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  • Medicaid Benefits Coordinator

    Prestige Healthcare Resources Inc.

    Benefit specialist job in Washington, DC

    Who We Are Prestige Healthcare Resources, Inc. (PHRI) is a mission-driven behavioral healthcare organization committed to delivering high-quality, person-centered services across the District of Columbia. We specialize in supporting individuals with behavioral health needs by ensuring seamless access to care, stability, and community-based support. A critical part of this mission is ensuring Consumers maintain active Medicaid coverage so they can receive consistent, uninterrupted services. As we expand our administrative and consumer support functions, we are seeking a dedicated Medicaid Benefits Coordinator to strengthen our eligibility, enrollment, and coverage management processes. What You'll Do As the Medicaid Benefits Coordinator, you will help Consumers apply for, secure, and maintain Medicaid benefits-ensuring timely access to care and preventing lapses in coverage. Your work directly impacts service continuity, billing accuracy, and Consumer satisfaction. Your responsibilities include: Medicaid Application & Enrollment Assist Consumers with completing new Medicaid applications and renewals. Guide Consumers through documentation requirements and submission steps. Educate Consumers on eligibility rules, MCO choices, renewal cycles, and timelines. Communicate with DHS, Medicaid offices, and MCO representatives as needed. Coverage Maintenance & Case Management Monitor Medicaid status and track upcoming expirations or risks of termination. Proactively contact Consumers to address pending renewals or missing documents. Resolve issues such as verification delays or eligibility discrepancies. Confirm application statuses, reinstatements, or corrections with DHS/MCOs. Documentation & EHR Management Maintain accurate Medicaid records within the EHR. Document all interactions and outcomes according to DC MHRS and HIPAA standards. Track approvals, lapses, reinstatements, and MCO enrollment changes. Consumer Communication & Support Provide clear, compassionate, step-by-step guidance throughout the Medicaid process. Assist Consumers facing barriers such as limited documentation or difficulty navigating systems. Coordination & Collaboration Work with intake, billing, clinical, and administrative teams. Notify staff when Medicaid issues impact service eligibility or billing. Partner with billing teams to reduce denials related to lapses or incorrect data. Problem Resolution & Follow-Up Investigate and resolve coverage discrepancies or unexpected terminations. Communicate with DHS, MCOs, and partner agencies to troubleshoot complex cases. Track unresolved issues and provide consistent follow-up until resolved. Compliance, Reporting & Quality Assurance Follow all DC Medicaid, MCO, DHS, and agency guidelines. Generate reports on Medicaid status, renewals, and unresolved issues. Support audits through accurate, compliant documentation. Keep staff informed of policy changes. Process Improvement Recommend workflow enhancements and participate in Medicaid-related trainings. What You'll Bring High school diploma or equivalent required; Associate's or Bachelor's degree preferred. 1-2 years of experience in Medicaid eligibility, insurance navigation, benefits coordination, or case management. Strong familiarity with DC Medicaid, MCO processes, DHS requirements , and public benefits systems (strongly preferred). Experience with EHR systems and Microsoft Office Suite. Excellent organizational skills, accuracy, and attention to detail. Strong communication, customer service, and problem-solving skills. Ability to maintain confidentiality, professionalism, and Consumer trust. Ability to work independently and collaboratively within multidisciplinary teams. Why Prestige Mission-driven work: Your efforts ensure Consumers have uninterrupted access to essential behavioral health services. Impact you can see: Preventing Medicaid lapses directly improves service delivery, billing accuracy, and client outcomes. Supportive team culture: Work collaboratively with intake, billing, and clinical teams who value communication and partnership. Professional development: Grow your expertise in Medicaid systems, managed care processes, and agency operations. Community-focused organization: Prestige is committed to empowering individuals, families, and communities through accessible, quality behavioral healthcare. Core Competencies 1. Medicaid Expertise Understands Medicaid eligibility, renewals, documentation requirements, and MCO processes to ensure continuous Consumer coverage. 2. Accuracy & Attention to Detail Maintains precise documentation, data entry, and case tracking to prevent coverage lapses and billing errors. 3. Consumer Advocacy Provides compassionate, clear guidance to Consumers, helping them overcome barriers and navigate complex eligibility processes. 4. Problem Solving Identifies issues quickly, troubleshoots with DHS/MCOs, and follows cases through to full resolution. 5. Communication Skills Communicates effectively with Consumers, internal teams, and external agencies; conveys information in a clear, supportive manner. 6. Collaboration Works seamlessly with intake, billing, clinical, and administrative teams to ensure service continuity and reimbursement accuracy. 7. Compliance & Confidentiality Follows all HIPAA, DC MHRS, Medicaid, and agency regulations while maintaining strict confidentiality. 8. Organization & Time Management Manages multiple cases, deadlines, and follow-up tasks efficiently in a fast-paced environment. AAP/EEO STATEMENT It is the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodations for qualified individuals with disabilities. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
    $45k-69k yearly est. Auto-Apply 41d ago
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  • Benefits & Leave Specialist

