We are looking for an experienced Health Benefits Professional to join our U.S. Healthcare Team. This is an individual contributor role and will call for subject matter expertise of U.S. medical and dental benefits and robust working knowledge of clinical and pharmacy programs in a large company setting. The role will lead and participate in multiple key initiatives to enhance Microsoft’s healthcare benefit programs and services, and will be responsible for managing a self-funded medical plan relationship and other health-related programs. In partnership with other team members, this position will continue to evolve Microsoft health benefit programs to improve quality and transparency, increase efficiency in cost management, and enhance the employee experience.
Microsoft is on a mission to empower every person and every organization on the planet to achieve more. Our culture is centered on embracing a growth mindset, a theme of inspiring excellence, and encouraging teams and leaders to bring their best each day. In doing so, we create life-changing innovations that impact billions of lives around the world. You can help us achieve our mission.
10+ years work experience in HR, Benefits, or related roles
OR Bachelor's Degree in Human Resources, Business, Social Sciences, or related field AND 7+ years work experience in HR, Benefits, or related roles
OR equivalent experience.
Additional or Preferred Qualifications
Robust medical and dental benefit plan knowledge and understanding of clinical and pharmacy programs.
Experience with managing a self-funded healthcare plan including contracting, negotiation, audits, and day to day escalation management.
Ability to work both independently with minimal direction and collaboratively across multiple functions both externally and internally (Legal, HR Line, HR Services, HRIT etc.).
Experience with clinical programs such as utilization management and care management.
Experience working in a large company and in a matrix environment.
Benefits IC5 - The typical base pay range for this role across the U.S. is USD $101,200 - $194,800 per year. There is a different range applicable to specific work locations, within the San Francisco Bay area and New York City metropolitan area, and the base pay range for this role in those locations is USD $130,000 - $213,200 per year.Certain roles may be eligible for benefits and other compensation. Find additional benefits and pay information here: https://careers.microsoft.com/us/en/us-corporate-pay
Program Design and Adaptation
Thought leadership - Evaluates new concepts and solutions in the US healthcare space and provides thought leadership that is consistent with Microsoft’s global benefits principles.
Socialization - Communicates the value of new or changing benefits programs and provides recommendations regarding the overall cost of proposed changes; influences stakeholders to gain buy-in and approval of program design.
Legislations & market trends - Leads design and adaptation processes that interpret new or emerging legislation and industry trends relating to healthcare benefits; synthesizes market information and meet business needs while ensuring cross-program alignment; uses this insight and works with internal and external partners to improve the design of programs.
Implementation - Drives healthcare benefit initiatives including developing roadmap and execution plans, and acting as project manager.
Forecasting & mitigation - Coaches the organization on mitigation strategies and potential legal and regulatory implications by staying up to date on relevant healthcare legislation and policies; interacts with internal and external stakeholders to influence and drive mitigation of legal and regulatory implications.
Team collaboration - Provides advice and guidance to others within and across teams (e.g. IT, Legal, Privacy, Tax, Communications, HR Services) using your area of expertise to improve and integrate plans and materials before and during program implementation, and for ongoing management; ensures alignment with internal programs and other systems (e.g., benefits portal and enrollment tool); acts as the program spokesperson to communicate change.
Compliance – manages compliance of US healthcare programs by incorporating Microsoft philosophy, policies, and procedures, as well as regulatory, governmental, and other external compliance considerations into the development and implementation of business plans; monitors resources (e.g., web content, toolkits) to maintain compliance.
Escalations and High-Risk Projects – drives complex, high-risk projects; consults and partners with other team members as a subject matter expert to resolve technical issues and develops approaches to improving processes; recommends short- and long-term benefits solutions (e.g., policy adjustments, program corrections, leveraging of existing solutions) to meet business needs; handles highly complicated, sensitive, and/or nuanced escalations (e.g., Tier 3).
Operations – responsible for all aspects of the health benefits program administration (e.g. contracts terms and conditions, network adequacy, utilization management programs, audits…etc..) through contracting with and managing of health plan administrator.
Promotion – facilitates the promotion and awareness of Microsoft's health benefits programs by communicating and presenting program value to internal employees, engaging with Comms and Public Relations, and actively participating in industry forums and employer groups.
Supplier Selection and Management
Supplier Evaluation – leads supplier evaluation, requests for proposals, selection, and on-boarding by executing screening processes involving interviews, annual reviews, and contracting in partnership with other groups (e.g., Procurement, Corporate Functions Engineering, Supplier Security, Privacy Review).
Supplier Management – establishes supplier relationships and negotiate competitive service contracts (for new and current suppliers) to define performance targets and deliverables. Troubleshooting Supplier Performance - recommends guidelines and standards for vendor performance; maintains or improves vendor performance by monitoring and identifying performance issues; addresses supplier-delivery issues and ensure resolutions to performance issues.