkplace should empower you to be the best version of yourself. That’s why we provide aplace where you can be inspired, challenged, and rewarded.
Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.
We believe our people arecritical to our overall success. Inclusivity makes us a stronger, smarter andmore informed organization. Being intentionally inclusive of diversebackgrounds, perspectives and experiences will enhance our company culture topositively impact how we support our communities. A career at GreenShield isn’t just about personalachievements, it's about making adifference together.
Here’s to Better Health for All!

AFEW MORE DETAILS

Proficiency in English is requiredfor this position. As part of this role, you will be required to communicatewith colleagues or customers who use English as their primary language. By requiring English proficiency for thisposition, we aim to ensure that our employees can excel in their roles,collaborate, and communicate effectively, and contribute to the success of ourorganization.

GS supports diversity, equity andinclusion in our teams and communities, and we value the unique contributionsmade by all. Even if your experience doesn’t align perfectly to everyrequirement, we invite you to apply. We encourage applications fromall candidates and will accommodate needs under human rights legislationthroughout all stages of the recruitment and selection process. Please let usknow of any accommodation through [e-mail]. Information received relating toaccommodation will be addressed confidentially.

Providing this information givesGS consent to use your personal information to assess your suitability forspecific positions, future opportunities or for your personnel file. Yourrésumé will be held in strict confidence and will be viewed only by theOrganization. Information may be stored outside of Canada and could be used foraggregate statistical purposes (which uses no personal identification).

AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.