    Finnegan 4.9company rating

    Benefit specialist job in Washington, DC

    About Us Finnegan is more than just a law firm - we are a powerhouse of innovation and strategy growth. We pride ourselves on providing top-tier intellectual property services globally. Our success is rooted in our emphasis on relationships with our clients and each other. We care about every individual, and it is why many professionals have spent their entire careers at Finnegan. Role Overview We are seeking a Benefits & Leave Specialist who will be responsible for utilizing knowledge of the firm benefits programs and procedures to effectively administer the firm's core benefits programs. Responsibilities Administers several firm benefits programs including: FMLA policies and programs, domestic partner benefits, retiree benefits, backup dependent/elder care program and commuter benefits program. Provides guidance and counseling on benefits available to employees, including new hire benefits orientation, accurately and appropriately responding to inquiries from firm personnel Utilizes knowledge of firm procedures and payroll guidelines to serve as liaison to Payroll Dept regarding benefit deduction adjustments, FMLA and paid/unpaid leaves of absences, workers' compensation payments Communicates with insurance providers and third-party vendors to ensure prompt, accurate, and effective service is provided to employees and resolves questions and problems as they arise Maintains data and prepares reports, such as workers' compensation incidents, FMLA, leave of absence reports, etc. Prepares benefits termination packets and conducts benefits related exit interviews Prepares and processes benefits invoices - including reconciliation and auditing of monthly benefits bills, within established payment deadlines Keeps abreast of new or changing laws and best practices in the design/administration of benefits programs and policies; makes recommendations for revisions and/or improvements to programs and policies as appropriate. Ensures benefits and retirement files are maintained in accordance with department procedures and legal requirements Coordinate and support special benefits projects/programs, such as benefits fairs, open enrollment, benefits education meetings and wellness activities, etc. Prepares events and seminar communications Maintains and updates benefits booklets, and brochures as needed. Design, edit and maintain employee benefits intranet site Other duties as assigned Qualifications Bachelor's degree in human resources, Business Administration, or related field required PHR or CEBS certification preferred At least 3-4 years of work experience in benefits program development and coordination required; law firm or other professional services experience preferred Knowledge of benefits plans and employment laws affecting benefits required Knowledge of data gathering, analytical review of information and making sound recommendations on benefits program design. Proficiency in Microsoft Office Suite, with strong Excel skills; working knowledge of SharePoint or other web design programs, HRIS and database software, preferably Ceridian Dayforce, online research, and report writing and queries. Strong attention to detail Strong proofreading and editing skills Excellent communication, interpersonal and presentation skills Exceptional customer service and follow-through skills Ability to organize multiple tasks and work independently in a fast-paced environment with rapidly changing priorities Ability to anticipate needs, synthesize diverse data, trend data Strict attention to confidentiality If you are a strategic thinker with a passion for promoting success, we would love to hear from you. This role is based in the Washington, DC office and is not remote eligible. The base annual pay range for this role is between $80,000-$90,000. The base pay to be offered will vary and depend on skills and qualifications, experience, location and will also take into account internal equity. A full range of medical, financial and/or other benefits dependent on the position will also be offered. Equal Employment Opportunity Statement: Finnegan is an Equal Opportunity Employer. The firm is committed to providing equal employment opportunities to all applicants for employment, as defined by applicable state and federal laws, without regard to race, color, religion, sex, national origin, ancestry, age, sexual orientation, gender identity or expression, physical or mental disability, medical condition, military or veteran status, genetic information, marital status, pregnancy, childbirth, or related medical conditions, or any other protected status in accordance with all applicable federal, state and local laws. For candidates needing reasonable accommodations or assistance with the application process, please contact Human Resources at ************. Our privacy policy for applicants can be found here. #LI-DI1
    $80k-90k yearly 14d ago
  • Senior Benefits Manager

