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  • Employee Benefits Internal Specialist

    Sun Life Financial 4.6company rating

    Benefit specialist job in Baltimore, MD

    Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: The opportunity: The Employee Benefits Internal Specialist, Group Underwriting position supports the Sales Representative with all aspects of the Request for Proposal (RFP) process through to sold case. This position provides key support to assigned Employee Benefit Representatives (EBR)/Small Business Sales Specialists (SBSS) within their team by generating timely and quality proposals, efficient discounting discussions and decisions with UW on the EBR/SBSS behalf and sold case processing. The position will also work closely with the EBIS and Underwriting, as well as Implementation. How you will contribute: * Review and evaluate RFP for all Sun Life Group Insurance Products. Examine all documentation supplied with RFP to decide what proposal(s) and/ or potential variations to provide. Documentation may include prior carrier certificates, contracts, prior plan rates, census files, prior claims experience, sales rep preferences, broker special arrangements. * Manipulate census data provided, to properly analyze the specific risk for each client. * Configure system with all relevant data, plan design(s) and census data, and calculate manual rates. * Perform rate analysis and rate adjustments within authority leveraging Manual Pricing Tool (MPT) and generate formal proposals with resulting rates. * Support discounting discussions and approval with Sales Rep and UW when outside of authority limits. * Process Sold Cases, including License and Appointment verification, marking cases sold in our administrative system, and setting up benefit enrollments utilizing our Case Manager system. * Ordering of benchmarking reports (BPTs), Disruption reports and Netminders and order print materials through ePrint. * Build strong relationship with EBRs through collaboration and communication on a daily basis. * Assist and order gifts and giveaways through our fulfillment partners. * Recognize and identify continuous improvements for the role and our team. * Attend strategy calls for large-case (over 500 lives) groups. * Conduct daily team huddles with learning opportunities. * What you will bring with you: * Ability to work with a diverse range of people * Employee Benefits or Group Benefits products knowledge * Bachelor's degree or equivalent year of experience preferred * Knowledge of insurance products and systems a strong plus * Ability to develop and maintain effective, professional business relationships across all levels of the organization * Demonstrate a responsive, service oriented professional approach in all interactions * Ability to think creatively and use professional judgment to resolve non-routine quoting issues * Organizational skills to approach work in an organized fashion and to effectively follow-up on outstanding details * Strong customer service skills, displaying flexibility and adaptability * Strong written and verbal communication skills and experience * Strong decision making and problem solving skills and experience with attention to detail * Demonstrate ability to work independently and effectively in a multi-site organization, with minimal supervision * Demonstrated ability to establish and maintain excellent team-oriented interpersonal working relationships * Demonstrated ability to work in a fast-paced, deadline oriented environment with multiple priorities and established performance standards * Proficiency in Microsoft Office with strong technical knowledge of Excel Salary Range: $60,200 - $90,300 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email ************************* to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Underwriting - Group Posting End Date: 11/03/2026
    $60.2k-90.3k yearly Auto-Apply 9d ago
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  • Manager of Benefits and Retirement Services

    Mid-Atlantic Permanente Medical Group Careers

    Benefit specialist job in Washington, DC

    Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Manager of Benefits and Retirement Services to join our Human Resources department. This position is a full-time opportunity based out of our regional office located in Washington D.C. with a hybrid work model. Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia. Reporting to the Director of Retirement and Benefits Compliance, the Manager of Benefits and Retirement Services will provide leadership, expert guidance, and customer service support in the areas of employee retirement and core benefits administration. You will also ensure exceptional service delivery to employees, manage a small team responsible for benefits administration and related employee services, and lead special projects that enhance the efficiency, quality, and impact of the HR function. You can expect to: Supervise and mentor a team of three Benefits Specialists managing FMLA administration, professional development expense reimbursements, and employee benefits customer service Serve as the primary contact for 401(k), pension, and nonqualified plan inquiries across all employment categories, including retirees Conduct personalized one-on-one sessions to support employees in retirement planning and understanding post-retirement benefits; Assist with ongoing Benefits Education sessions for all employment categories related to topics outside MAPMG specific benefits Advise physician leaders and HR partners on policies related to nonqualified benefits and internal transfers Interpret and communicate complex plan documents, policies, and eligibility criteria with clarity and accuracy Lead and support cross-functional HR projects focused on process improvement, benefits education, and strategic initiatives Collaborate with vendors, actuaries, and internal teams to ensure compliant and efficient benefits administration What is required: Bachelor's degree in human resources, business administration, or a related field required; advanced degree or HR certification (e.g., CEBS, PHR, SHRM-CP) preferred Minimum of seven (7) to ten (10) years of experience in benefits and retirement administration, including individual retirement planning sessions or advisory work Minimum of two (2) years of supervisory or team leadership experience Defined Benefit and non-qualified plan experience preferred Strong knowledge of retirement plans, FMLA, and general employee benefits Excellent communication, analytical, and interpersonal skills Proven ability to manage projects, lead teams, and deliver high-quality employee service Must be able to commute to Washington D.C., on an as-needed basis Candidates must either currently live in or be willing to relocate to the Washington D.C. metropolitan area Must provide documentation of the Covid vaccine 2-dose series (or J&J 1-dose) prior to October 1, 2023, or documentation for 1-dose of the most current Covid vaccine (Pfizer or Moderna) as a condition of employment Must provide documentation for the influenza vaccine as a condition of employment Competitive Benefits: Competitive compensation package 100% employer-funded medical and dental insurance premiums for employees and families effective on the first day of employment Generous paid time off, including vacation, holidays, and sick leave, plus maternity and parental leave Pension plan, and 401(k) retirement plan with employer contributions Life insurance, short-term disability, and long-term disability coverage Education reimbursement The starting annual salary for this position ranges from $120,000 to $135,000, depending on circumstances including an applicant's skills and qualifications, certain degrees and certifications, prior job experience, training, market data, and other relevant factors. In addition to the salary range above, MAPMG offers rich benefits that add substantial value to the total compensation package. MAPMG continuously works to identify and mitigate healthcare inequities, and that starts with providing an inclusive, supportive environment for our physicians and staff. We encourage applicants of any race, color, religion, sex, sexual orientation, gender identity, or national origin who value diversity and will commit to practicing culturally competent healthcare. External hires must pass a background check and drug screening.
    $120k-135k yearly 60d+ ago
  • Benefits & Payroll Administrator

