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Benefit specialist jobs in Hartford, CT - 36 jobs

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  • Senior Pharmacy Benefits Analyst (CMH Health)

    Milliman 4.6company rating

    Benefit specialist job in Windsor, CT

    Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. Pharmacy benefits is one of the fastest-growing segments of the healthcare industry, and pharmacy benefits management (PBM) arrangements can be extremely complicated. Milliman's CMH Health practice is seeking a Senior Pharmacy Benefits Analyst to work in a fast-growing area of the practice to help support clients by helping them navigate the complex industry and provide data-driven solutions that can improve or lower the cost of care. Who We Are Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Job Responsibilities * Provide qualitative and financial evaluations of PBM contracts, including pricing and fee schedules * Assist with developing models to conduct detailed analyses of pharmacy data, including pharmacy claims, eligibility data, etc. * Acquire, standardize, and merge various data sets to provide summarized reports * Contribute to drafting proposals, presentations, exhibits, RFPs, and reports * Be able to work independently, but in a collaborative team environment Minimum requirements * Bachelor's degree in pharmacy or data analytics related field * At least two years of pharmacy claims analysis or similar experience * Strong business software capabilities, especially with Microsoft office tools (Excel) and data analysis technologies (SAS/SQL) * Experience in the pharmacy benefits industry (ex. PBM, health plan, etc.) preferred but not required * Knowledge of pharmacy claims reimbursement (ex. WAC, AWP, discounts, rebates, etc.) preferred but not required * Experience with handling large pharmacy claims datasets preferred but not required * Experience creating models and reports focused on opportunities for formulary management, prior authorizations, drug pricing, etc. preferred but not required Competencies and Behaviors that Support Success in this Role * Experience working with large pharmacy claims data sets and development of custom reports * Analytical thinking and the ability to evaluate analyses for downstream impact * Creative problem solving and analytical skills. * Superior verbal and written communication skills * Client focused and results oriented * Ability to work independently and in a team environment * Self-motivated, creative and resourceful The Team Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues-from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance. Salary: The overall salary range for this role is $93,700 - $177,675. For candidates residing in: Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Newark, San Jose, San Francisco, Pennsylvania, Virginia, Washington, or the District of Columbia: * $107,755 - $177,675 All other states: * $93,700 - $154,500 A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. Location: It is preferred that candidates work on-site at our Brookfield, WI, Chicago, IL, or Hartford, CT office, however, remote candidates will be considered. The expected application deadline for this job is May 25, 2026. Benefits We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include: * Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners. * Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges. * 401(k) Plan - Includes a company matching program and profit-sharing contributions. * Discretionary Bonus Program - Recognizing employee contributions. * Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses. * Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. * Holidays - A minimum of 10 observed holidays per year. * Family Building Benefits - Includes adoption and fertility assistance. * Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility criteria. * Life Insurance & AD&D - 100% of premiums covered by Milliman. * Short-Term and Long-Term Disability - Fully paid by Milliman. Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran. #LI-CS1 #LI-REMOTE
    $107.8k-177.7k yearly 30d ago
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  • Benefits Specialist HRBS

    Bristol Hospital Group 4.6company rating

    Benefit specialist job in Bristol, CT

    At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice. Job Summary: We are seeking a skilled Benefits Specialist to join our Human Resources team. In this role, you will administer the organization's employee benefits programs, ensuring employees are able to enroll in available health insurance options and understand how their benefits work. The position is also responsible for leave administration, including supporting employees and managers with benefit-related and leave-of-absence processes. To be successful in this role, the Benefits Specialist must have strong organizational skills and a solid understanding of employee benefits and leave administration processes. The ideal candidate will also be an effective communicator, capable of clearly explaining benefit options, as well as relevant legal and tax information, to employees. Essential Job Functions and Responsibilities include: Annual Open Enrollment; participate in plan design discussion; coordinate open enrollment events, assist employee with enrollment, etc. Leave of Absence; assist employees on how to file for FMLA and CT Paid Family Leave Process CTPFL Employer Verification and Wage Requests Track employees leave usage and provide updates in a timely manner Manage the interactive process and ADA accommodations Assist in administering the retirement plan; corrections, compliance testing, etc. Deliver presentations to groups, including new hire orientation and manager training sessions Review and approve new hire elections; maintain and audit dependent verification documents Maintain dependent age out dashboard; remove dependents who are no longer eligible Review and approve qualifying life events in HRIS system (Paycom) Generate COBRA initial notices and qualifying letters Maintain employees' arrears dashboard Coordinate Medicare employee education sessions Conduct monthly audit of Paycom/Vendor benefit data Work closely with vendors to research and address open item Assist employees and leaders with benefit related questions and issues Performs related duties: Supports HR with applications including, but not limited to, reporting, HRIS data entry, and other special projects/programs as assigned Qualifications Educational / Minimum Requirements: Bachelor's degree in Human Resources or a related field with a minimum of two (2) years of progressive HR experience, or an Associate degree with five (5) or more years of progressive HR experience. At least one (1) year of hands-on experience administering employee benefits and leave of absence programs, and supporting core HR processes. Demonstrated working knowledge of HRIS systems, including benefits administration, leave management, and ACA compliance modules. Proven ability to exercise sound judgment and apply analytical and problem-solving skills in a confidential environment. Strong attention to detail and organizational skills. Ability to effectively manage multiple priorities in a fast-paced work environment. Preferred Qualifications Two (2) or more years of experience administering benefits and leave programs within an organization of 1,000+ employees. Experience using Paycom or comparable HRIS platforms. State/Federal Mandated Licensure or Certification Requirements: None Bristol Health Group Mandated Educational Requirements: General orientation at time of hire. Other programs as mandated. Physical Requirements: Ability to spend a majority of the day at a computer terminal/personal computer. Must possess sufficient visual acuity so as to read, use computers and conduct essential job functions in an acceptable manner. Significant documentation and paperwork review requiring extensive visual acuity Work Environment: Normal office conditions. Cognitive Requirements: Ability to comprehend and execute written and/or oral directions. Ability to work independently. Ability to make judgmental decisions. Ability to complete tasks with minimal direction. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
    $62k-83k yearly est. 2d ago
  • Supply Chain Sr HR Specialist - Windsor