    Mag 4.6company rating

    Benefit specialist job in Fairfax, VA

    We are seeking an experienced Senior Benefits Manager to lead the design, administration, and optimization of our employee benefits programs. This role is critical in ensuring our offerings remain competitive, compliant, and aligned with our organizational goals. You will partner closely with HR leadership, finance, and external vendors to deliver a best-in-class benefits experience that supports employee well-being and engagement. **Essential Duties and Responsibilities** + **Strategic Oversight:** Develop and manage comprehensive benefits strategies, including health, wellness, retirement, and ancillary programs. + **Compliance & Governance:** Ensure all programs comply with federal, state, and local regulations (ERISA, ACA, HIPAA, etc.).Maintain knowledge of changing regulations and requirements in the benefit administration and delivery arena and communicate significant changes to MAG senior leadership. + **Vendor Management:** Negotiate contracts, manage relationships, and evaluate performance of benefits providers and brokers. + **Data Analysis:** Monitor benefits utilization, costs, and trends; provide insights and recommendations for cost containment and program enhancements. + **Workers' Compensation:** Manage **OCONUS and DBA workers' compensation claims** , ensuring compliance and timely resolution. + **Employee Experience:** Oversee benefits communication and education initiatives to ensure employees understand and maximize their benefits. + **Open Enrollment Leadership:** Plan and execute annual enrollment processes, including system updates and employee support. + **Team Leadership:** Mentor and guide benefits specialists. + **Leave of Absence Management:** Coordinate leave programs including Short and Long term disability, Military Leave, and FMLA. + Create and maintain all benefits materials, including announcement materials and emails, plan summary documents and other media for communicating plans to employees **Requirements** **Education and** **Experience** + Bachelor's degree in Human Resources, Business Administration, or related field (Master's preferred). + 7+ years of progressive experience in benefits administration, with at least 3 years in a leadership role. **Skills** + Strong knowledge of benefits regulations and compliance requirements. + Proven experience in vendor negotiation and benefits program design. + **Advanced Excel skills** (pivot tables, VLOOKUP, data analysis, and reporting). + Familiarity with HRIS and benefits administration platforms. + **UKG experience highly desired.** **Preferred Certifications:** + CEBS (Certified Employee Benefits Specialist) **Special Note** The position is contingent upon candidate's ability to meet physical and medical requirements as needed by the position; including compliance with all applicable federal, state, and local jurisdictional requirements. **Benefits and Compensation** At MAG Aerospace, we value your contributions providing our employees with a robust Total Rewards package that supports your total well-being. Full-time and part-time employees working at least 30 hours a week on a regular basis are eligible to participate in MAG's Total Rewards programs. Our offerings include health, life, disability, financial, and retirement benefits as well as paid leave, professional development, and tuition assistance. Individuals that do not meet the threshold are only eligible for select offerings not inclusive of health benefits. We encourage you to learn more about our Total Rewards Program by visiting the Resource page on our Careers site: ********************************** Salary at MAG Aerospace is determined by various factors including but not limited to location, the particular combination of education, knowledge, skills, competencies, and experience as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $94,500 to $150,000 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of MAG's total compensation package for employees. **Need help finding the right job?** We can recommend jobs specifically for you! **ID** _2026-8025_ **Category** _Human Resources_ **Type** _Regular Full-Time_ **Clearance** _None_
    $94.5k-150k yearly 12d ago
  • Bilingual Nutrition Benefits Coordinator

