Physician Benefits Administration Consultant I
Primary Location Pleasanton, California
Worker Location Flexible
Job Number 1330345 Date posted 01/07/2025
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Description:
Job Summary:
This individual contributor position, under the guidance of more senior team members, is responsible for administering physician benefits programs; executing benefits transactions; providing auditing, quality assurance, and compliance support; and collaborating with vendors, technical contacts, and management to resolve issues and implement new benefit programs. This includes providing exceptional customer support directly to physicians; supporting the communication of program terms to physicians, management, and vendors; and working with stakeholders and vendors to support strategic departmental and organizational goals. This position is also responsible for supporting the review and evaluation of new and existing programs or initiatives; and participating in system and interface design, implementations, enhancements, and continuous improvements. This includes supporting benefits and financial analyses to inform decision-making and drive quality financial outcomes; and maintaining compliance with policies and procedures to meet operational needs for new and existing initiatives.
Essential Responsibilities:
- Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback
- Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies, and applying data and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.
- Executes benefits transactions under the guidance of more senior team members by responding to inquiries from physicians and vendors; verifying appropriate benefit offerings based on eligibility requirements; providing auditing, quality assurance, and compliance support; supporting open enrollment and other enrollments related to status changes; resolving physician and/or vendor issues; and working with vendors, technical contacts, and management to resolve issues as appropriate.
- Supports benefits and financial analyses by assisting in the consolidation of data to explain financial results and inform decision-making; building an understanding of data gathering methods; and ensuring the quality and completeness of work deliverables.
- Provides exceptional customer support directly to physicians by ensuring the highest quality, one-touch, full-cycle customer service; understanding and anticipating client needs; solving and/or escalating problems as appropriate; minimizing follow-up; and maximizing customer satisfaction.
- Supports the communication of program terms to physicians, management, and vendors by presenting conclusions about areas of accountability and financial sustainability to stakeholders in verbal and written form; and assisting in the documentation of positions and processes in support of process improvement and knowledge retention.
- Supports program administration by executing program processes under the guidance of more senior team members; maintaining program activities and documentation; and working with stakeholders and vendors to support strategic departmental and organizational goals.
- Supports the review and evaluation of new and existing programs or initiatives by assisting in the preparation of program resources and documentation to facilitate management analysis and review.
- Supports system and interface design, implementations, enhancements, and continuous improvements by building an understanding of how transactions flow through source systems; assisting in the validation of ongoing configuration decisions; and supporting system(s) review in area of expertise to identify enhancement opportunities.
- Maintains compliance with policies and procedures to meet operational needs for new and existing initiatives.
Minimum Qualifications:
- Minimum one (1) year experience working with Microsoft Office.
- High school diploma or GED and Minimum one (1) year experience working in an office environment or in an administrative, operations, or customer service role.
Additional Requirements:
Preferred Qualifications:
- One (1) year experience in benefits administration, including working with an HRIS.
- One (1) year working with or managing confidential data according to prescribed compliance and regulatory procedures (e.g., HIPAA).
Primary Location: California,Pleasanton,Pleasanton Tech Cntr Building E
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 PM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Oakland Reg - 1950 Franklin - Rgnl HR-Active MDs - 0206
Pay Range: $60700 - $78430 / hour
Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No
Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
Worker location must align with Kaiser Permanente's Authorized States policy.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
