Plan Build Specialist (Hybrid)

WHO WE ARE

GreenShieldis a proudly Canadian national non-profit health care and insuranceorganization driven by our mission of Better Health for believe health care is aright not a privilege and we are committed to improving health outcomesadvancing health equity and building a future where every Canadian can reachtheir full health and well-being potential.

Throughour unique integrated payer-provider (payvider) model we offerinsurance administer benefits and pay claims as a payer while offeringhealth care services such as mental health pharmacy telemedicine and chronicdisease management as a provider. As a non-profit social enterprise without shareholders we reinvest our excessearnings to directly support underserved communities. Through GreenShieldCares we positively impacted the health and well-being of over one millionCanadians between 2020 and 2025. Whats driving us now is the commitment to measurably impact an additionalthree million Canadians by 2030 across mental health essential medicinesand chronic disease management through scalable initiatives that delivermeaningful change in pursuit of our mission of Better Health for All.

AtGreenShield our culture is where purpose meets passion and performance. Our teams work as one to delivermeaningful measurable impact for the people and communities we serve.

THEROLE IN A NUTSHELL

Base Salary: CAD $51383.00 - 79261.00

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 clients 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 WERE 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 ameans to earn a living. Our culture is one where everyones voice is heard andvalued. Because thats what it takesto create better health for all. We dare to challenge the status quo. And weredriven by people who have challenged theirs. We believe that yourworkplace should empower you to be the best version of yourself. Thats why we provide aplace 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 arecritical to our overall success. Inclusivity makes us a stronger smarter andmore informed organization. Being intentionally inclusive of diversebackgrounds perspectives and experiences will enhance our company culture topositively impact how we support our communities. A career at GreenShield isnt just about personalachievements its about making adifference together.

Heres to Better Health for All!

AFEW MORE DETAILS
Proficiency in English is requiredfor this position. As part of this role you will be required to communicatewith colleagues or customers who use English as their primary language. By requiring English proficiency for thisposition we aim to ensure that our employees can excel in their rolescollaborate and communicate effectively and contribute to the success of ourorganization.

GS supports diversity equity andinclusion in our teams and communities and we value the unique contributionsmade by all. Even if your experience doesnt align perfectly to everyrequirement we invite you to apply. We encourage applications fromall candidates and will accommodate needs under human rights legislationthroughout all stages of the recruitment and selection process. Please let usknow of any accommodation through Information received relating toaccommodation will be addressed confidentially.

Providing this information givesGS consent to use your personal information to assess your suitability forspecific positions future opportunities or for your personnel file. Yourrésumé will be held in strict confidence and will be viewed only by theOrganization. Information may be stored outside of Canada and could be used foraggregate 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.

Required Experience:

IC