    Manna Food Center Inc. 3.5company rating

    Benefit specialist job in Silver Spring, MD

    Manna Food Center - Bilingual Nutrition Benefits Coordinator Reports to Program Manager - Community Engagement Direct Reports None Status: Full-time. Non-Exempt Salary Range Hourly wage of $20.80 - $22.50 commensurate with experience Job Summary: The Bilingual Nutrition Benefits Coordinator will serve as a bridge between Manna Food Center and Montgomery County residents by providing direct outreach and application assistance to communities, families, and individuals eligible to receive Supplemental Nutrition Assistance Program (SNAP) benefits and similar state and County nutrition benefits. The Coordinator will work closely with our community engagement staff with the goal of ensuring participants have access to the maximum food and nutrition benefits available to them through local, state, and federal programs. This is a hybrid position, requiring at least two days in the office each week. Telecommuting is a privilege based on performance and may be adjusted at any time at Manna's discretion. Telecommuters must meet the same performance, productivity, and availability standards as office-based employees. Essential Job Functions Create consistent opportunities for outreach with Manna partner agencies and other community providers. The focus will be on priority populations, including residents for whom English is a second language, seniors, and people with disabilities, households with eligible children, and Able-Bodied Adults without Dependents (ABAWDs). Outreach opportunities may occur in the evenings and on weekends and include both in-person and virtual interactions. Create, distribute, and adapt SNAP-related outreach materials to meet the needs of Montgomery County residents. Provide nutrition benefit application assistance to interested and eligible individuals. When beneficial and appropriate, connect participants with additional food assistance and community resources. Utilize Salesforce, Excel, and Teams to record and track the number of outreach events, SNAP applications, number of individuals engaged, recertifications, Benefit Review Forms, and changes of address. Support the preparation of accurate and timely contract reports. Utilize the MD Benefit online application portal to assist residents with SNAP applications, recertifications, and benefit review forms. Build partnerships and collaborate with other Community-Based Organizations across Montgomery County and Maryland. Attend state and local meetings on SNAP eligibility, outreach, utilization, and potential changes/updates as appropriate. Gather experiential feedback and stories from applicants and enable participation in Manna's advocacy activities. Minimum Qualifications Outgoing personality, strong interpersonal skills, and a commitment to addressing community food insecurity. Demonstrated ability to reach effectively diverse and low-income families and communicate with other community-based organizations. Detail-oriented, with planning, time management, and implementation skills. Knowledge of the Supplemental Nutrition Assistance Program preferred. Strong organizational skills and the ability to manage multiple tasks simultaneously. Willingness and ability to work flexible hours (early mornings, evenings, nights, weekends, etc.) Demonstrated ability to use or learn Salesforce software, Microsoft Office Suite, and various online video software (Zoom, Teams, etc.) Strong oral and written communication skills in English and preferably another language, with a particular interest in Spanish. Ability to collect, analyze, and report on program data. Must have a valid driver's license. Manna reimburses for work-related travel with a personal vehicle, and Demonstrated ability to work collaboratively as part of a team. Physical Demands: The physical demands described here are representative of those that must be met by a candidate to successfully perform the essential functions of this job. While performing the duties of this job, the candidate is regularly required to remain in a stationary position 50% of the time. The person in this position needs to occasionally move about inside an office to access file cabinets and office machinery. Must also be able to move about to various work stations throughout the County. The candidate constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. The person in this position frequently communicates with the public, volunteers, and vendors and must be able to exchange accurate information in these situations. The candidate must occasionally move objects up to 15 pounds. Environmental Conditions: The candidate will be exposed to a variety of fluctuating environmental conditions within the building and at outreach activities, including heat and cold. The candidate must be able to work in these conditions for up to 2 hours at a time. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification and are subject to change at any time. 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. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Justice, Equity, Diversity, and Inclusion Statement: Manna Food Center is committed to serving as an ally for racial justice and is proud to be an equal-opportunity employer. We are fully committed to equity and believe deeply in diversity of race, gender, sexual orientation, religion, ethnicity, political opinion, and national origin. Applicants with lived experience of our service area are encouraged to apply. Manna is an Equal Opportunity Employer. Interested and qualified applicants should send their resumes to ******************.
    $20.8-22.5 hourly Easy Apply 18d ago
  • Manager of Benefits and Retirement Services