    Live! Hospitality & Entertainment

    Benefit specialist job in Baltimore, MD

    The benefits & payroll administrator will support and participate in the day-to-day payroll and benefits operations, including benefit management, payroll processing and administration, and personnel file management. This position will also assist with onboarding and recruitment and will play an integral role interacting with employees and appropriate 3rd parties. With 5+ years of administrative experience, you would be considered an excellent communicator, who works well independently, and is extremely organized and detail oriented. Our ideal candidate has a professional demeanor with the proven ability to effectively, efficiently and accurately handle a variety of tasks and operate equally well at all personnel levels. Maintain and respond to confidential employee information requests including Direct Deposits, Garnishments, Medical Support Orders and Employment Verifications to meet deadlines and requirements Process Detailed Inter-Company Billings and Generate needed Check Requests Reconcile and generate monthly insurance billings and statements Maintain and administer Confidential Insurance/Payroll personnel records through Ultipro/ADP, Discovery Benefits, and Cigna Access portal software Generate and upload Benefits compliance reports as needed for Affordable Care Act Compliance and process enrollments and make needed updates to our payroll and Benefits software. Run reports and Process New Insurance Eligibility including corresponding and sending out new benefits enrollment information Process day to day benefits enrollments administration as needed and serve as backup for all enrollment systems. Work closely with Benefits Manager during Open Enrollment to administer all plan changes, and Information sessions needed. 401K Plan Administration - including Payroll Uploads/Exports and Compliance Mailings Maintain Insurance Records/Filing Maintain confidential payroll personnel files through Ultipro/ADP Applicant Recruiting and payroll system Maintain and respond to confidential employee information including Direct Deposits, Garnishments and Employment Verifications to meet deadlines and requirements Run/Administer payroll time record reports from UKG/ADP system Process payroll thru UKG/ADP payroll system Provides payroll information by answering questions and requests. Maintains employee confidence and protects payroll operations by keeping information confidential. Keep accounts accurate during employee changes Work with accounting team, finance team, and HR Assist with administration of policies, procedures, programs and benefits Occasional afterhours work is necessary. Serve as backup to Corporate Payroll Processing from time to time Assist with Daily Everify Administration as Backup Other duties as assigned Skills: 5+ years of Administrative experience with payroll and benefits administration preferred. Experience in Ultipro or ADP Payroll and HRIS is a MUST Excellent computer skills; experience in payroll software and Microsoft Office Suite, specifically Microsoft Excel; additional system knowledge a plus In-depth understanding of payroll procedures, laws, and best practices Able to multitask, prioritize, and manage time efficiently Excellent mathematical and analytical skills Precise attention to detail Comfortable in both team-player role Knowledge of local, state, & federal wage & hour compliance (such as overtime, meal/rest periods) required. Experience with payroll processing and time systems. Meticulous attention to detail and strong organization skills. Ability to manage multiple projects and tasks concurrently. Strong communication and interpersonal skills. Responsible for identifying, recommending, implementing and supporting Payroll and Benefits solutions to meet the business needs. Ability to treat sensitive/confidential information with appropriate discretion. Strong sense of urgency, adaptability, flexibility and resourcefulness. The ability to function professionally under pressure, while managing multiple concurrent projects and deadlines. Must possess personal tact, discretion and good judgment. Excellent interpersonal, written and verbal communication skills. Education: High School diploma or GED required; College degree preferred 5+ years of Administrative Experience, Payroll processing and benefits administration experience is a plus Compensation: The compensation for this position is $75,000 annually. Eligible employees are entitled to a comprehensive benefits package following the required eligibility period, which includes: Health, dental, and vision insurance Personal and vacation time 401(k) plan with employer match
    $75k yearly 60d+ ago
  • Benefits Analyst (Claims Focused Analyst)

    Inovalon 4.8company rating

    Benefit specialist job in Bowie, MD

    Overview: The Benefits Analyst will be responsible for providing in-depth analysis and creation of healthcare provider business rules that will modify and edit medical claims. This role requires in-depth knowledge of medical billing and coding of insurance claims from working in the healthcare profession as either a biller or at a software clearinghouse. The Analyst role is a customer facing role via email, ticketing, and occasionally in video meetings. This role requires the ability to review customer requests, ask for any clarifications from the requester and then create, test and publish custom claim edits on behalf of the client within company stated SLAs with a high level of quality. Requests can be customer initiated or medical insurance company mandates or necessary to ensure claims are paid timely. In addition, the Analyst will be responsible for reviewing claims that have failed to process in the system and come up with new edits to solve for outstanding changes that are needed within the system. The Analyst will work as part of a team to ensure that the Inovalon clearinghouse system maintains a high level of first pass claims acceptance rate through continued monitoring and proactive research to the changing needs of insurance claims processing. Duties and Responsibilities: Take ownership of triaging incoming internal and external customer requests for medical claims processing changes needed. Prioritize requests based on operational needs and escalate issues to quick resolution when needed. Implement technical business rules for processing medical claims; including building logic statements based on specific medical insurance claims fields to modify and or change; test with medical claims and implement to live systems. Take a collaborative role with the application support team to triage production problems involving claims processing, perform defect analysis and provide fixes in business logic to be implemented by software teams in a timely fashion, particularly with high priority items. Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered. Liaise with Technology and Engineering teams to resolve application issues and enhancement requests to internal tools used by the team to expand capabilities. Ensure compliance to Company procedures when making changes and implementing new business rules. Ensure ongoing regularly scheduled updates required for compliance are executed timely. Responsible for accessing payer websites and compliance standards research (i.e. UB Editor, payer Companion Guides) Review claim level and file level failures or errors ongoing to find and implement new rules as needed to ensure our first pass claim acceptance rate hits our internal goals. Update documentation, SOPs, and training documentation as needed. Maintain a follow up schedule for unresolved issues. Respond to support requests through phone calls, and emails. Assist operations with process improvement and finding solutions to business problems. Maintain compliance with Inovalon's policies, procedures and mission statement. Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company. Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function. We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Job Requirements: Required: Minimum 2 years' experience with Medical Billing in a healthcare setting, doctor's office or hospital; Preferred: Clearinghouse backend operations. Understanding of Medicare NCDs, as well as Medicare/Medicaid MUE and CCI related billing rules Solid understanding of Institutional and Professional claim forms, 5010 X12 files including 837, 835, 277 and 999. Nice to have: experience in application support, SaaS experience preferred, healthcare background preferred Being able to communicate clearly with clients; client focused and sensitive to client needs Experience working with a ticketing system; Preferred: Service Now Direct experience building logic rules for medical claims processing. Excellent problem solving and analytical skills. The ability to multi-task effectively Education: Bachelor's degree or equivalent work experience required. Physical Demands and Work Environment: Sedentary work (i.e., sitting for long periods of time); Exerting up to 10 pounds of force occasionally and/or negligible amount of force; Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions; Subject to inside environmental conditions; and Travel for this position will include less than 5% locally usually for training purposes.
    $59k-75k yearly est. Auto-Apply 11d ago
  • Benefits Manager

    Ijm

    Benefit specialist job in Washington, DC

    Benefits Manager Who We Are International Justice Mission (IJM) is the global leader in protecting vulnerable people from violence around the world. Our team of over 1,200 professionals are at work worldwide in over 30 offices. Together we are on a mission to rescue millions, protect half a billion, and make justice unstoppable. We are a global community that cares for one another. We believe that the way we work is as important as the results we achieve. We provide professional excellence with joy and celebration to all those we serve. The Need For over 25 years, IJM has pioneered the work to protect vulnerable people from violence. 9 out of 9 times in the last decade, IJM's Justice System Strengthening Projects have reduced slavery and violence between 50 and 85% for very large populations of people in poverty. As we grow to expand our impact to protect 500 million people from violence, we are seeking a Benefits Manager to lead the strategic and operational delivery of benefits programs for employees in the U.S. This role ensures alignment with organizational goals, regulatory compliance, and employee engagement, while enhancing IJM's employee value proposition. This position is hybrid (onsite Tuesdays & Thursdays) based in the Washington, DC area and reports to the VP, HR Operations. It is only available for candidates with the right to work in the U.S. Responsibilities: Health & Welfare Design and Administration Design and evaluate health and welfare programs to align with IJM goals and objectives. Manage day-to-day operations of U.S. employee and expatriate benefit programs (medical, dental, vision, retirement, FMLA, leaves of absence, disability). Serve as subject matter expert for benefits and primary point of contact for employee inquiries. Collaborate with vendors and brokers to negotiate contracts and monitor service quality. Ensure integrity of employee and program data in Workday and related systems. Lead education and training associated with health and welfare program execution. Regulatory and Compliance Ensure benefits programs meet federal, state, and local regulations (ACA, ERISA, HIPAA, COBRA, FMLA). Partner cross-functionally to maintain accurate plan documents and required notifications. Lead or participate in audits to identify and mitigate compliance risks. Serve as primary point of contact for brokers, vendors, and regulatory agencies. Communication and Training Develop and deliver benefits training for new hires, open enrollment, and plan changes. Maintain internal information sites to ensure policies and program details remain current. Qualifications: Bachelor's degree in human resources management or related field. 5-7 years' experience in employee benefits design and administration. Benefit plan audit experience and experience partnering with regulatory agencies. CEBS designation is desirable. Technical Competencies Proficient with Workday HCM and MS Office Suite. Strong data analysis and research skills. Working knowledge of SharePoint. Critical Qualities: Eager commitment to IJM's Core Values: Christian, Professional and Bridge-Building. Highly organized with strong attention to detail. Ability to work independently and lead projects. Strong time management and problem-solving skills. Application Process: Upload Resume, Cover Letter & Statement of Faith* in one PDF document. *What is a statement of faith? A statement of faith should describe your Christian faith and how you see it as relevant to your involvement with IJM. The statement can either be incorporated into the cover letter or submitted as a separate document and should include, at a minimum, a description of your spiritual disciplines (prayer, study, etc.) and your current fellowship or place of worship. What does IJM have to offer? Comprehensive Medical/Dental/Vision benefits Monthly commuter and parking benefits in the DC metro area Retirement benefit options Paid leave starting at 23 days 12 holidays (plus early release the day prior) Daily, quarterly, and annual community spiritual formation Robust staff care resources IJM holds strict safeguarding principles and a zero tolerance to violations of the Safeguarding Policy, Protection against Sexual Exploitation, Abuse and Harassment Policy, and Code of Ethics. Candidate selection is based on technical competence, recruitment, selection and hiring criteria subject to assessing the candidate's value congruence and thorough background, police clearance, and reference check processes. At IJM, we're committed to building a diverse workforce through fair and equitable employment practices. IJM encourages people of any race, color, age, sex, marital status or political ideology to apply for employment. While we welcome everyone into this work, we truly believe that the work we are doing is God's work, not our own, and practice spiritual disciplines together daily. That's why we legally require under SEC. 2000e-1 [Section702] of Title VII of the Civil Rights Act of 1964 that all employees practice a mature orthodox Christian faith, as defined by the Apostles' Creed. IJM requires a background check, police clearance and thorough review of references with an employment offer and/or employment contract.
    $65k-114k yearly est. Auto-Apply 29d ago
  • Benefits Consultant