    Dev 4.2company rating

    Benefit specialist job in Windsor, CT

    Company DescriptionJobs for Humanity is partnering with Target to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located. Company Name: Target Location: 500 Groton Rd, Windsor, Connecticut, United States, 06095-1580 The pay range per hour is $19.23 - $34.62 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at ********************************************** About us: As a Fortune 50 company with more than 400,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It's how we care, grow, and win together. Target Global Supply Chain and Logistics is evolving at an incredible pace. We are constantly reimagining how we get the right product to the right guest even better, faster and more cost effectively than before. We are becoming more intelligent, automated and algorithmic in our decision-making, so that no matter how guests shop-in stores or on Target.com-we deliver the convenience and immediate gratification they demand and deserve. We are on a mission to win decisively over any competitor, with a seamless and superior guest service experience unlike any they can offer. Our teams work with the agility our mission requires, and we constantly come together to implement new processes in record time. A role in Distribution and Receive Centers means being on the very front lines of getting product to the guest as fast as possible-a critical differentiator and one of the most essential functions within Logistics. Whether it's through focusing on regional or upstream distribution centers, target.com fulfillment centers, or import warehouses, you'll have a chance to positively impact thousands of fellow team members and Target guests worldwide. There's so much good work to be done, from Distribution Center Operations, where process and problem solving drive our results; Quality Management, which influences and maintains our good name in the retail marketplace, or overall Distribution Center Productivity, where we're always analyzing and recalibrating how to best support our people, process and technology investments to support an ever evolving business In support of Target's Global Supply Chain and Logistics business, Human Resources is a critical partner in the ability to build the very best teams, and as HR we infuse our work with Target's distinctive retail brand by continuously experimenting, evolving and innovating. With the chance to positively impact our teams in distribution centers across our Target network, you'll be a strategic partner to both the leaders and the team members who elevate and nurture the Target experience. Our dynamic, passionate and responsive team comprises specialized people-professionals from several diverse disciplines. We operate behind the scenes to create a progressive culture of value, respect, reward and professional advancement. As a Senior Human Resource Specialist, you'll also provide technical and administrative support to the HR team by accurately maintaining employee records, owning administration of employment orientation, compensation/benefits, supporting execution of cyclical processes, workers compensation, payroll and owning all required record keeping. To complete this work, you'll be required to interact with our Target team members at varying levels within the organization (Field and HQ), as well as our external candidates. You'll support the staffing needs of the distribution center through ensuring our teams are set up for employee orientation, ensuring compliance with Federal and State employment regulations and company policy in all areas of employment (including hiring, promotion, transfers, resignations, and terminations). You'll also work to ensure our compensation and benefits programs are executed timely, follow the appropriate timekeeping and record keeping practices, and assist with any questions as needed. Our employee training is also a priority and as a Senior HR Specialist, you'll ensure that the training programs are executed in a timely manner, and that there is accurate record of regulatory and corporate trainings. We service our teams, and in order to do that, you will assist with answering employee questions and escalating concerns to leadership as appropriate. There may also be special projects assigned to you, which include coordination of building cyclical processes and new initiatives. You will do all this by working efficiently both individually and as a team, by sharing your ideas, and adapting to change. It is also vital that you report to work on time and complete job tasks assigned accurately and on time to contribute to the overall distribution center results. As a Senior HR Specialist, you'll be a key strategic partner for leadership, as well as a valuable resource and guide for team members, providing guidance, and support to make them successful. You'll make a positive impact on how team members experience organizational change, and you'll use information and close partnership with leaders to build the teams that achieve their specific business goals. Core responsibilities of this job are described within this job description. Job duties may change at any time due to business needs . About you: High school diploma or equivalent experience 1+ years of administrative experience Maintains positive and respectful attitude while working independently and in a team environment Proficient in word processing, spreadsheets, computer systems (examples include Excel, Word, O365) Strong customer/client service skills and ability to communicate (written and verbal) with all levels of organization, both internal and external Anticipates problems (and escalates when appropriate), demonstrates strong prioritization and organization skills, catches errors, and takes action to complete tasks accurately and on time Ability to work with highly confidential information Ability to take initiative, and make fair and consistent decisions that align with our strategy and values Ability to multi-task and be a flexible team player, who can easily adapt to change Americans with Disabilities Act (ADA) Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or Supply Chain Facility or reach out to Guest Services at ************** for additional information.
    $19.2-34.6 hourly 60d+ ago
  • Benefits Specialist

