PLAN BUILD SPECIALIST (HYBRID)

Résumé du poste

The Plan Build Specialist is responsible for the setup, structure, and plan design of insurance benefits for new and existing customers. This role involves facilitating client meetings, interpreting plan changes, and collaborating with internal departments to ensure accurate implementation.

Détails du poste

WHO WE ARE GreenShield is a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All. We believe health care is a right, not a privilege, and we are committed to improving health outcomes, advancing health equity, and building a future where every Canadian can reach their full health and well-being potential. Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through GreenShield Cares, we positively impacted the health and well-being of over one million Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines, and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All. At GreenShield, our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve. THE ROLE IN A NUTSHELL Base Salary: CAD $51,383.00 - 79,261.00 The Plan Build Specialist reports to the Manager, Client Onboarding and is primarily responsible for set up including structure, plan design set up, plan changes and plan amendments for new and existing customers. This role primarily supports the Group and Individual lines of business and provides a specialized service. Participate in RFP reviews when required, review sale documents to gain understanding of what was sold, review and interpret previous carrier documents Develop and map plan design on the Plan Design Template (includes details on benefit coverage, structure and billing requirements) Client Meeting facilitation – gather requirements, review documentation and obtain sign off Enter client’s structure and plan design into the Administrative System Collaborate with Client Administration on enrolment requirements, PSOS for rules attachments, Underwriting for financial information and IT for large implementation requirements Interpret and process plan changes and plan amendments, complete plan design analysis, respond to inquiries and manage issue resolution. Review of detailed history reports, complete accumulator mapping template and collaborate with Implementation Services and IT Support Manage multiple projects with varying degrees of complexity, meeting established timeline to complete projects and coordinate with internal stakeholders as required. Peer review work to confirm accuracy and ensure that supporting material is retained. WHO WE'RE LOOKING FOR Post-secondary degree or diploma in business, administration or related discipline. 3 - 5 years of experience in benefits and / or related industries. Proficient in benefit administration issues, claims processes, and group contracts / booklets Excellent issue resolution, decision-making, communication meeting facilitation, and project management skills Experience training and mentoring peers Exhibits consistent attention to detail Strong administrative, reporting, and analytical skills using MS Office tools Ability to multi-task, manage and interpret large amounts of data, work under pressure, and work independently Positive attitude and a willingness to learn new tasks Customer and solutions oriented Continuous improvement mindset Demonstrates / models GSC behaviours NICE TO HAVE Bilingualism (English/French) THE CULTURE We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded. Where your growth means our growth. Where your voice is heard and valued. Where your work has purpose. And purpose matters. We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together. Here’s to Better Health for All! A FEW MORE DETAILS Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization. GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through [email protected]. Information received relating to accommodation will be addressed confidentially. Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification). AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.

Ce que vous ferez

The Plan Build Specialist is responsible for the setup, structure, and plan design of insurance benefits for new and existing customers. This role involves facilitating client meetings, interpreting plan changes, and collaborating with internal departments to ensure accurate implementation.

Exigences

Candidates must possess a post-secondary degree or diploma in business or a related discipline. A minimum of 3 to 5 years of experience in the benefits or insurance industry is required, along with strong analytical and project management skills.

Compétences indiquées

• Souci du détail · Souhaitée
• Analyse de données · Souhaitée
• Decision Making · Souhaitée
• MS-Office · Souhaitée
• Communication · Souhaitée
• issue resolution · Souhaitée
• Gestion de projet · Souhaitée

Autres compétences pertinentes

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Benefit administration
• Claims processing
• Group contracts
• Project management
• Issue resolution
• Data analysis
• Meeting facilitation
• MS Office
• Plan design
• Implementation services
• Communication
• Decision-making
• Mentoring
• Attention to detail
• Analytical skills
• Meeting Facilitation
• Chronic Disease Management
• Design Analysis
• Solution-Oriented
• Positivity
• Willingness To Learn
• Client Onboarding
• Analytical Skills
• Microsoft Excel
• Peer Review
• Underwriting
• Mental Health
• Billing
• Business Administration
• Decision Making
• Continuous Improvement Process
• English Language
• Equities
• Sales
• French Language
• Health Equity
• Scalability
• Project Management
• Mentorship
• Multitasking
• Request For Proposal
• Telehealth
• Transcribing
• Detail Oriented

Domaines d’emploi

• Finance & Accounting
• Healthcare
• Administrative
• Customer Service & Support
• Design Build Manager
• Compensation / Benefits Analyst
• Government Social Benefits Officials
• Compensation, Benefits, and Job Analysis Specialists