    Interview Hunters

    Benefit specialist job in Baltimore, MD

    We are looking for a representative to join our team. This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the client by creating a positive working relationship. The manager is responsible for addressing client issues and responding to questions. The ideal candidate comes with experience in and developing new business opportunities among both existing and new customers. Excellent cross-functional experience working with customer service and product development to improve the entire customer experience is a critical factor in this role. Responsibilities: Oversee customer account management - Includes developing new business along with negotiating contracts and agreements to maximize profits. Collaborate cross-functionally - Work closely with the sales team to achieve quotas while keeping clients satisfied and engaged with products and services. Ensure delivery to customers - Facilitate the timely and successful delivery of solutions according to customer needs and objectives. Requirements: Sales or related field Strong verbal and written communications skills Excellent listening, negotiation, and presentation abilities Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level Our employees enjoy a work culture that promotes hard work, dedication, working well with those around you, and work diligently to addressing problems with costumers. Employees can also take advantage of Generous Compensation Program, Weekly Performance Bonus, and Leadership Development Programs to Take Your Career to the Next Level
    $67k-107k yearly est. Auto-Apply 60d+ ago
  • Benefits Manager

    Latitude Inc.

    Benefit specialist job in Columbia, MD

    About the Opportunity A well-established, highly regarded professional services organization is seeking an experienced Benefits & Leave Administration Manager to lead and oversee its benefits and leave programs. This is a highly visible role within Human Resources, ideal for a seasoned professional who enjoys both hands-on administration and strategic process improvement. The organization is looking for someone with deep experience who can step in confidently, assess current operations, and ensure smooth, compliant delivery of benefits and leave services. This contract-to-hire structure allows both the organization and the candidate to ensure long-term fit, with intent to convert for the right individual. Position OverviewThe Benefits & Leave Administration Manager is responsible for the end-to-end administration, compliance, and optimization of employee benefits and leave programs. This role partners closely with HR leadership, Finance, and external vendors to ensure an excellent employee experience while maintaining regulatory compliance and operational efficiency. Key ResponsibilitiesBenefits Administration & ComplianceOversee relationships with benefit vendors and third-party administrators Manage enrollments, terminations, beneficiary updates, COBRA, disability and life insurance claims, and retirement plan transactions Ensure compliance with applicable federal and state regulations (ERISA, ACA, HIPAA, etc.) Prepare and file ACA reporting (including 1095-C forms) Coordinate annual retirement plan audits, compliance testing, QDROs, and required filings Leave AdministrationManage all leave of absence programs, including FMLA, ADA, short-term and long-term disability Maintain accurate documentation, coordinate benefits premium payments during leave, and communicate with employees and managers Process Improvement & StrategyEvaluate current benefits and leave processes and implement improvements to increase efficiency and accuracy Support wellness initiatives, employee communications, and engagement efforts Partner with HR leadership to develop and deliver training related to benefits and leave policies Produce utilization reports and analysis to support leadership decision-making Vendor & Financial OversightAudit vendor performance and billing accuracy Support contract negotiations, renewals, and cost management in collaboration with HR and Finance leadership HRIS & SystemsServe as the subject matter expert for benefits and leave functionality within the HRISEnsure data integrity, troubleshoot issues, and support system enhancements or upgrades QualificationsBachelor's degree in Human Resources, Business Administration, or a related field strongly preferred7-10+ years of progressive experience in benefits and leave administration, including leadership or senior-level responsibility Strong knowledge of benefits compliance and multi-state leave regulations Experience in a professional services or similarly structured corporate environment preferred Hands-on experience with HRIS platforms (experience with UKG is a plus but not required) Strong Excel and Microsoft Office skills Proven ability to manage vendors, oversee budgets, and navigate complex benefit programs Excellent communication skills with the ability to clearly explain complex topics and influence stakeholders Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment
    $59k-104k yearly est. Auto-Apply 12d ago
  • Coordinator, Benefits Eligibility and Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Washington, DC

    **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Authorization may be asked to perform other duties if necessary & must be knowledgeable of a variety of insurance plans and policies **_Responsibilities_** + Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Communicate with patients, front end staff, physicians & payors as needed in order to obtain updated insurance and/or clinical information. + Submit authorizations for all internal and external orders including, but not limited to, radiation, chemotherapy, PET/CT, urology and scans. + Follow up within 48 hours on any existing authorizations that are pending approval. + Ensure proper documentation outlining all steps taken to ensure authorizations have been submitted, followed up on and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay. + Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high level of confidentiality for patients in accordance with HIPAA standards. + Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary. + Effectively completes other duties and projects as assigned. + Regular attendance and punctuality. + Execute all functions of the role with positivity and team effort by accomplishing related results as needed. + Effectively completes other duties and projects assigned. **_Qualifications_** + 4-8 years of experience, preferred + Bachelor's degree in related field, or equivalent work experience, preferred + Knowledge of medical terminology. + Familiar with Oncology, Urology, Chemotherapy and Radiation Billing preferred + Experience with computerized billing software and interpreting EOBs + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding. + Experience with GE Centricity preferred + Knowledge of computer/telephony support, preferably in a healthcare environment preferred + Strong customer service background, preferably in a healthcare environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage and prioritize multiple tasks. + Ability to calmly and professionally resolve customer issues with diplomacy and tact. + Ability to work independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid. **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks. + Works on routine assignments that require basic problem resolution. + Refers to policies and past practices for guidance. + Receives general direction on standard work; receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems. **Anticipated hourly range:** $21.00 - $27.72 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 2/15/26 *if interested in opportunity, please submit application as soon as possible. _The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $21-27.7 hourly 60d+ ago
  • Manager, Payroll and Benefits