    Laticrete International 4.0company rating

    Benefit specialist job in Bethany, CT

    Are you looking for a new challenge? Passionate about innovation? Want to work for a global company that values integrity, teamwork, and loyalty? At LATICRETE International, we aim to be the leading construction brand trusted globally for high-performance tile and stone installation systems and building finishing solutions. We've been in business for over 65 years, family-owned for three generations, and can be found in over 100 countries. The Hartford Business Journal even named us one of Connecticut's top family-owned companies in 2017! We don't just make innovative, industry-leading products. Our purpose is to improve the built world and the lives of those who build it. We strive to connect with, engage with and improve the lives of our employees, our customers, our partners, and the global communities in which we operate. We are seeking passionate and ambitious employees who want to make a difference not just within our organization, but within their communities, our industry, and the world. If that sounds like you, then what are you waiting for? Join the family and expand your horizons! Just some of our benefits: Medical Dental Vision 401k Tuition reimbursement 13 paid holidays in addition to paid vacation and sick time Flexible spending Life Insurance, AD&D and Supplemental Insurance The Benefits Specialist is a hands-on position responsible for the implementation, administration and communication of all benefit programs, including medical, dental, vision, life/disability, voluntary benefits, wellness, 401k, deferred compensation, workers compensation and leaves of absence. This position develops and maintains day-to-day relationships with all plan vendors and regularly reviews all processes, issues and upcoming changes. This position is responsible for benefits compliance, including plan audits, government filings, plan documents/summary plan descriptions and reporting. In addition, this position works with the data configuration and underlying account structures with each carrier and ensures data integrity for all benefit systems (including on-line enrollment system, carrier integration etc.). This position also develops, reviews and implements supporting processes to ensure accurate and seamless delivery of programs to employees and accurate vendor payments/accounting. The Benefits Specialist works closely with the Manager, Human Resources, external vendors/consultants, and employees. ESSENTIAL DUTIES AND RESPONSIBILITIES Additional duties and responsibilities may be assigned as necessary. Health and Welfare Benefits Administration (25%) Responsible for overseeing the day to day administration of employee benefit programs such as health insurance, wellness, disability insurance, FMLA Administration, life and AD&D insurance, employee assistance program (EAP). Provide guidance on employee questions to ensure comprehension of plan designs and details. Act as liaison between broker and employee to troubleshoot claims issues. Ensure accuracy of file feeds, maintains and updates feeds and resolves data issues with carriers. Manage Annual Open Enrollment process (systems, communications, active, retiree, COBRA). Maintain and distribute current benefits information and compliance documents at all locations as well as company intranet content. Work with internal accounting team and external consultants to monitor claims funding, billing. Reconcile and resolve billing discrepancies with broker and/or carriers. Perform routine self-audits and prepare reports for HR, Finance and Accounting teams. Ensure appropriate document retention in compliance with federal and state laws and policies. Onboarding, Ancillary Benefits, Communications and HR Administration (20%) In partnership with the Manager of Human Resources and HR team, develops and implements on-going benefits communications strategy. Reviews and pays periodic vendor invoices and tracks expenses (consulting/trust expenses). Conduct formal onboarding meeting with new hires to review Workday benefits elections and education and all required tasks. Administration of Unemployment Claims. Reviews, tracks and records, eligibility and disbursement of Tuition Education Reimbursement. Plans wellness events and tracks wellness funding according to budget. Ensures that all processes are properly maintained, up-to-date, as well as documentation to also include medical files, personnel files, I-9 documentation, etc. Directly creates or modifies processes and configuration as necessary by working closely with internal HRIS, payroll and Finance to identify research and resolve issues. Works with external vendors to ensure accurate configuration and maintenance of all supporting systems and processes including file feeds, interfaces, workflow (systems as well as any underlying subgroup structures). Additionally responsible for holiday calendar, prescription safety glass benefits, tuition reimbursement, employee recognition, monitoring of group email boxes, Leave Administration (20%) Administer FMLA, ADA, leaves of absence and short term and Long term disability claims. Communicate rights, policies and expectations to employees requesting leave. Draft and send letters/forms to employees regarding approval or changes to leave status. Generate and distribute weekly leave report. Monitor and track claims and work closely with Payroll to ensure accurate compensation and benefit premium payment. Workers Compensation & OSHA (10%) Receives and processes Workers Compensation claims through WC provider. Manages Workers compensation case and coordinates with Payroll to ensure accurate comp/benefits. Assesses company liability and exposure with claims (claim investigations, settlements, and litigation). Participates in monthly Safety Committee meetings for accident risk management. Maintains and records all Workers' Compensation Forms for OSHA reporting. Partners with Manager, EHS to complete annual OSHA compliance posting and electronic filing. Coordinates Return to Work programs (temporary, limited, light duty). 401k & Deferred Compensation (15%) Manage day-to-day changes (election changes, address, and employment status changes) to ensure proper data transfer to payroll. Administration and collection of loans/withdrawals. Partners with Finance, 401k Administrator and Broker to perform compliance testing and required filings (5500, non-discrimination testing, etc). Coordinate on-site and virtual educational seminars through broker. Deliver participant education and communication material in accordance with plan regulations. Administer Deferred Compensation plan to users and monitor updates. Compliance (10%) Responsible for compliance of all benefit programs, including various government filings (such as 5500 extensions/5500 filings)/PBGC/EEOC) and required notices/postings, plan documents/contracts/SPDs, compliance with ACA , FMLA, COBRA, and ERISA. Processes QDROs and MSO's Participate in Annual Audits (401K, WC, PCORI, Credible-Coverage, Non-discrimination) Ensure labor posters are up to date and compliance in all locations. Remain current on benefit trends and legal changes. Assess impact of legislative changes on benefit programs and ensure that programs are compliant. REQUIRED SKILLS & QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and Experience: Bachelor's degree with a concentration in business administration, human resources, or equivalent work experience. 7+ years' experience in employee benefits with a focus on health & welfare administration as well as 401k. Specialized Skills and Experience: Understanding of systems (enrollment, supporting systems, configuration and structure set up) and payroll processes, Workday a plus. This position requires clear understanding of benefit terminology and various laws and regulations required for compliant administration of benefit programs. Knowledge of current market costs, trends and design for benefit plans. Intermediate knowledge of Excel, Word, Power Point and Outlook Required. Benefits experience including medical, dental (both self-insured), vision, STD (self-insured), LTD, voluntary benefits, wellness, 401K enrollment and beneficiary info, FMLA / Leaves of Absence, Workers' Comp. Excellent communication skills, both verbal and written with a strong customer service focus and desire to deliver best in class services to employees/managers/and business partners. Ability to maintain high level of trust and confidentiality, and using discretion when communicating sensitive information. High sense of urgency; ability to prioritize multiple simultaneous projects to meet deadlines, and maintain a high degree of organization - project-planning skills required. Ability to recognize problems/issues & resolve/recommend process improvements. Ability to work with outside professionals such as attorneys and vendors. Ability to work in a team environment with multiple business units; foster cooperation. Understanding of financial principals related to employee benefit plans. Travel: Up to 10% of travel as needed to support periodic programs.
    $60k-78k yearly est. Auto-Apply 14d ago
  • Benefit Specialist (Entry Level)

