Plan Benefits Analyst

Department: Systems ContractLocation: Sacramento (Onsite/Hybrid)Schedule: Full-Time | ExemptCompensation: $70,304 to $77,000 annuallyTravel: Minimal, as needed"Our purpose is strong, our impact is lasting, join us on the journey"Western Health Advantage Let’s Make Benefits Make SenseIf you’re the kind of person who loves turning complexity into clarity, spotting inconsistencies before anyone else does, and making systems run like a well-oiled machine—this role is built for you.At Western Health Advantage, our Plan Benefits Analysts are the behind-the-scenes architects ensuring our benefit plans are accurate, compliant, and seamlessly delivered to members. You’ll be part analyst, part problem-solver, and part project manager—owning critical processes that directly impact the member experience.What You’ll DoPlan Analysis and ConfigurationEvaluate system capabilities and support the rollout of new or updated benefit plansLead benefit configuration projects with internal teams and external vendorsIdentify opportunities to improve accuracy and efficiency through automationSystems Ownership and Quality AssuranceManage key systems such as Central Benefits Driver (CBD) and Master Health Plan (MHP)Perform audits, testing, and validation to ensure data accuracy and complianceTroubleshoot configuration and data-related issuesSubject Matter Expertise and SupportServe as the primary resource for benefit design and configuration questionsProvide documentation, insights, and guidance to internal stakeholdersSupport front-line teams with clear and accurate informationCross-Functional Collaboration and CompliancePartner with IT, Compliance, Legal, Marketing, and vendorsSupport regulatory filings (e.g., SERFF, QHP, CalHEERS)Contribute to member-facing materials such as Welcome Kits and Summary of BenefitsProject and Process ManagementCoordinate incoming work requests and manage prioritiesTrack deliverables and ensure timely implementation of benefit changesMaintain documentation for systems, processes, and updatesWhat You BringEducation & ExperienceBachelor’s degree (preferred)~2+ years in benefits administration or a related fieldTechnical & Industry KnowledgeUnderstanding of medical and pharmacy benefit structuresFamiliarity with healthcare systems and regulationsExperience with Facets (a plus)Tools & SkillsStrong analytical skills (Excel, Access, Word required; Smartsheet a plus)Exceptional attention to detail in a highly regulated environmentAbility to manage multiple priorities and meet deadlinesCore StrengthsCritical thinking and problem-solvingClear communication and collaborationOwnership mindset with a focus on quality and accuracyThis role ensures that benefit plans are built accurately, delivered on time, and maintained in compliance—directly impacting both operational effectiveness and the member experience.Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.To apply, email cover letter and resume to hr@westernhealth.com EOEWARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Western Health Advantage will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option.’Powered by JazzHRib7Ut3zXVQ