    FAS 4.3company rating

    Benefit specialist job in Washington, DC

    Manager, Payroll and Benefits Full-time FAS staff Washington, DC Why FAS? Does FAS sound like an organization that you would be energized to join? Is it aligned to your values? The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community. FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity. The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world. Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world. Skills and Expertise: Must Haves What skills do you need to show proficiency (or higher) in order to be a strong candidate? Bachelor's degree or higher in Accounting, Finance or Business Administration. 4-6 years of experience in benefits and payroll administration. A deep understanding of various employee benefits, including health, retirement, and insurance. Intermediate/expert skills in Excel required. Previous experience with HRIS software is highly desirable. Excellent communication, interpersonal, and negotiation skills. Proven ability to build and maintain effective working relationships at all levels across the organization. Monitors own work to ensure professional quality and punctuality. Ability to handle sensitive and confidential information with discretion. Strong analytical and problem-solving skills Highly Preferred: Certified Benefits Professional (CBP) is highly preferred. Non-profit experience is highly preferred. To Sum It Up… What's the “elevator pitch” for the role? The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes. In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards. This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization. This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision. At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture. What you'll do: (Core responsibilities) Benefits Administration Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs. Manage open enrollment, employee eligibility, and benefit plan changes throughout the year. Serve as the primary point of contact for benefits-related inquiries and issue resolution. Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery. Coordinate benefits education sessions and communications to enhance employee understanding and engagement. Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement. Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors. Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others. Payroll Management Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws. Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements. Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting. Administer wage adjustments, retroactive pay, and off-cycle payments as needed. Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws. Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records. Review and update payroll-related policies and procedures for clarity and compliance. Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll. Special projects and tasks as assigned. Compliance and Reporting Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.). Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits. Work Environment This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote. Salary Range $70,000-$85,000 Hiring Statement Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate. The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States.
    $70k-85k yearly Auto-Apply 54d ago
  • Employee Benefits Counsel

    WTW

    Benefit specialist job in Arlington, VA

    Technical Services is a team of attorneys and other professionals within the Research and Innovation Center (RIC) who provide centralized support to U.S. and Canadian associates on legal, regulatory and policy issues affecting our clients' employee benefit plans and compensation programs. The Technical Services team works directly with consultants to: support business initiatives; respond to inquiries on legal and regulatory issues; prepare written material on legal and regulatory developments for internal and external client use; assist with client assignments related to all aspects of benefits and assist with training and quality assurance on legal and regulatory issues. Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. **The Role** The position is an attorney that will support WTW's Health, Wealth & Career segment in the U.S, as a legal expert with a primary focus on health and welfare plans. The responsibilities of this position include: + Preparing Legislative & Regulatory Updates and other intellectual capital (collaborating with business leaders and marketing, as appropriate) + Performing research and advising clients and consultants on a wide range of health and welfare plan issues + Analyzing legislation, regulations and case law with respect to health and welfare plans You will have the opportunity to: + Deeply enhance your technical skill set with respect to health and welfare plans and strategy, while working closely with expert colleagues + Build relationships with colleagues by providing expertise and advice on health and welfare-related legislative and policy developments + Directly contribute to the core business strategy of the firm by creating groundbreaking and timely intellectual capital + Work in a fast-paced, dynamic environment, which also respects work/life balance **Performance Objectives:** + Serve as national technical resource for associates on legislative and regulatory issues + Understand the U.S. healthcare policy landscape + Analyze health and welfare-related legislative and regulatory developments + Ensure clients and colleagues are regularly informed about the implications and opportunities that changing laws and regulations have on the design, administration and governance of health and welfare plans + Coordinate with business leadership on legislative and regulatory priorities + Respond on a timely basis to requests for assistance from colleagues concerning technical/regulatory issues related to our clients' health and welfare plans + Develop innovative and leverageable solutions to address challenging client problems + Increase internal sphere of influence and external marketplace presence by creating broad awareness of WTW subject matter areas of expertise + On occasion, present at internal or external conference/business roundtables and other events on current legislative and regulatory developments + Build relationships internally and collaborate effectively on cross-functional teams **Qualifications** **The Requirements** + 7+ years of relevant health and welfare legal and regulatory experience at a legal, accounting or consulting firm, or in a corporate legal department + Juris Doctorate from an accredited law school and active membership in a state bar association + Substantial knowledge of ERISA, the Internal Revenue Code, COBRA, HIPAA, the Affordable Care Act, Mental Health Parity, and other federal and state healthcare-related statutes + Substantial knowledge of the design and ongoing administration needs of health and welfare plans + Understanding of the fiduciary health plan litigation landscape, emerging litigation trends, and governance structure and best practices + Ability to analyze complex legal and regulatory developments, understand the impact on employers' health and welfare plan strategy, and effectively communicate key implications and insights to non-lawyer clients and colleagues + Strong service orientation and sense of urgency regarding clients' needs + Collaborative style suited to working on a team with expert colleagues who strive to ensure the quality of one another's work + Effective speaking and presentation skills for occasional internal training and client presentations This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. **Compensation and Benefits** Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only). **Compensation** The base salary compensation range being offered for this role is $200,000-$240,000 USD per year. This role is also eligible for an annual short-term incentive bonus. **Company Benefits** WTW provides a competitive benefit package which includes the following (eligibility requirements apply): + **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program) + **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off + **Retirement Benefits:** Qualified contributory pension plan (if eligible) and 401(k) plan with annual nonelective company contribution. Non-qualified retirement plans available to senior level colleagues who satisfy the plans' eligibility requirements. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. **EOE, including disability/vets** At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a "hybrid" style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and "hybrid" is not a one-size-fits-all solution. We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.
    $58k-114k yearly est. 60d+ ago
  • Employee Benefits Account Specialist

    Corporate Synergies 3.9company rating

    Benefit specialist job in Columbia, MD

    Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firm in the US, is adding an Account Specialist to their Corporate Synergies team in the DC Metro Region. Essential to developing a strong foundation in employee benefits brokerage/consulting, the Account Specialist is an entry-level position, responsible for developing the industry knowledge/skills necessary to support Sales, Account Management and Underwriting with activities related to marketing, sales, and service of multiple client accounts (Book of Business). Key Responsibilities: Maintain up-to-date client files/internal systems in accordance with CSG's standard protocols. Support the various pre-renewal/renewal/post-renewal and wellness activities. Coordinate data gathering for reporting efforts (analytical, compliance, etc.). Complete training/professional development to gain understanding of the industry and CSG. Essential Duties: As part of the client life-cycle (on-boarding, ongoing support and renewal), assist/support the Account Management and Underwriting Team for all lines of coverage by: Gathering all necessary data to fulfill our obligations (including the outreach to carriers and client to secure information) Supporting the team with the preparation, analysis and delivery of materials that makeup the deliverable (i.e. exhibits, reports and presentations) Completing/fulfilling assigned implementation tasks associated with client related projects Coordinating activities and successfully completing regulatory tasks (i.e. 5500's, ACA and other notices/disclosures) throughout the year Prepare standard and ad-hoc reports (as needed) Tracking receipt of deliverables and update the Annual Action Plan to ensure both the accuracy and timeliness of materials Participating (whenever appropriate) in client meetings/presentations At various times throughout the year (i.e. Open Enrollment), prepare and review employee education and communication materials (i.e. Benefit Guides). Assist in the coordination Open Enrollment activities (includes conducting meetings). Maintain internal systems (i.e. BenfitPoint and Oracle) and client files in accordance with CSG's data standards and filing requirements. Perform necessary steps (including timely follow-up) to help resolve client service or claim issues/inquiries and/or administrative concerns. Interact with carriers and vendors on behalf of the client and the team. Qualifications: Strong attention to detail, well organized and responsive, Strong desire and willingness to learn all aspects of: CSG suite of services and available solutions Insurance and healthcare related products Regulatory and compliance related matters (including healthcare reform) Very comfortable with numbers Proficient in Microsoft Excel, PowerPoint, Word and Publisher Ability to quickly learn new skills Comfortable working independently as well as in a team environment Ability to establish relationships Strong oral and written communication skills Ability to multi-task and demonstrate composure/resilience under pressure - Comfortable switching between clients and tasks to meet deadlines Basic understanding of insurance and healthcare. Education & Experience: Education - High School Diploma, Bachelor's Degree preferred. Licensure/Certification - State Specific Resident Life & Health License is required within six months from date of hire. This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees. Pay Transparency Range$50,000-$65,000 USD Disclaimer: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary. Equal Employment Opportunity (EEO): FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law. Benefits: FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
    $50k-65k yearly Auto-Apply 60d+ ago
  • Payroll and Benefits Professional

