Benefit Development Specialist II

Cambia Health Solutions; Spokane (WA); Hybrid; USD 65,000 - 117,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401(k) with company match

Paid time off and holidays

Parental leave

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Job summary

Cambia Health Solutions is seeking a Benefit Development Specialist to analyze, design, and monitor health benefit offerings while ensuring regulatory compliance across state and federal laws. You will lead benefit development activities, audit contracts, and guide proposals to meet policy requirements.

The role requires a Bachelor's degree in a related field and at least five years in benefit administration, project coordination, or equivalent experience.

Qualifications

• Bachelor's degree in Business, Healthcare, or related field plus at least five years in benefit administration, project coordination, or equivalent experience.
• Experience analyzing benefit information from diverse sources and delivering actionable recommendations.
• Experience with report preparation, policy writing, and interpreting statistical data.

Responsibilities

• Lead ongoing benefit development activities, auditing complex contracts and overseeing change proposals for compliance with state and federal laws.
• Track, analyze, and present regulatory updates to the Product Platform Team and respond to regulators.
• Collaborate with cross-functional teams to implement, communicate, and monitor benefit-related activities.
• Lead Medicare benefit design bid submissions to CMS for the Medicare PPO line, including research and analysis.
• Analyze competitive benefit trends and communicate implications to internal management.
• Prepare and deliver benefit presentations and respond to RFPs/RFIs.
• Provide direction to team and foster a positive, growth-oriented environment.

Skills

Health insurance knowledge

Regulatory compliance

Analytical thinking

Report writing

AI tools experience

Effective communication

Leadership & mentoring

Cross-functional collaboration

Education

Bachelor's degree in Business, Healthcare, or related field

Tools

AI tools

Job description

Hybrid role (3 days/week in office) at our Boise, ID, Portland, OR, Renton, WA, Salt Lake City, UT or Fargo, ND offices. Candidates must reside within commutable distance of that location or be willing to relocate.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system

Who We Are Looking For

Every day, Cambia's dedicated team is living our mission to make health care easier and lives better. As a member of the Product Development team, our Benefit Development Specialists analyze, develop, and monitor health benefit offerings while ensuring compliance with state and federal regulations — all in service of creating a person-focused health care experience.

Do you have a deep passion for healthcare policy and benefit design? Do you thrive in a fast-paced environment where your analytical expertise and collaborative spirit drive meaningful outcomes? Then this role may be the perfect fit.

Qualifications

What You Bring to Cambia:

• Bachelor's degree in Business, Healthcare, or a related field, plus a minimum of five years of experience in benefit administration, project coordination, or an equivalent combination of education and experience

Skills And Attributes

• 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

What You Will Do At Cambia

• 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

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure/certifications; and performance history.

Oregon, Washington, Utah, and Idaho: The expected hiring range is $76,500-103,500, the full salary range is $72,000-117,000 and the bonus target is 10%.

North Dakota: The expected hiring range is $65,986-89,276 and the full salary range is $59,716- 95,546.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, You Can

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

Benefits

• 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.

Learn More About Our Benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

As part of our security requirements, new hires will need access to a personal mobile device to set up Multi-Factor Authentication (MFA) upon joining the company. MFA is an important layer of protection for accessing Cambia systems and is required for all employees.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.