    Mid-Atlantic Permanente Medical Group Careers

    Benefit specialist job in Washington, DC

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

    Latitude 3.9company rating

    Benefit specialist job in Columbia, MD

    About the Opportunity A well-established, highly regarded professional services organization is seeking an experienced Benefits & Leave Administration Manager to lead and oversee its benefits and leave programs. This is a highly visible role within Human Resources, ideal for a seasoned professional who enjoys both hands-on administration and strategic process improvement. The organization is looking for someone with deep experience who can step in confidently, assess current operations, and ensure smooth, compliant delivery of benefits and leave services. This contract-to-hire structure allows both the organization and the candidate to ensure long-term fit, with intent to convert for the right individual. Position OverviewThe Benefits & Leave Administration Manager is responsible for the end-to-end administration, compliance, and optimization of employee benefits and leave programs. This role partners closely with HR leadership, Finance, and external vendors to ensure an excellent employee experience while maintaining regulatory compliance and operational efficiency. Key ResponsibilitiesBenefits Administration & ComplianceOversee relationships with benefit vendors and third-party administrators Manage enrollments, terminations, beneficiary updates, COBRA, disability and life insurance claims, and retirement plan transactions Ensure compliance with applicable federal and state regulations (ERISA, ACA, HIPAA, etc.) Prepare and file ACA reporting (including 1095-C forms) Coordinate annual retirement plan audits, compliance testing, QDROs, and required filings Leave AdministrationManage all leave of absence programs, including FMLA, ADA, short-term and long-term disability Maintain accurate documentation, coordinate benefits premium payments during leave, and communicate with employees and managers Process Improvement & StrategyEvaluate current benefits and leave processes and implement improvements to increase efficiency and accuracy Support wellness initiatives, employee communications, and engagement efforts Partner with HR leadership to develop and deliver training related to benefits and leave policies Produce utilization reports and analysis to support leadership decision-making Vendor & Financial OversightAudit vendor performance and billing accuracy Support contract negotiations, renewals, and cost management in collaboration with HR and Finance leadership HRIS & SystemsServe as the subject matter expert for benefits and leave functionality within the HRISEnsure data integrity, troubleshoot issues, and support system enhancements or upgrades QualificationsBachelor's degree in Human Resources, Business Administration, or a related field strongly preferred7-10+ years of progressive experience in benefits and leave administration, including leadership or senior-level responsibility Strong knowledge of benefits compliance and multi-state leave regulations Experience in a professional services or similarly structured corporate environment preferred Hands-on experience with HRIS platforms (experience with UKG is a plus but not required) Strong Excel and Microsoft Office skills Proven ability to manage vendors, oversee budgets, and navigate complex benefit programs Excellent communication skills with the ability to clearly explain complex topics and influence stakeholders Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment$55 - $58 an hour
    $55-58 hourly Auto-Apply 17d ago
  • Benefits Manager

