Plan Build and Benefit Configuration Manager

We are partnering with a rapidly growing healthcare benefits administration organization specializing in customized plan design, claims adjudication solutions, and member support services. As they expand their national Plan Build operations, they are seeking a hands-on leader to oversee and guide a fully remote team. About the Role The Plan Build & Benefit Configuration Manager will lead a remote team responsible for designing, building, and configuring benefit plan adjudication rules. This working manager role combines team leadership (approximately 60%) with direct, hands-on plan build responsibilities (approximately 40%). The ideal candidate brings deep experience in benefit configuration, strong VBA proficiency, and a leadership approach focused on coaching, prioritization, and operational excellence. This position will serve as a strategic partner to senior leadership with a focus on driving accuracy, compliance, and efficiency across plan configuration workflows., * Lead the Plan Build & Benefit Configuration team, including remote plan builders and a plan build lead

• Oversee the design, build, implementation, and configuration of benefit plan adjudication rules
• Ensure accuracy, compliance, and operational excellence within claims adjudication processes
• Participate in leadership meetings and act as a strategic advisor to senior leaders
• Report on key metrics, performance targets, and team output
• Provide hands-on plan build support during peak seasons (July and December)
• Manage team workloads, set priorities, and champion continuous process improvements
• Conduct weekly 1:1s, team meetings, and cross-functional collaboration sessions
• Coach, develop, and mentor team members while upholding high-quality standards

Do you have experience in Team management?, Do you have a High school diploma or GED?, * 5-10 years of experience in plan build, benefit configuration, and healthcare leadership

• 3+ years of business and operations experience within a health plan environment
• 2-3 years of Virtual Benefit Administrator (VBA) system experience (critical requirement)
• Working knowledge of revenue codes and medical terminology
• Experience with commercial health plan design
• 1-2 years of third-party administrator (TPA) experience
• Strong leadership skills with the ability to manage and coach a remote team
• Excellent written and verbal communication skills
• Strong reporting, analytical, and problem?solving abilities
• Ability to delegate, prioritize, and adapt to changing circumstances
• Highly organized, dependable, and detail-oriented
• High school diploma or equivalent, * Associate or bachelor's degree
• Experience progressing through plan build roles
• Executive presence and confidence when presenting to leadership
• Background that combines technical VBA expertise with people management experience

$95,000 - $115,000 a year 401(k), Health insurance, Paid time off, Health savings account, Dental insurance, Disability insurance Remote, Benefits: This position offers a competitive benefits package that includes health, dental, and disability coverage, a 401(k) retirement plan, paid time off, and access to a health savings account (HSA).