Benefit Specialist

Role Description

The Benefits Specialist role, under the direction of the Manager of Operations Enablement, and in close collaboration with the Navigation Delivery leadership, Customer Success and Implementation teams, is responsible to ensure that our Navigation Team is best equipped to launch and support new and renewing customers. The role may also require external member and client communication responsibilities as needed.

• Source, analyze and maintain up to date information for Health Guides to support members with benefit options and available programs and services.
• Conduct quality audits and maintain accountability for accuracy.
• Maintain our content management system and member-facing benefits tools, primarily focused on small group and mid-sized clients.
• Partner cross-functionally with internal stakeholders to assess priorities for navigating the benefit ecosystem.
• Answer benefit questions; ensure members understand their options and shared financial responsibility (e.g., deductibles, coinsurance, and out of pocket maximum).
• During peak periods, support the navigation team by sourcing high-quality care providers based on a member’s needs and preferences.

Qualifications

• Demonstrates in-depth understanding of healthcare benefits (i.e., medical, pharmacy, dental, vision).
• Demonstrates ability to synthesize benefit information, healthcare jargon, and communicate in plain language.
• Analytic skills set required (i.e., research and analyze information related to the client’s benefit offerings and ecosystem).
• Impeccable communication skills (both verbal and written).
• Proficient technological ability/literacy (i.e., computer literacy, content management system experience a plus).
• Proficient in Microsoft Office (including but not limited to Excel, Word, GoogleDocs/sheets, etc.).
• Demonstrated ability to work independently.
• Goal-oriented and ability to meet demanding deadlines.
• Ability to adapt to changing priorities and business demands.
• Ability to multitask and manage more than one project at a time.
• Continuous process improvement mindset and desire to enable NavOps to scale.
• Ability to translate complex competencies into common speak.
• Ability to organize work and documents that may come from disparate sources.
• Clearly organize information in a logical flow.

Requirements

• SALARY: $44,000 - $55,000.
• Offer amounts for both remote and in-office roles are influenced by geographic location.

Benefits

• Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education.
• Fosters an inclusive culture where differences are celebrated to drive the best business decisions possible.
• We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.