    Beyond SOF

    Benefit specialist job in Alexandria, VA

    We are looking for a knowledgeable and proactive Payroll and Benefits Professional to join our team. This role is designed for a professional with a strong background in payroll taxes, benefits administration, and compliance, particularly in startup environments. The ideal candidate will possess a benefits certification, expertise in payroll systems such as Paylocity and Rippling, and a thorough understanding of federal and state regulations. Key Responsibilities Payroll Administration: Oversee the setup, processing, and management of payroll using systems like Paylocity and Rippling. Ensure accurate payroll tax calculations and filings, including state and federal taxes. Collaborate with accounting teams to set up and maintain the general ledger for payroll integration. Benefits Administration: Manage the setup and administration of employee benefits programs, including health insurance, 401(k) plans, and voluntary benefits. Conduct 401(k) plan setup, compliance testing, and nondiscrimination testing. Advise on competitive and compliant benefits packages that align with their business goals. Compliance and Regulatory Support: Stay updated on labor laws, Department of Labor (DOL) requirements, and Fair Labor Standards Act (FLSA) classifications to ensure compliance. Handle workers' compensation administration, state and federal leave policies (e.g., FMLA, CFRA), and other regulatory requirements. Monitor changes in regulations and provide guidance to clients to ensure ongoing compliance. Client Engagement and Support: Work closely with company to understand their specific payroll, benefits, and compliance needs. Educate and guide clients through payroll system implementation and ongoing use. Serve as a trusted advisor, providing insights into best practices for payroll taxes, benefits administration, and compliance management. System Implementation and Optimization: Configure and optimize payroll systems, including Paylocity and Rippling, to meet company needs. Support company with data migration, system testing, and employee onboarding into payroll and benefits platforms. Train company and employees on system functionality and self-service features. Data Analysis and Reporting: Provide detailed reporting on payroll and benefits metrics, including headcount, benefits participation, and compliance status. Analyze data to identify areas for cost savings and process improvements. Qualifications Education and Certification: Bachelor's degree in Human Resources, Business Administration, or a related field. Certified Employee Benefits Specialist (CEBS), Professional in Human Resources (PHR), or similar certification is highly preferred. Experience: 7+ years of experience in payroll, benefits administration, and compliance. Proven experience working with startups or small-to-medium-sized businesses is highly desirable. Hands-on experience with payroll systems like Paylocity and Rippling is strongly recommended. Technical Skills: Proficiency in payroll tax calculations, benefits setup, and compliance testing. Familiarity with general ledger setup and integration with payroll systems. Knowledge of state and federal leave administration requirements.
    $43k-64k yearly est. 60d+ ago
  • Benefits Manager

    Amgen 4.8company rating

    Benefit specialist job in Washington, DC

    **Join Amgen's Mission of Serving Patients** At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career. Benefits Manager **What you will do** Let's do this. Let's change the world. We are seeking a detail-oriented and compliance-focused Manager, U.S. Benefits to oversee the design, program execution, and regulatory oversight of our US health and welfare benefit programs, including Puerto Rico. This role is responsible for ensuring programs remain competitive, cost-effective, and compliant with federal, state, and local regulations. The ideal candidate will have strong expertise in US and Puerto Rico health benefits, demonstrated experience in compliance and regulatory monitoring, and the ability to collaborate across multiple functions and geographies. **Roles & Responsibilities:** Plan Design & Strategy + Partner with internal stakeholders and external consultants to design and evaluate US and Puerto Rico health and welfare benefit programs, ensuring alignment with Amgen's total rewards strategy and employee value proposition. + Assess plan competitiveness and recommend changes to improve cost efficiency, employee engagement, and alignment with business goals + Collaborate with global total rewards and internal communications teams to support benefit and equity education campaigns. + Partner with finance on budget, accrual and forecasting of self-funded plans **Compliance & Regulatory Oversight** + Ensure health and welfare benefit programs comply with federal and state laws, including ERISA, ACA, HIPAA, COBRA, and other applicable legislation. + Monitor evolving legislation and regulatory changes, proactively advising on plan and policy implications. + Oversee annual compliance activities, including nondiscrimination testing, Form 5500 filings, and required notices. **Employee Communication & Support** + Collaborate with internal communications and HR teams to design and deliver clear, employee-friendly education materials on health benefits. + Support employee inquiries with a focus on accurate, timely, and compliant responses. + Provide insights and reporting on plan utilization, cost trends, and regulatory developments to inform strategic decision-making. **What we expect of you** We are all different, yet we all use our unique contributions to serve patients. The [vital attribute] professional we seek is a [type of person] with these qualifications. **Basic Qualifications:** Doctorate degree **Or** Master's degree and 2 years of Human Resources/Benefits experience **Or** Bachelor's degree and 4 years of Human Resources/Benefits experience **Or** Associate's degree and 8 years of Human Resources/Benefits experience **Or** High school diploma/GED and 10 years of Human Resources/Benefits experience **Preferred Qualifications:** + 6+ years of progressive experience in US health benefits, with strong knowledge of plan design, compliance, and administration. + Experience managing Puerto Rico health benefits preferred. + Knowledge of and experience with fully insured and self funded plans. + Deep understanding of federal and state health benefit regulations, including ERISA, ACA, HIPAA, and COBRA. + Experience leading vendor relationships and managing benefits in large, complex organizations. + Strong analytical, organizational, and communication skills with the ability to explain complex benefits topics clearly. + Ability to manage multiple priorities and regulatory requirements in a dynamic environment. + Strong knowledge of HRIS and benefit administration tools such as Workday, Conduent, Alight, or similar systems. + Excellent communication, organizational, and analytical skills. **What you can expect from us** As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: + A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts + A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan + Stock-based long-term incentives + Award-winning time-off plans + Flexible work models where possible. Refer to the Work Location Type in the job posting to see if this applies. **Apply now and make a lasting impact with the Amgen team.** **careers.amgen.com** In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. **Application deadline** Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. **Sponsorship** Sponsorship for this role is not guaranteed. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease. Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
    $86k-113k yearly est. 6d ago
  • Employee Benefits Attorney

    Lewis & Associates 3.8company rating

    Benefit specialist job in Washington, DC

    LEWIS & ASSOCIATES is a leader in providing Legal and Administrative staffing services. We are a sole source staffing firm giving you convenient ways of working with us. We make every effort to ensure the highest degree of professionalism and integrity in the staffing process. We understand the demanding role of recruiting to source the highest level of legal professionals while incorporating proven, innovative, and successful recruiting techniques. Job Description Great opportunity to work for an international law firm that provides thoughtful, strategic, practical legal counsel to client companies and legal teams of all sizes. With more than 800 attorneys in the U.S., London, Shanghai, Melbourne and Sydney, the firm offers a national platform and an international gateway to serve your changing business and legal needs in litigation, employment, corporate, real estate and employee benefits. The firm has gained acclaim for our innovative Lean client service model, which incorporates the core principles of Lean Six Sigma to the delivery of legal services, and they continue to develop new reporting and project management tools for greater transparency and collaboration with their clients. The firms efforts have contributed to their recognition by in-house counsel as ‘Best of the Best' for client service within the 2014 BTI Consulting Group's Client Service A-Team and being named by the Financial Times U.S. Innovative Lawyers Report among the most innovative law firms. Qualifications We are seeking an associate attorney with 1 to 5 years of experience to join the Employee Benefits department in the Chicago office. Candidates should have experience with qualified retirement plans and welfare benefit plans. Excellent academic credentials, analytical skills and verbal and written communication skills, and at least 2 years law firm experience required. Additional Information
    $50k-74k yearly est. 60d+ ago
  • Benefits Manager