    Dattco 4.3company rating

    Benefit specialist job in New Britain, CT

    DATTCO has an opening for a full-time Benefits Specialist in New Britain, CT. This is a full-time, on-site position and remote work is not available. The Benefits Specialist provides day-to-day support for the administration of the companys full suite of employee benefits. This role assists employees across multiple business groups, ensuring timely, accurate processing of benefit elections, responding to inquiries, and supporting compliance activities. The ideal candidate has at least 1 year of benefits administration experience, strong communication skills, and the ability to manage multiple tasks in a fast-paced environment. DATTCO is a third-generation, family-owned transportation company and is New Englands largest private passenger transportation company with 2,500 employees. Learn more about us at *************** Why DATTCO: * Medical & dental insurance * Life insurance * 401k plan with company match * Flexible spending accounts * Paid time off * Room for advancement we promote from within * Paid holidays * Compensation of $26.00-28.00/hour Key Responsibilities: * Administration Benefits * Support administration of all benefit programs, including medical, dental, vision, life insurance, disability, FSA, EAP, and voluntary benefits. * Process new hire enrollments, qualifying life events, and terminations. * Assist with annual open enrollment, including system testing, employee support, and data audits. * Maintain accurate employee benefit records and audit vendor files for discrepancies. * Conduct New Hire Orientation as required * Leave Management & Compliance * Support administration of FMLA and other statutory or company-sponsored leave programs. * Ensure accurate tracking and documentation of employee leave cases. * Provide employees with required forms, timelines, and communication related to leave. * Employee Support & Communication * Serve as the first point of contact for employee benefit questions across multiple employee groups. * Communicate benefit information clearly and professionally, both verbally and in writing. * Assist in developing benefit communications, FAQs, guides, and orientation materials. * HR Systems & Data * Enter, update, and audit data across HRIS, benefits platforms, and vendor systems. * Generate reports, track metrics, and support data integrity initiatives. * Identify and escalate system or data issues to the HR Director. * General HR Support * Support HR projects, audits, and cross-functional team initiatives as needed. * Assist with vendor relationships, invoice review, and reconciliation. Required Qualifications: * Minimum 1 year of experience in benefits administration or HR support with exposure to a full suite of employee benefits. * Working knowledge of FMLA and basic leave administration processes. * Strong proficiency in MS Office (Excel, Outlook, Word); ability to quickly learn HRIS and benefit platforms. * Excellent verbal and written communication skills with the ability to explain benefit concepts clearly. * Strong organizational and multi-tasking ability; comfortable managing multiple cases, employees, and deadlines at one time. * High attention to detail, accuracy, and confidentiality. * Ability to work effectively with multiple employee groups and collaborate across departments. Preferred Qualifications: * Experience with HRIS/benefits administration systems (Paycor, Benefit Advisor) * Basic understanding of retirement plan compliance (i.e., eligibility, employer match, contribution limits). * Experience supporting multi-site or multi-group benefit populations. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status and any other protected classes.
    $26-28 hourly 2d ago
  • Benefits Specialist

    Interview Hunters

    Benefit specialist job in Hartford, CT

    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
    $44k-68k yearly est. Auto-Apply 60d+ ago
  • Client Benefits Specialist

    Bhcare 4.0company rating

    Benefit specialist job in North Branford, CT

    Are you detail-oriented and passionate about helping others access the care they need? Are you an experienced healthcare professional with a strong understanding of insurance authorizations, benefit verification, and payer coordination processes? BHcare is seeking a Client Benefits Specialist to join our team and oversee client financial operations across our network of clinics. Who We Are BHcare is a Certified Community Behavioral Health Clinic providing comprehensive services for individuals and families facing mental health, substance use, and domestic violence challenges. We believe that every client deserves seamless access to quality care - and our Benefits Specialists play a key role in making that happen. What You'll Do As a Client Benefits Specialist, you'll help connect clients to vital services by: • Verifying insurance coverage, benefits eligibility, and financial information • Preparing and maintaining service authorizations for multiple payer sources • Supporting clinicians with authorization paperwork and updates in the electronic health record (EHR) • Monitoring authorizations and claims to ensure continuity of care and timely payments • Communicating with clients about financial responsibilities and coordinating payment arrangements • Collaborating with administrative staff to maintain smooth clinic operations • Building strong relationships with payer sources to streamline approvals and resolve issues Why Join BHcare? • Be part of a mission-driven organization improving access to care for vulnerable populations • Work in a collaborative, supportive environment with opportunities for growth • Gain valuable experience in healthcare administration, insurance verification, and revenue cycle management • Receive training, supervision, and professional development opportunities If you're organized, compassionate, and ready to make a difference behind the scenes, apply today to join the BHcare team! Qualifications High School Diploma or GED Minimum of two years professional experience. Knowledge of managed care organizations, specifically benefit limits and treatment authorizations a plus. Knowledge of third-party medical billing. Superior written and verbal communication skills. Must be proficient in Microsoft 365. Must be able to navigate through electronic health records system (EHR).
    $39k-51k yearly est. 10d ago
  • Coordinator, Benefits Eligibility and Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Hartford, CT

