Benefits Administration Manager

Job overview

The Benefits Administration Manager role is onsite at the employer’s headquarters in Roseburg, OR. Compensation is not specified. The role leads administration of the Nesika Health Plan, serving employees and Tribal Members. The manager oversees daily plan operations, interprets plan provisions, and coordinates claims, appeals, member communications, quality controls, and compliance. This work supports reliable service and the plan’s operational and financial integrity.

What you'll do

• Manage daily health plan and Tribal program operations
• review complex benefit inquiries and interpret plan provisions
• oversee appeals, grievances, and inquiries
• establish claim audits and corrective actions
• handle claim corrections, recoveries, refunds, and third-party liability coordination
• communicate plan information
• develop staff training
• monitor payments and expenses
• assist with budgeting and financial analysis
• support HIPAA, ACA, COBRA, and ERISA compliance.

What we're looking for

Skills & competencies

benefits administration manager

roseburg or

cow creek band of the umpqua tribe of indians

nesika health plan

health plan administration

claims administration

member eligibility

appeals and grievances

hipaa

aca

cobra

erisa

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, and prescription benefits
• company-paid short- and long-term disability
• 7% Tribal 401(k) contribution
• company-paid $15,000 life insurance
• flexible spending account
• telemedicine with medical enrollment
• employee assistance program
• fuel discount
• Costco reimbursement
• PTO and service recognition.

Why this role

Requires an associate degree or higher in a related field, five years of relevant experience, two years of supervisory or management experience, and an Oregon Health and Life State License or ability to obtain one within six months.

About the employer

Cow Creek Band of The Umpqua Tribe of Indians is hiring for this role. Industry: Administration of Veterans' Affairs. Sector: 92.