    City of Alexandria (Va 4.0company rating

    Benefit specialist job in Alexandria, VA

    As a member of the City of Alexandria Human Resources Leadership Team, the Benefits Manager is responsible for innovatively leading and driving benefits-related programs in accordance with the City government's vision, strategy, and goals. This position manages the design, administration, interpretation, and evaluation of employee benefit policies and plans for the City. Using the latest technology, the incumbent will lead areas including, but not limited to, health and wellness programs, employee assistance programs, and City insurance plans. The Opportunity * Drive effective execution of the City's benefit programs in alignment with guidance from Human Resources leadership, using data to assess value on investment, cost, service, and overall program performance. * Lead the annual open enrollment process, including planning, system testing, vendor coordination, and employee communications, and work with brokers to identify improvements for leadership review. * Engage and advise department leaders on benefit program design that supports attraction and retention, and provide clear recommendations and operational insights to City Human Resources Leadership and Senior Management. * Oversee the day-to-day administration of employee and retiree benefits with a focus on accuracy, consistency, and high-quality service. * Manage vendor relationships and contractor performance in partnership with Procurement, ensuring timelines, renewals, and deliverables are met and risks are monitored and addressed proactively. * Support compliance with laws and regulations by maintaining documented procedures, accurate records, and timely communication of potential risks or required updates. * Coordinate benefits data, reporting, and system updates to support payroll, HRIS, budgeting, and broader organizational decision-making. * Lead and support the benefits team by setting clear expectations, balancing workloads, and fostering a collaborative and service-oriented environment. * Partner closely with the Deputy Director of Human Resources to carry out strategic priorities and ensure smooth and reliable benefits operations. About the Department The Human Resources Department is made up of a dedicated team of professionals working to support the strategic direction of the City government through the recruitment, development, and retention of a high quality workforce capable of delivering public services in a complex and stimulating community environment. Through thoughtful planning and the diligent execution of work, the Human Resources Department focuses on the critical needs of our dynamic organization and its employees. Minimum & Additional Requirements Minimum Requirements: To qualify for this position, all candidates should possess at least a Bachelor's degree in Human Resources Management, Public Administration, Health Administration, Business Administration or a related field, as well as: * At least five (5) years of professional experience administering benefits related program(s) within a public or private organization * At least two (2) years of supervisory experience * Experience developing and writing policies and procedures and complex related reports * Experience developing and monitoring budgets and contracts * Experience providing professional support and guidance to line and departmental managers Any equivalent combination of experience and training which provides the required knowledge, skills, and abilities may be substituted for the experience qualifications above. Preferred Qualifications Preferred Qualifications: To be considered as an ideal candidate, one must also possess a Master's degree in Human Resources Management, Public Administration, Health Administration, Business Administration or a related field, as well as: * At least five (5) years of progressive management experience as a strategic business partner in employee benefits including life, medical, dental, vision, and disability insurance plans; flexible spending accounts (FSA); employee assistance; and other benefit programs. * At least five (5) years of experience ensuring compliance with relevant laws and regulations (e.g. ACA, ERISA, HIPAA, COBRA, FMLA, SPDs, Form 5500, Form 1095-C). * Demonstrated ability to consistently and effectively communicate with key stakeholders. * At least five (5) years of experience managing vendor relationships. * At least five (5) years of supervisory experience. * At least five (5) years of experience with developing and writing policies and procedures and complex related reports; developing and monitoring budgets and contracts; and providing professional support and guidance to line and departmental managers within a public or private organization. * CEBS, CBP, CCP and/or WLCP certification. Notes Please note that the working location for this role is: 2331 Mill Rd, Alexandria, VA 22314.
    $51k-65k yearly est. 8d ago
  • Benefits Manager

    American University 4.3company rating

    Benefit specialist job in Washington, DC

    American University is a student-centered research institution located in Washington, DC, with highly-ranked schools and colleges, internationally-renowned faculty, and a reputation for creating meaningful change in the world. Learn more about American University Department: Employee Benefits Time Type: Full time Job Type: Regular FLSA Status: Exempt Work Modality: Hybrid 01 (On Campus 3-4 Days/Week) Union: Job Description: Summary: The Benefits Manager is responsible for the strategic development and management of comprehensive benefits programs for the university. The Manager will be responsible for providing competitive benefits program and support for 2,900 faculty, staff and retirees. The Manager will participate in the development of the Annual Open Enrollment, Digital Transformation of the Total Rewards Department, Retirement Portal and effective management and communication of Health & Welfare, Life and Disability, Retirement and Educational benefit programs. The Benefits Manager, in collaboration with the Director of Employee Benefits and Retirement, provides overall leadership and administration for benefits planning and administration for university faculty, staff and retirees. They recommend policy, oversee the benefits operations, and directly manage benefits and retirement administration. The Manager plans, negotiates and administers all University benefits programs and initiatives; develops long range and current planning proposals for budget; serves as contract liaison between benefits carriers, mutual fund companies, and consulting firms and university offices of procurement and finance; prepares and presents critical research and trend data and analyses on benefits and retirement programs; reviews and evaluates new and existing laws and regulations for retirement compliance; and designs and implements ongoing initiatives to enhance the effectiveness of the retirement programs and costs at American University. Essential Functions: 1.) Health and Welfare * Manage the day-to-day operational activities of AU's health and welfare programs to ensure compliance with AU policies and applicable laws. Ensure high standards of customer service. Develop and implement initiatives to ensure high quality of service for the university, faculty, staff, and retirees. Interface with vendors on behalf of participants and HR staff to clarify vendor and AU policies and procedures, resolve claims, and provide direction to vendors. In consultation with Director of Employee Benefits and Retirement, make decisions on policy exceptions and special requests. Counsel faculty and staff members on benefits programs. 2.) Education * Administers the university's educational benefits to include tuition remission, Tuition Exchange Scholarship, and cash grant programs in accordance with university policies and processes, and in compliance with federal tax code. Responds to faculty and staff member questions and works closely with Financial Aid and Student Accounts to ensure tuition remission is posted in a timely manner. Maintain the applicant/participant databases for each of the educational benefits programs. Maintains and updates educational benefits information in benefit manuals and online. 3.) Retirement * Manage administration and support systems of the University's competitive retirement programs and support systems for faculty, staff, and retirees. Provide support and oversight for all university retirement planning and administration. Recommend policy changes and modernization. Plan, participate in negotiations, and administer all University retirement programs and initiatives. Develop current planning proposals, including budget impact. Serve as a liaison between retirement vendors and university offices of procurement and finance on contracts and coverage with insurance carriers, mutual fund companies, compensation vendors, and consulting firms. Prepare and present critical research and trend data and analyses on retirement. Review, evaluate and ensure programs remain in compliance with new and existing laws and regulations and align with university policies. Design and implement ongoing initiatives to enhance retirement offerings, ensure equity, and effectively manage costs. 4.) Programs and Engagement * Develop content and present benefits information, updates and proposals for leadership, Benefits Advisory Project Team, events and stakeholders. Manage New Hire Enrollment processes. Process, investigate, and collaborate with vendors to resolve customer benefit issues. 5.) Leaves * Support the day-to-day operational activities of the benefits team by investigating and resolving routine customer benefits issues relating to AU's benefit programs and educating the HR Support / Employee Relations / HR Operations teams in a way that enhances their collective knowledge so they can better support their clients and customers. Benefit programs include health plans, dental plans, vision plans, Rx plans, flexible spending accounts, group legal plans, group pet insurance, group auto and home insurance plans, and others. Identify trends and issues with potential broad customer impact and report findings to leadership. Process corrections to coverage information and ensure prompt notification to vendors of errors. Answer plan issues inquiries, qualifying events, COBRA, and benefits for staff and faculty members on Leave of Absence or Long-Term Disability. 6.) Compliance * Manage the annual audits, data and regulatory filings with the different agencies, committees, and institutions. Monitors and stays current on changes to state and federal laws. Partner with key stakeholders, including Finance, IT, and Legal, to support effective implementation and compliance. 7.) Supervision * Serve as part of the Total Rewards team. Provide direction, supervision and mentorship to Benefit Analyst roles. 8.) Other Duties as Assigned Supervisory Responsibility: * This position will supervise two Benefits Analyst positions. Competencies: * Prioritizing and Organizing. * Acquiring and Analyzing Information. * Evaluating and Implementing Ideas. * Developing Plans. * Making Accurate Judgments and Decisions. * Building and Supporting Teams. * Building a Customer Focused Organization. * Driving Continuous Improvement. * Collaborative Leadership. Position Type/Expected Hours of Work: * Full-Time. * 35 hours per week. * Hybrid 1 work modality (on campus 3 - 4 days per week). Salary Range: * $90,000 - $100,000 annually. Required Education and Experience: * A Bachelor's degree or equivalent combination of education and experience. * At least 5 years progressively responsible experience in benefits and retirement or equivalent in education, training and experience. * Proficiency in consultation skills, executive coaching, customer service skills, strategic communications, collaboration, interpersonal and management skills, committed to supporting a diverse and inclusive community. * Knowledge, understanding and application of Federal and State employment laws. * Proficiency in financial analysis, modeling and budgeting. * Proficiency in data analytics and use of Excel. Preferred Education and Experience: * Master's degree, or Accounting, Economics or Finance Bachelor's degree. * 5 - 8 years of relevant experience. * Proficiency in Microsoft Office Suite and Power Point. Additional Eligibility Qualifications: * CEBS certification or other benefit certification(s) or accounts / finance certification is highly desirable. Benefits AU offers a competitive benefits package. Click here to learn about American University's unique benefit options. Other Details * Hiring offers for this position are contingent on successful completion of a background check. * Employees in staff positions at American University must deliver their services to the university from either the District of Columbia, Maryland, or Virginia, or perform work on-site at the university. * Please note this job announcement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. * American University is an E-Verify employer. Current American University Employees American University current employees must apply through their employee Workday account. If you are a current employee at American University, please log into Workday and select the Find Jobs report which will take you to our internal career listings. Contact Us For more information or assistance with the American University careers site, email ************************. American University is an equal opportunity, affirmative action institution that operates in compliance with applicable laws and regulations. The university does not discriminate on the basis of race, color, national origin, religion, sex (including pregnancy), age, sexual orientation, disability, marital status, personal appearance, gender identity and expression, family responsibilities, political affiliation, source of income, veteran status, an individual's genetic information or any other bases under federal or local laws (collectively "Protected Bases") in its programs and activities.
    $90k-100k yearly Auto-Apply 16d ago
  • Bi-Lingual Spanish Insurance Benefits Consultant