    **_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
  • Oracle HCM Benefits Consultant

    Accenture 4.7company rating

    Benefit specialist job in Hartford, CT

    We Are: Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology and Operations services-all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Over 50 0 ,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities. Visit us at ***************** . You Are: A transformation maven with the skills to help clients meet the challenges of digitization. Your human superpower? Using your know-how , creativity, and analytical powers to solve clients' most complex business problems to help their companies do more. You're as comfortable leading projects and teams as you are diving into the details of workstreams and configuring Oracle solutions. Or you specialize in one or the other, our practice covers the functional & process side of Oracle as well as the technical development & technical architecture. Additionally, you have communication and people skills to inspire teams to bring their A-game. The Work: + Implement Oracle HCM Cloud Benefits . + Work with Client teams to gather and synthesize functional and technical requirements. + Collaborate with cross-functional teams to configure and optimize upstream and downstream HR processes within Oracle HCM, including conversions, integrations, reports, etc. + Provide expertise and guidance, translating requirements into detailed configuration tasks across programs, plans, eligibility profiles, certifications , rate s , open enrollment, benefit extracts, etc. + Create functional and technical design documents. + Facilitates design workshops for End-to-End Benefits Processes with business stakeholders to understand business requirements; demonstrates understanding of business needs and recommends robust design based on Oracle functionality . + Support the planning and execution of testing cycles, as well as perform cutover activities as required for go-live preparation. + Plan and organize tasks and report progress on the track/deliverables. Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements. What You Need: + Minimum of 3 years of experience in Oracle Cloud HCM with emphasis on Benefits + Minimum of 1 full life-cycle Oracle Cloud HCM implementations + Bachelor's Degree or equivalent (12 years) work experience (If an, Associate's Degree with 6 years of work experience) Bonus Points If: + Certified in Oracle HCM Cloud Benefits + Have good Cross-Functional exposure to other HCM modules + Experience implementing Redwood Pages and using VBS + You've gained the trust of your clients and partnered with them to deliver large scale implementation projects Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.We accept applications on an on-going basis and there is no fixed deadline to apply. Information on benefits is here. (https://*****************/us-en/careers/local/total-rewards) Role Location Annual Salary Range California $63,800 to $196,000 Cleveland $59,100 to $156,800 Colorado $63,800 to $169,300 District of Columbia $68,000 to $180,300 Illinois $59,100 to $169,300 Maryland $63,800 to $169,300 Massachusetts $63,800 to $180,300 Minnesota $63,800 to $169,300 New York/New Jersey $59,100 to $196,000 Washington $68,000 to $180,300 Requesting an Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at **************** or send us an email or speak with your recruiter. Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. For details, view a copy of the Accenture Equal Opportunity Statement (https://*****************/content/dam/accenture/final/accenture-com/document-3/Accenture-Equal-Employment-Opportunity-Statement.pdf#zoom=50) Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities. Accenture is committed to providing veteran employment opportunities to our service men and women. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment. The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information. Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
    $68k-180.3k yearly 2d ago
  • Employee Benefits Internal Specialist

    Sun Life of Canada 4.3company rating

    Benefit specialist job in Hartford, CT

    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 10d ago
  • Employee Benefits Internal Specialist

    Sun Life 4.6company rating

    Benefit specialist job in Hartford, CT

    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 10d ago
  • Pharmacy Benefits Manager (PBM) Pricing Strategy Analyst, Senior

    Carebridge 3.8company rating

    Benefit specialist job in Wallingford, CT

    Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst, Senior is responsible for Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: * Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities. * Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. * Creates tools and processes to monitor margin revenue and client retention. * Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. * Implements pricing in the system related to margin. * Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $86,064 to $129,096 Locations: Minnesota In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $86.1k-129.1k yearly Auto-Apply 60d+ ago
  • Benefits Specialist

