Manager, Provider Relations and Benefits Management

Manager, Provider Relations and Benefits Management

Requisition #2446988 Job LocationCanada-British Columbia-Burnaby Job StreamHealth Insurance Job TypePermanent, Full-Time Salary/Rate$105,000.00 - $125,000.00 / Year Number of Positions1 Start Date of Employment ASAP Posting Date30-Mar-2026 Travel RequiredNot Required Educational RequirementsBachelors Degree Languages RequiredEnglish Job Description

About Pacific Blue Cross

Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.

We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us.

We offer an attractive compensation and benefits package. Our workplace culture values health and wellness, diversity and equality, continuing education, environmental sustainability and giving back to the community.

Perks

• Flexible working hours of 7.5 hours per day, Monday to Friday (i.e., 37.5 hours per week).
• Paid vacation starts at 4 weeks per year, and increases with years of service.
• Hybrid work environment (i.e., a combination of work from office and work from home days).
• Generous benefits, including extended health, dental, and life insurance; depending on the plan that you choose, these benefit premiums can be 100% paid by PBC.
• PBC contributes the equivalent of 8% of your base salary to a Defined Contribution pension plan. No employee contribution or matching is required, giving you more take-home pay.
• Retiree Benefits plan that is available to employees who have at least 10 years of service with PBC and have reached the age of 55.
• Onsite gym, cafeteria, and access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program!

About the Position

• We are searching for a permanent Manager, Provider Relations and Benefits Management to join our Benefits Management and Provider Relations team.
• PBC’s compensation program is built on a pay-for-performance philosophy, rewarding both individual and organizational achievements. The typical hiring range for this position is $105,000 - $125,000 per year, with the starting salary determined based on a combination of skills, education, experience, and internal equity. As part of our total rewards package, you’ll be eligible for our annual bonus program.

If you’re someone with strong research skills, analytical skills, and subject matter expertise in extended health and dental benefits or health policy and are wanting to take on a great career opportunity with a local not-for-profit health insurance provider by identifying, analyzing, and tracking health and dental trends, legislation, and data relevant to Pacific Blue Cross, we want to hear from you.

We offer an attractive compensation and benefits package. Our workplace culture values health and wellness, diversity and equality, continuing education, environmental sustainability and giving back to the community.

This role is currently working hybrid from home and from our head office in Burnaby, BC. Apply this week if you would like to take on this role.

Key Ways This Position Makes An Impact

The Manager, Provider Relations and Benefits Management develops evidence-informed recommendations to manage PBC’s health and dental benefits; leading research and analysis to support the organization’s strategic goals. In this role, you will conduct business analytics and develop reporting to inform decision making regarding benefit management programs, policies, and benefits.

This role works with various stakeholders to understand broad issues or topics and proposes solutions in the development of work products such as recommendations for committees, clients, practice standards, and position statements.

In this role, you will work with stakeholders to ensure new or changed policies and procedures are developed, documented and distributed, and ensuring there is adherence to established governance models.

As the manager, you’ll develop departmental policy and standards in support of the department’s tactical and strategics objectives, using relevant data that has been identified in various policy and process recommendations, internal training, communications, and briefings pertaining to claims adjudication, provider relations and benefits management.

You will provide leadership to team members and promote teamwork and motivate staff.

The manager oversees the development of communication materials including newsletters, position statements, policy/issue briefs, memos, reports, and presentations.

You will participate in projects to assist in the development and implementation of new benefit plans, claims processing systems, electronic data interchange systems, and existing pay direct or systems enhancements for provider groups.

Key Experiences You Bring To This Role

• Bachelor’s degree (or equivalent) with a major in Business, Health Sciences, or an equivalent discipline including or supplemented by courses in leadership/supervision.
• 5 – 8 years of related experience in:

- Research and policy development;

- Extended health and dental claims processing; and/or

- Health care or insurance administration, particularly in managing provider networks.

• 3+ years of experience in a leadership position.
• Excellent project and change management skills.