    Modern Insurance Pros

    Benefit specialist job in Silver Spring, MD

    A career with Aflac is one of the most sought-after, highly paid, rewarding and fun careers on the market today! Aflac is a strong, stable, ethical company where you can work smarter (not harder), earn more money each year, enjoy more time off and work with great people. With Aflac you can enjoy what you do each day AND help people in the process. Businesses need our no-cost business solutions and employees need our cash benefit programs. This means there's never been a better time to join Aflac! This is what a successful career with Aflac can give you and your family: Solid 1st year income with 15% to 40% increases in your income each year. Complete control of your career path, your clients and your daily schedule. Job security and long-term financial security. General job responsibilities: Complete our award-winning onboarding process and training both in the classroom and out in the field with a personal mentor. Establish new relationships with companies through networking, field marketing, social media, LinkedIn, referrals and warm leads. Meet with business owners, identify their business needs, discuss our no-cost business solutions, schedule employee education meetings and enroll employees in Aflac benefits. Assist with billing, invoicing, claims and policyholder servicing. Leadership Positions are available within three to six months (as long as business goals are achieved). This allows you to build your own Aflac agency. The Aflac Experience: Make $45,000 to $65,000 during their first year before bonuses. Earn additional compensation through our new Benefits Consultant Award Series (up to $12,900 1st year), stock bonuses, renewal income, nomination bonuses and ongoing contests that include trips, prizes and cash bonuses. After certain time periods you receive a percentage of your policy renewal income (2 Years = 50%, 5 years = 75% and 10 years = 100%). You continue to receive this income even if you leave the company! Represent the #1 company in the industry. Flexible schedule (no nights or weekends, unless you want to). We pride ourselves in being a fun, ethical, professional team that actively work together in a positive, cooperative work environment. Several management and specialty opportunities are available for qualified candidates. Job Requirements: An Accident, Life and Health License is preferred. *If you don't have a license that is okay. If you are willing to obtain your Accident, Life and Health License will also be considered. It's a simple process and you will be supported throughout. No F1, OPT or CPT Visa positions available for this position. Insurance Benefits Consultants are independent contractors of Aflac. Applicants must be United States Citizens or own a permanent resident card. At Aflac, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.
    $45k-65k yearly 60d+ ago
  • Senior Compensation & Benefits Consultant, PRN