    Danbury Hospital 4.7company rating

    Benefit specialist job in Danbury, CT

    at Nuvance Health Administers the non-retirement, broad-based employee benefit plans for the WCHN organization. Prepares reports and conducts employee and manager meetings. Manages the day-to-day vendor relationships and resolves problems that may occur. Responsibilities: 1. Administers the health, disability and life insurance plans for hospital employees, including union and non-union plans, ensuring compliance with all applicable regulations. Maintains awareness of changing regulartory requirements. This may include Norwalk, Danbury or New Milford locations. 2. Manages the day-to-day relationship with the benefit vendors. Independently resolves issues, and escalates if necessary. 3. Prepares reports and analyses for management. Completes government reports as necessary. 4. Calculates monthly premiums and audits for accuracy. Prepares invoices for approval and processing . 5. Conducts new employee benefits orientation. Works with the staffing group during the recruiting process and meets with candidates as necessary to help prospective employees understand the benefits package offered by WCHN. 6. Prepares communications for employees which may be posted on the intranet or sent to employee homes. 7. Implements new plans and conducts employee meetings. 8. Calculates COBRA rates, and develops models for cost sharing between employee and employer. Works with the labor relations team or other HR staff members to cost out potential union rate changes during negotiations. 9. Oversee the annual open enrollment process. Ensure files are transmitted to the vendors. Works closely with IT to ensure accurate programming of the benefits system. 10. Coordinate with the third party administrator (TPA), employees and managers to help ensure the leave of absence process runs smoothly. Provides education to employees and managers on the leave process, hospital policies and FMLA. Works closely with the TPA and Payroll to ensure employees are paid correctly during their leaves . 11. Provides assistance with other HR programs as requested. Participates in surveys. Provides advice to HR Staff members on benefits issues. Participates on project teams and completes special projects as necessary. Works with internal or external auditors on periodic plan audits. 12. Fulfills all compliance responsibilities related to the position. 13. Performs other duties as assigned. Education: BACHELOR'S LVL DGRE Required: Ability to present to large groups of employees. Knowledge of FMLA, COBRA, HIPAA and related state laws or regulations. Computer skills required: MS Word, PowerPoint and Excel. HRIS Software such as PeopleSoft, Lawson or other databases. Lotus Notes, Outlook or other email systems. Minimum Experience: three years Desired: 3 to 5 years experience in human resources, benefits experience preferred. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1788 Department: Total Rewards Exempt: Yes Salary Range: $28.78 - $53.45 Hourly
    $32k-44k yearly est. Auto-Apply 60d+ ago
  • Employee Experience Coordinator

    River Valley Counseling Center 3.5company rating

    Benefit specialist job in Holyoke, MA

    Our Human Resources department is seeking an Employee Experience Coordinator to focus on creating a positive onboarding experience for new hires, volunteers, students and interns in our fast-paced office. The successful candidate will be enthusiastic with exceptional customer service skills, dependable, organized, able to multitask, and be able to interact professionally with visitors and employees. This individual will also: * Initiate and/or process necessary onboarding paperwork to include background check, reference checks, pre-employment physicals, and requesting new hire log-in credentials. * Notify managers of new hire clearances and attendance for orientation * Organize, plan and lead the new hire orientation and new hire breakfast * Manage the main Human Resource desk and act as primary switchboard operator for all HR functions. * Assemble new hire packets, and ensure that adequate materials are available and reorder as necessary. * Accurately maintain highly confidential personnel records and HRIS Systems * Assist new hires with payroll or benefit information by answering questions in a knowledgeable manner or referring to appropriate areas * Track employee credentials, Licenses, and Certifications REQUIREMENTS: High school graduate; minimum of three years of experience in a Human Resources office; proficiency with computers and with various software programs, including HRIS systems, Microsoft Word, Excel, and PowerPoint; exceptional customer service skills (i.e., patience, tact, cheerful disposition and enthusiasm); ability to multitask in a fast-paced office setting; familiarity onboarding and recruitment processes; strong communication skills
    $39k-51k yearly est. 2d ago
  • Compensation Analyst- Full Time

    Connecticut Children's Medical Center 4.7company rating

    Benefit specialist job in Hartford, CT

    Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. The Compensation Analyst is responsible for supporting daily high volume Compensation requests. Partner with members of the Human Resources team on issues related to compensation. Education and/or Experience Required: * Education: High School Diploma, GED, or a higher level of education that would require the completion of high school, is required. * Experience: * 5+ years directly related experience Or * 3+ years related experience in Healthcare. License and/or Certifications Required: * Education: Bachelor's degree in business, Human Resources, or related field Knowledge, Skills and Abilities Required: Knowledge * Knowledge of compensation principles and practices, with ability to operate with minimal inputs and make sound recommendations Skills * Skilled in analyzing and evaluating job content. * Excellent oral and written communication skills, as well as research, analytical, evaluation, and negotiation skill. * Knowledge of computerized information systems used in human resources applications. * Proficient in Excel, PowerPoint and database skills including the development of spreadsheets and presentations. Abilities * Able to provide exceptional customer service and support. * Evaluate jobs across all levels and functions of the organization for determination of appropriate range, level, and FLSA status. * Recommend pay rate for internal promotions, internal transfers, and external candidates. Partner with Talent Acquisition, HR Business Partners, and managers to ensure base pay rate is equitable and appropriate. * Participate in annual and ad hoc salary surveys on behalf of the organization. Ensure salary surveys are completed and submitted, meeting survey deadlines. * Post survey results for access by members of the Compensation team. * Track salary survey budget and spend. * Complete full market review for assigned job families utilizing current market survey data. Develop estimates and action proposal as related to market review and adjustments. * Regularly conduct internal equity analysis to ensure equitable and fair pay. * Review job descriptions and support Human Resources Business partners with steps necessary to create a new job. * Provide guidance on areas such as job level, appropriate market title and appropriate FLSA classification. * Provide support on job structure review project work. * Assist and collaborate in the planning, coordination, facilitation, administration, and reporting of the annual merit program. * Performs other job-related duties as assigned.
    $56k-68k yearly est. Auto-Apply 12d ago
  • Payroll/Benefits and Billing Coordinator

