PEBB/SEBB Benefits Administration Program Manager (MA5/ERB)

at  State of Washington Health Care Authority

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.

REQUIRED QUALIFICATIONS:

Qualifying candidates will meet one of the following criteria options:

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 PowerPoint 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.

NOTES:

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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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.