Benefit Development Lead — Healthcare Benefits & Compliance

Cambia Health Solutions; Renton (WA); Hybrid; USD 77,000 - 104,000; Full time

Benefits offered by this job

Health coverage

401(k) with company match

Paid time off

Company holidays

Wellness programs

Employee Assistance Program

Commute benefits

Job summary

Cambia Health Solutions is seeking a Benefit Development Specialist to lead ongoing benefit development, audit contracts, and ensure regulatory compliance across state and federal laws. You will partner with Product Development, Sales, Actuarial, and Marketing Communications to implement and monitor benefit-related activities.

You will track regulatory updates, prepare presentations, and engage regulators as needed, while mentoring team members and driving collaboration across all levels of the

Qualifications

• Bachelor's degree in Business, Healthcare, or related field with at least five years of experience in benefit administration or project coordination.
• Experience with reporting, policy writing, and data interpretation.

Responsibilities

• Lead ongoing benefit development activities, auditing complex benefit contracts and governing proposals for compliance.
• Track, analyze, and present regulatory updates to the Product Platform Team and respond to regulators.
• Partner with cross-functional teams to implement and monitor benefit-related activities.
• Lead Medicare benefit design bid submissions to CMS for the Medicare PPO line, including research.
• Analyze competitive benefit trends and communicate implications to internal management.
• Prepare and deliver benefit presentations and respond to RFP/RFI proposals.
• Provide direction to your team and foster a positive, growth-focused environment.

Skills

Health insurance knowledge

Benefit regulations

Analytical thinking

AI tools experience

Communication skills

Leadership/Mentoring

Cross-functional collaboration

Report writing

Time management

Education

Bachelor's degree in Business/Healthcare or related field

Job description

Cambia Health Solutions is seeking a Benefit Development Specialist to lead ongoing benefit development, audit contracts, and ensure regulatory compliance across state and federal laws. You will partner with Product Development, Sales, Actuarial, and Marketing Communications to implement and monitor benefit-related activities.

You will track regulatory updates, prepare presentations, and engage regulators as needed, while mentoring team members and driving collaboration across all levels of the