    Vista Life Innovations 3.9company rating

    Benefit specialist job in Madison, CT

    We are seeking a Payroll/Benefits & Billing Coordinator to join the Vista team. The Payroll/Benefits & Billing Coordinator performs all functions related to payroll and administration of employee benefit plans. They also assist the Billing & Accounts Receivable Coordinator. Responsibilities for a Payroll/Benefits & Billing Coordinator include: Responsible for processing payroll and monitoring timecards and Paid Time Off. Responsible for benefit administration including enrollment, staff support and billing. Update and track employee wages and contributions for retirement plan provider. Process ACH for payroll liability and 403(b) payment. Complete all related payroll reporting, quarterly and annual federal and state reports, including W-2's and W-3's. Work with the Director of Finance, Accountant, and auditors to ensure compliance in benefits administration and payroll areas. Requirements for a Payroll/Benefits & Billing Coordinator include: High School diploma plus 2-4 years of related experience Knowledge and skills in MS Office, including Outlook and internet Experience using payroll systems, such as Paycor, Paychex, ADP, or similar Strong organizational and time management skills Location: This position is based at our Madison, CT campus. Job Type/Shift Information: Full-Time, Monday through Friday from 9am-5pm Hourly Rate: $23.55 This is a Benefits and PTO (Paid Time-Off) eligible position. About Us We are looking to grow a diverse, inclusive and mission-driven team at Vista Life Innovations. We offer a range of competitive benefits to support this goal: Health: Competitive health care, dental and vision coverage for you and your family Family: A variety of paid leaves for eligible employees: Bereavement Leave, Family and Medical Leave and CT Paid Leave Retirement: A retirement savings plan with employer contributions (after one year) Basic Life Insurance: Eligible employees are provided with a $20,000 Life Insurance benefit (employer paid after 60 days of employment) Flexible schedules and time off: Generous PTO providing eligible employees with paid time off that may be used for sick time, for personal reasons, holidays and vacations; and Hybrid working opportunities for eligible positions Wellness: Staff retreats, employee wellness program and company-hosted events Employee Assistance Program: free and strictly confidential, nationwide network of counselors Medicare Concierge Program: Vista offers a free consultative program provided to all employees and retirees aged 60 and above Learning & Growth: Access to internal and external learning & development opportunities. Career Path Program for volunteers and interns Voluntary Benefits: Including cancer guardian, pet insurance and more! Mileage Reimbursement: for all eligible employees Imagine the possibilities of being part of the success story of an adult with disabilities. Here at Vista Life Innovations, we are a nonprofit, human services organization supporting individuals with disabilities throughout the various stages of life. Each member of the Vista community is supported as a person on their own journey toward greater self-reliance, personal achievement, and independence. Vista is a drug-free, Affirmative Action/Equal Opportunity Employer Please visit our website for more information about Vista Life Innovations and our career opportunities.
    $23.6 hourly 1d ago
  • Compensation & Benefits Specialist

    Tighe & Bond 3.1company rating

    Benefit specialist job in Westfield, MA

    We are committed to making a meaningful impact through our work. As a Compensation & Benefits Specialist, you will join our Human Resources team in our Westfield, MA office, where you'll play a key role in ensuring our total rewards strategy aligns with our organizational goals. At Tighe & Bond, you'll find an engaging, hybrid work environment, a culture of collaboration, and the resources to support your professional growth and development. Our Human Resources Team The Human Resources team at Tighe & Bond supports employees across the firm by fostering a positive, inclusive, and professional workplace. They partner with staff and leadership on recruitment, onboarding, professional development, and employee engagement, while also ensuring compliance with policies and employment regulations. Through their work, the HR team helps create an environment where people feel supported and empowered to do their best work. Responsibilities, Requirements, and Total Rewards What You'll Be Doing As a valuable part of our Human Resources Team, a Compensation & Benefits Specialist will support a variety of projects and gain hands-on experience with responsibilities such as: Implement compensation structures, salary bands, and benefits programs based on market data and internal equity Conduct market pricing analyses to maintain competitive, fair compensation Administer health and wellness benefits and support employees during new hire enrollment, qualifying life events, and open enrollment Serve as the primary contact for leave of absence programs, partnering with third-party administrators to manage eligibility, documentation, and return-to-work coordination Ensure compliance with employment and benefits regulations such as FLSA, ERISA, ACA, and FMLA Participate in compensation and benefits surveys, ensuring accurate and complete data submissions Prepare reports, dashboards, and analytics to support workforce planning and decision-making Communicate total rewards offerings through clear documentation, training, and outreach Support internal and external audits related to payroll, compensation, and benefits What You'll Need Bachelor's degree in Human Resources, Business Administration, or a related field Minimum 5 years of experience in compensation and benefits or total rewards Solid understanding of compensation practices, benefits administration, and regulatory compliance Proficient in using HRIS systems (e.g., ADP) and Microsoft Excel Strong analytical, problem-solving, and project management skills Ability to communicate complex information clearly and build relationships across all levels Certification in compensation or benefits (e.g., CCP, CBP, SHRM-CP, or CEBS) is a plus Your Financial and Wellness Benefits Compensation is based on skills and experience as reflected in the pay range below Annual Bonus, Profit Sharing, and Employee Stock Ownership Plan Best in Class Medical Insurance Dental & Vision Insurance Wellness Rewards and Reimbursements Tuition Reimbursement and Qualified Student Loan Paydown Contributions Reimbursements for Licensure/ Certification Preparation and Fees Summer Fridays Flextime and Hybrid Work Environment Pet Insurance and Child Adoption Assistance More Information about Tighe & Bond Ways to Grow Your Career We provide a structured career path with opportunities for professional development through tuition reimbursement, internal training, conference attendance, and professional memberships. Mentorship from more experienced staff is integral to our culture and part of our commitment to your growth. Our Culture and Values We prioritize the well-being of our employees, communities, and environment. We foster a flexible, inclusive culture where everyone can thrive. Our six core values - Integrity, Excellence, Reliability, Commitment, Respect, and Safety - guide our employee-owned company in delivering exceptional service, building trust, and promoting continuous growth. Our team celebrates together at events like our annual Lobsterfest and gives back to our community through our award-winning Make a Difference program. We believe one of our greatest strengths lies in our differences. We are committed to fostering a diverse, inclusive, and equitable workplace where everyone feels valued and respected, with opportunities to thrive. By embracing a wide range of perspectives and experiences, we create and cultivate a workplace that reflects the communities we serve, that encourages creativity and drives innovation. We celebrate unique perspectives and strive to build a culture of belonging for all team members. We welcome applicants of all backgrounds as we work together to design a sustainable future for our communities. More About Tighe & Bond We are a leading employee-owned engineering, design, and environmental consulting firm, recognized for its commitment to excellence. With a team of over 600 professionals, we provide innovative solutions for land use, water resources, transportation, and environmental challenges throughout the Northeast. As a top 10 ENR New England Design Firm and the 2023 Employer of the Year from SMPS Boston, we are dedicated to building a more sustainable future. Equal Opportunity Employer Statement We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, gender identity, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. Tighe & Bond, Inc. will base decisions on employment to further the principle of equal employment opportunity. We are committed to basing judgments concerning the employment of individuals on their qualifications, abilities, skills and experience. If accommodation is needed during the application process, please contact a member of the talent acquisition team. Pay Range USD $70,748.00 - USD $92,856.00 /Yr.
    $70.7k-92.9k yearly Auto-Apply 9d ago
  • Oracle HCM Benefits Consultant

