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Description
PEBB/SEBB Benefits Administration Program Manager (MA5/ERB)71035022
This is an exceptional opportunity for an experienced professional to step into a leadership role within the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, ensuring the accurate and effective administration of benefits for employees and their dependents.The ideal candidate will have at least one year of supervisory experience and a minimum of five years of expertise in policy analysis, business operations, or project leadership. In this role, you will oversee contracts, lead a team managing benefits accounts through the Benefits 24/7 system, and spearhead the development of comprehensive training programs.
You will also manage business projects and deliver presentations to employer groups. With a background in healthcare project management, this position offers the chance to make a meaningful impact while enjoying the flexibility of teleworking and a comprehensive benefits package.
All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.
About the division:The Washington State Health Care Authority (HCA) is the state's largest healthcare purchaser and behavioral health authority, dedicated to ensuring residents have access to comprehensive health care. Its three core pillars include Apple Health (Medicaid), the Public Employees Benefits Board (PEBB), and the School Employees Benefits Board (SEBB), along with behavioral health and recovery services.
The Employees and Retirees Benefits (ERB) Division manages a $5 billion budget and provides insurance coverage for over 725,000 lives through PEBB and SEBB programs, offering health benefits to state employees, retirees, school employees, and their dependents.
Both programs focus on value-based purchasing and align with the Triple Aim of better health, better care, and better costs.
About the position:We are seeking a dedicated and experienced professional to supervise and lead a team that assists Benefit Administrators (BAs) in the effective administration of employee benefits under the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs.
In this supervisory role, you will oversee a team responsible for providing support and guidance to organizations purchasing benefits through the PEBB and SEBB Programs, ensuring compliance with state and federal regulations and enhancing operational efficiency.
As a subject-matter expert, you will provide consultation on eligibility determination, benefits selection, and enrollment procedures. Key responsibilities include developing and refining standard operating procedures, collaborating with internal teams to correct subscriber account errors, managing the creation and dissemination of critical communications such as rate letters, and ensuring organizations have access to current tools and resources.
Additionally, you will lead project and process improvement initiatives, supervise a team of staff members, and serve as the primary point of contact for employer groups. You will oversee employer group onboarding, including contract management and coordination with legal teams, and participate in strategic planning to align organizational practices with PEBB/SEBB standards.
Strong leadership, project management, and communication skills are essential for success in this role.
This position is eligible to telework but is occasionally required to report on-site to meet business need. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington.Frequency of onsite work will vary based on business and operational needs. HCA may choose, but is not required, to support out-of-state telework on a case-by-case basis.
Duties
Some of what you will do:
- Leads oversight, support, monitoring, and follow-up actions for organizations purchasing benefits through the PEBB and SEBB Programs.
- Acts as a subject-matter expert on PEBB and SEBB Programs, ensuring materials are accurate, clear, and compliant with prevailing rules, policies, and operational processes to maintain program integrity and clarity.
- Guides and provides consultation to BAs on emerging state or federal mandates, updates to PEBB and SEBB Programs, and initiatives impacting employee benefit accounts to foster continuous education and seamless implementation.
- Responsible for crafting, refining, and reviewing strategic standard operating procedures.
- Collaborates with the Error Correction team to identify and rectify errors in subscriber accounts, ensuring actions align with WACs, RCWs, and PEBB/SEBB policies and procedures to maintain subscriber data accuracy.
- Manages the timely creation, review, and dissemination of rate letters, ensuring spring rate letters are sent by May and fall rate letters by September to provide accurate information to stakeholders.
- Ensures PEBB and SEBB organizations are equipped with current tools and resources.
- Produces and oversees the production of complex reports for use by statewide State Agency, SEBB Organization, and employer group representatives responsible for administering the PEBB and SEBB programs, providing reports directly to organizations via upload in the Benefits 24/7 Data Depot.
- Maintains the accuracy and consistency of project tracking mechanisms to optimize internal communication and project management.
- Actively leads or contributes to project and process improvement initiatives to drive interdepartmental efficiency and effectiveness.
- Takes a central role in project improvement teams, focusing on the development and refinement of business processes.
- Efficiently coordinates and delegates project tasks to direct report staff, streamlining project execution and leveraging team expertise.
- Manages the timely and accurate processing of monthly reports, ensuring compliance with established standards.
- Strategically identifies and negotiates crucial project schedules and milestones.
- Offers onboarding support to qualified employers that opt to purchase benefits from the PEBB and SEBB Programs.
Qualifications
Required qualifications:
Qualifying candidates will meet one of the following criteria options:
Option 1:Bachelor's degree in business administration, public administration, law, public health, health administration or a related field, One (1) year of supervisory experience, and five (5) years of the required experience below
Option 2: One (1) year of supervisory experience and Nine (9) years of the required experience below
The required experience includes two or more of the following:
- Supervising
- Managing business operations
- Conducting research
- Analyzing healthcare policies, laws, rules, or regulations
- Conducting business analysis and developing requirements
- Leading business projects
- Business policy development
In addition, two (2) years of concurrent professional experience will include:
- Performing project management oversight in a health care-related field or environment, including organizing and leading projects in a complex environment, motivating individuals and groups to action, tracking and reporting operational results, and developing business plans.
- Developing and presenting training programs, as well as researching and analyzing best practices in a training environment.
- Delivering presentations to large groups.
- Developing and maintaining constructive working relationships among individuals with differing interests and responding to the needs of external customers.
- Providing personnel management, including leadership and managing staff, setting goals, focusing resources, monitoring progress, and achieving success, as well as resolving difficult or complex problems.
- Monitoring customer compliance and developing and implementing corrective action plans.
Preferred qualifications:
- Knowledge of agency and state rules regarding the Public Employees Benefits Board (PEBB) Program.
- One or more years of experience using spreadsheet databases.
- One or more years of experience using presentation software such as Power Point and Web Casting.
- Two or more years of experience developing and implementing a marketing program.
- Demonstrated customer orientation, creativity, writing skills, and the ability to see how new technology could be applied to the PEBB Program.
How to apply:
Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach:
- A cover letter that specifically addresses how you meet the qualifications for this position
- Current resume
To take advantage of veteran preference, please do the following:
- Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
- Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.
Supplemental Information
About HCA:Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
What we have to offer:
- Meaningful work with friendly co-workers who care about those we serve Voices of HCA
- A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
- A healthy work/life balance, including alternative/flexible schedules and mobile work options.
- A great total compensation and benefit package WA State Government Benefits
- A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
- Tuition reimbursement
- And free parking!
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee-led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission.Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Studies have shown women, racial and ethnic minorities, and persons of disability are less likely to apply for jobs unless they feel they meet every qualification as described in a job description.
Persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are also encouraged to apply. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or lisa.fleming@hca.wa.gov.
The Washington State Health Care Authority (HCA) is an E-Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.
E-Verify® is a registered trademark of the U.S. Department of Homeland Security.
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