    Cnhs 3.9company rating

    Benefit specialist job in Silver Spring, MD

    Senior Compensation & Benefits Consultant, PRN - (240002ZC) Description The Senior Compensation and Benefit Consultant will provide day-to-day compensation and benefit consultation service to HR Consultants and Management on compensation issues/requests. Will lead/participate in the implementation of designated compensation and benefit programs/projects. Will manage federal compliance and other regulatory matters and assist with legal review of benefit plans for legislative compliance to include keeping abreast of new legal changes to assure all plans are maintained in compliance as well as provide timely communication to participants. Will conduct continuous internal process reviews and audits and will be responsible for the design and management of compensation and benefit programs. Qualifications Minimum EducationBachelor's Degree Business or a related field required. Advanced degree is desirable. (Required) Minimum Work Experience5 years Related Compensation & Benefits experience. (Required) Functional AccountabilitiesCompensation and Benefits Consulting & AnalysisAdvise, counsel and educate to management and HR staff with regard to compensation related matters. Partner with HR Business Partners to address compensation and benefits related needs and issues. Administer compensation and benefits programs to ensure adherence to compensation policies, procedures and philosophy. Partner with recruiters in recommending hiring packages that are able to attract talents as well as ensure internal equity. Work with HRIS to process compensation and benefits transactions per Union contracts. Work with HRIS to perform data updates and audits to ensure accuracy of compensation records in the system(s). Implementation of Compensation and Benefits Programs/ProjectsLead/participate in implementing designated compensation and benefits programs/projects such as annual performance management and merit increases, annual incentive payout, special market adjustments, open enrollment, benefit claims and vendor management, benefit deduction and invoice processing, etc. Ensure accurate system and data set up when the project involves usage of compensation and benefit administration systems. Prepare compensation analysis and recommendations for the implementation. Stay abreast of benefits utilization and program effectiveness measures Monitor project progress and provide status updates to the compensation and benefits team. Work with the Director of Compensation & Benefits to implement compensation and benefit program communication and training activities for projects and initiatives. Compensation and Benefits Tools & Resource AdministrationServe as the CNMC administrator for compensation and benefits systems with regards to data updates, user assistance and vendor liaison. Administer updates to the compensation manual and/or benefits plan documents, including but not limited to salary ranges, hiring guidelines, compensation forms, job code tables, process documents, benefit costs, benefit plan design changes, etc. Compile reports and scorecards based on needs from organizational management and HR leadership. Maintain compensation activity log and job code action log. OtherPerform compensation program audits to ensure legal compliance in areas such as EEO and FLSA. Provide compensation support for H1-B visa requests. Assist the Director of Compensation & Benefits with compensation analysis for union negotiations. Compile reports and scorecards based on needs from organizational management and HR leadership. Federal Compliance (ERISA) File annual compliance reports (i. e. Form 5500s, FMLA, SARs). Maintain a working knowledge of regulatory matters and ensure Benefits Department's policies, practices and procedures are compliant. Keep abreast of new legal changes to assure plans are compliant and communication to employees are timely. Work with third-party vendors to design, distribute and maintain timely compliant employee communication. Key Strategic Initiatives and Special Benefits ProjectsPlan and coordinate the implementation of key strategic initiatives and special benefits projects. Work with third-party vendors to ensure timely and accurate implementation and communication of new programs. Implement targeted programs to support fiscal management of leave and medical benefit programs. Coordinate the Annual Health Fair. Internal CommunicationDevelop an effective communication strategy using multiple communication channels; promote positive communication of Benefits programs to CNMC. Design communication materials for Benefits programs to enhance the organization's understanding of the value of such programs. Design and coordinate the delivery of communication for New-Hire Orientation, Annual Open Enrollment and Seminars. Process ImprovementProvide ongoing process and audit reviews; serve as peer review lead to insure compliant fiscal safeguards. Organizational AccountabilitiesOrganizational Commitment/IdentificationPartner in the mission and upholds the core principles of the organization Committed to diversity and recognizes value of cultural ethnic differences Demonstrate personal and professional integrity Maintain confidentiality at all times Customer ServiceAnticipate and responds to customer needs; follows up until needs are met Teamwork/CommunicationDemonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others' ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial ResponsibilityUse resources efficiently Search for less costly ways of doing things SafetySpeak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Organizational Accountabilities (Staff) Organizational Commitment/Identification Anticipate and responds to customer needs; follows up until needs are met Teamwork/Communication Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others' ideas and opinions Performance Improvement/Problem-solving Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Cost Management/Financial Responsibility Use resources efficiently Search for less costly ways of doing things Safety Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance Primary Location: Maryland-Silver SpringWork Locations: Inventa Towers 1 Inventa Place Silver Spring 20910Job: Human ResourcesOrganization: PeoplePosition Status: R (Regular) - O - PRNShift: VariableWork Schedule: as needed Job Posting: Jan 9, 2026, 8:45:11 PMFull-Time Salary Range: 79289. 6 - 132163. 2
    $59k-67k yearly est. Auto-Apply 2d ago
  • Coordinator, Benefits Eligibility and Prior Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Washington, DC

    **_About Navista_** We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth-while maintaining their independence. **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of medical practices. **_Job Purpose:_** Revenue Cycle Management focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. This position is responsible for reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits Eligibility and Prior Authorization may be asked to perform other duties if necessary and must be knowledgeable in a variety of Insurance Plans and Procedures. **_Responsibilities:_** + Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Communicate with patients, front end staff, physicians & payors as needed to obtain updated insurance and/or clinical information. + Submit authorizations for all internal and external orders including but not limited to radiation, chemotherapy, PET/CT, urology and scans. + Follow up within 48 hours on any existing authorizations that are pending approval. + Ensure proper documentation outlining all steps taken to ensure authorization have been submitted, followed up on and obtained. + Upon approval, enter all authorization information into the billing system and attach confirmation into the EMR. + Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a high level of confidentiality for patients in accordance with HIPAA standards. + Utilize CPT coding, ICD-10 coding knowledge to accurately document procedures and diagnoses. + Coordinate with clinical staff to ensure patients are contracted prior to appointments informing them of any treatment schedule changes. + Effectively complete other duties and projects assigned. + Stay up to date on insurance policies, managed care guidelines and relevant healthcare regulations affecting authorization processes. + Regular attendance and punctuality. + Execute all functions of the role with positivity and team effort. Qualifications: + High School Diploma or equivalent preferred. + 2-3 years of prior authorization experience preferred. + Experience with payor websites and authorization requirements. + Strong customer service background, preferably in health care environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage multiple priorities and prioritize multiple tasks in a fast-paced environment. + Ability to work independently with minimal supervision. + Strong organizational skills. + Knowledge of medical terminology. + Familiar with Urology, Chemotherapy and Radiation Billing. + Experience with computerized billing software and interpreting EOBs. + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding. + Experience with GE Centricity. Preferred experience in Oncology billing preferred. + Knowledge of computer/telephony support, preferably in a healthcare environment. + Strong customer service background, preferably in a healthcare environment. + Excellent verbal communication skills. + Competence with computer processing functions and other standard office equipment. + Ability to manage and prioritize multiple tasks. + Ability to calmly and professionally resolve customer issues with diplomacy and tact. + Ability to work independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid. **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks. + Works on routine assignments that require basic problem resolution. + Refers to policies and past practices for guidance. + Receives general direction on standard work; receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems. **Anticipated hourly range:** $21.00 - $26.45 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close: 2/15/16** *if interested in opportunity, please submit application as soon as possible. _The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $21-26.5 hourly 4d ago
  • Manager, Payroll and Benefits

    FAS 4.3company rating

    Benefit specialist job in Washington, DC

    Job DescriptionManager, Payroll and Benefits Full-time FAS staff Washington, DC Why FAS? Does FAS sound like an organization that you would be energized to join? Is it aligned to your values? The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community. FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity. The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world. Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world. Skills and Expertise: Must Haves What skills do you need to show proficiency (or higher) in order to be a strong candidate? Bachelor's degree or higher in Accounting, Finance or Business Administration. 4-6 years of experience in benefits and payroll administration. A deep understanding of various employee benefits, including health, retirement, and insurance. Intermediate/expert skills in Excel required. Previous experience with HRIS software is highly desirable. Excellent communication, interpersonal, and negotiation skills. Proven ability to build and maintain effective working relationships at all levels across the organization. Monitors own work to ensure professional quality and punctuality. Ability to handle sensitive and confidential information with discretion. Strong analytical and problem-solving skills Highly Preferred: Certified Benefits Professional (CBP) is highly preferred. Non-profit experience is highly preferred. To Sum It Up… What's the “elevator pitch” for the role? The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes. In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards. This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization. This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision. At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture. What you'll do: (Core responsibilities) Benefits Administration Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs. Manage open enrollment, employee eligibility, and benefit plan changes throughout the year. Serve as the primary point of contact for benefits-related inquiries and issue resolution. Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery. Coordinate benefits education sessions and communications to enhance employee understanding and engagement. Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement. Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors. Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others. Payroll Management Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws. Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements. Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting. Administer wage adjustments, retroactive pay, and off-cycle payments as needed. Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws. Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records. Review and update payroll-related policies and procedures for clarity and compliance. Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll. Special projects and tasks as assigned. Compliance and Reporting Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.). Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits. Work Environment This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote. Salary Range $70,000-$85,000 Hiring Statement Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate. The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States. Powered by JazzHR tBZZBxMSeS
    $70k-85k yearly 26d ago

Learn more about benefit specialist jobs

How much does a benefit specialist earn in Baltimore, MD?

The average benefit specialist in Baltimore, MD earns between $34,000 and $76,000 annually. This compares to the national average benefit specialist range of $34,000 to $68,000.

Average benefit specialist salary in Baltimore, MD

$50,000

What are the biggest employers of Benefit Specialists in Baltimore, MD?

The biggest employers of Benefit Specialists in Baltimore, MD are:
  1. Global Elite Group
  2. Baltimore County Golf
  3. HealthCare Access Maryland
  4. Ao Garcia Agency
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