    Accenture 4.7company rating

    Benefit specialist job in Hartford, CT

    We Are: Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology and Operations services-all powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Over 500,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities. Visit us at ****************** You Are: A transformation maven with the skills to help clients meet the challenges of digitization. Your human superpower? Using your know-how, creativity, and analytical powers to solve clients' most complex business problems to help their companies do more. You're as comfortable leading projects and teams as you are diving into the details of workstreams and configuring Oracle solutions. Or you specialize in one or the other, our practice covers the functional & process side of Oracle as well as the technical development & technical architecture. Additionally, you have communication and people skills to inspire teams to bring their A-game. The Work: * Implement Oracle HCM Cloud Benefits. * Work with Client teams to gather and synthesize functional and technical requirements. * Collaborate with cross-functional teams to configure and optimize upstream and downstream HR processes within Oracle HCM, including conversions, integrations, reports, etc. * Provide expertise and guidance, translating requirements into detailed configuration tasks across programs, plans, eligibility profiles, certifications, rates, open enrollment, benefit extracts, etc. * Create functional and technical design documents. * Facilitates design workshops for End-to-End Benefits Processes with business stakeholders to understand business requirements; demonstrates understanding of business needs and recommends robust design based on Oracle functionality. * Support the planning and execution of testing cycles, as well as perform cutover activities as required for go-live preparation. * Plan and organize tasks and report progress on the track/deliverables. Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements. Qualification What You Need: * Minimum of 3 years of experience in Oracle Cloud HCM with emphasis on Benefits * Minimum of 1 full life-cycle Oracle Cloud HCM implementations * Bachelor's Degree or equivalent (12 years) work experience (If an, Associate's Degree with 6 years of work experience) Bonus Points If: * Certified in Oracle HCM Cloud Benefits * Have good Cross-Functional exposure to other HCM modules * Experience implementing Redwood Pages and using VBS * You've gained the trust of your clients and partnered with them to deliver large scale implementation projects Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We accept applications on an on-going basis and there is no fixed deadline to apply. Information on benefits is here. Role Location Annual Salary Range California $63,800 to $196,000 Cleveland $59,100 to $156,800 Colorado $63,800 to $169,300 District of Columbia $68,000 to $180,300 Illinois $59,100 to $169,300 Maryland $63,800 to $169,300 Massachusetts $63,800 to $180,300 Minnesota $63,800 to $169,300 New York/New Jersey $59,100 to $196,000 Washington $68,000 to $180,300 Locations
    $68k-180.3k yearly 4d ago
  • Coordinator, Benefits Eligibility and Prior Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Hartford, CT

    **_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
  • Pharmacy Benefits Manager Pricing Strategy Analyst Senior

    Carebridge 3.8company rating

    Benefit specialist job in Wallingford, CT

    Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The PBM Pricing Strategy Analyst Senior is responsible Administrative Services Only (ASO) support functions. How You Will Make an Impact Primary duties may include, but are not limited to: * Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO pass back activities. * Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. * Creates tools and processes to monitor margin revenue and client retention. * Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. * Implements pricing in the system related to margin. * Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. Minimum Requirements: Requires a BA/BS in Finance or related field and a minimum of 3 years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $71k-108k yearly est. Auto-Apply 60d+ ago

Learn more about benefit specialist jobs

How much does a benefit specialist earn in Hartford, CT?

The average benefit specialist in Hartford, CT earns between $37,000 and $82,000 annually. This compares to the national average benefit specialist range of $34,000 to $68,000.

Average benefit specialist salary in Hartford, CT

$55,000

What are the biggest employers of Benefit Specialists in Hartford, CT?

The biggest employers of Benefit Specialists in Hartford, CT are:
  1. Cardinal Health
  2. ZOOM+Care
  3. DATTCO
  4. Ao Garcia Agency
  5. Interview Hunters
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