    Ijm

    Benefit specialist job in Washington, DC

    Benefits Manager Who We Are International Justice Mission (IJM) is the global leader in protecting vulnerable people from violence around the world. Our team of over 1,200 professionals are at work worldwide in over 30 offices. Together we are on a mission to rescue millions, protect half a billion, and make justice unstoppable. We are a global community that cares for one another. We believe that the way we work is as important as the results we achieve. We provide professional excellence with joy and celebration to all those we serve. The Need For over 25 years, IJM has pioneered the work to protect vulnerable people from violence. 9 out of 9 times in the last decade, IJM's Justice System Strengthening Projects have reduced slavery and violence between 50 and 85% for very large populations of people in poverty. As we grow to expand our impact to protect 500 million people from violence, we are seeking a Benefits Manager to lead the strategic and operational delivery of benefits programs for employees in the U.S. This role ensures alignment with organizational goals, regulatory compliance, and employee engagement, while enhancing IJM's employee value proposition. This position is hybrid (onsite Tuesdays & Thursdays) based in the Washington, DC area and reports to the VP, HR Operations. It is only available for candidates with the right to work in the U.S. Responsibilities: Health & Welfare Design and Administration Design and evaluate health and welfare programs to align with IJM goals and objectives. Manage day-to-day operations of U.S. employee and expatriate benefit programs (medical, dental, vision, retirement, FMLA, leaves of absence, disability). Serve as subject matter expert for benefits and primary point of contact for employee inquiries. Collaborate with vendors and brokers to negotiate contracts and monitor service quality. Ensure integrity of employee and program data in Workday and related systems. Lead education and training associated with health and welfare program execution. Regulatory and Compliance Ensure benefits programs meet federal, state, and local regulations (ACA, ERISA, HIPAA, COBRA, FMLA). Partner cross-functionally to maintain accurate plan documents and required notifications. Lead or participate in audits to identify and mitigate compliance risks. Serve as primary point of contact for brokers, vendors, and regulatory agencies. Communication and Training Develop and deliver benefits training for new hires, open enrollment, and plan changes. Maintain internal information sites to ensure policies and program details remain current. Qualifications: Bachelor's degree in human resources management or related field. 5-7 years' experience in employee benefits design and administration. Benefit plan audit experience and experience partnering with regulatory agencies. CEBS designation is desirable. Technical Competencies Proficient with Workday HCM and MS Office Suite. Strong data analysis and research skills. Working knowledge of SharePoint. Critical Qualities: Eager commitment to IJM's Core Values: Christian, Professional and Bridge-Building. Highly organized with strong attention to detail. Ability to work independently and lead projects. Strong time management and problem-solving skills. Application Process: Upload Resume, Cover Letter & Statement of Faith* in one PDF document. *What is a statement of faith? A statement of faith should describe your Christian faith and how you see it as relevant to your involvement with IJM. The statement can either be incorporated into the cover letter or submitted as a separate document and should include, at a minimum, a description of your spiritual disciplines (prayer, study, etc.) and your current fellowship or place of worship. What does IJM have to offer? Comprehensive Medical/Dental/Vision benefits Monthly commuter and parking benefits in the DC metro area Retirement benefit options Paid leave starting at 23 days 12 holidays (plus early release the day prior) Daily, quarterly, and annual community spiritual formation Robust staff care resources IJM holds strict safeguarding principles and a zero tolerance to violations of the Safeguarding Policy, Protection against Sexual Exploitation, Abuse and Harassment Policy, and Code of Ethics. Candidate selection is based on technical competence, recruitment, selection and hiring criteria subject to assessing the candidate's value congruence and thorough background, police clearance, and reference check processes. At IJM, we're committed to building a diverse workforce through fair and equitable employment practices. IJM encourages people of any race, color, age, sex, marital status or political ideology to apply for employment. While we welcome everyone into this work, we truly believe that the work we are doing is God's work, not our own, and practice spiritual disciplines together daily. That's why we legally require under SEC. 2000e-1 [Section702] of Title VII of the Civil Rights Act of 1964 that all employees practice a mature orthodox Christian faith, as defined by the Apostles' Creed. IJM requires a background check, police clearance and thorough review of references with an employment offer and/or employment contract.
    $65k-114k yearly est. Auto-Apply 34d ago
  • Coordinator, Benefits Eligibility and Prior Authorization

    Cardinal Health 4.4company rating

    Benefit specialist job in Washington, DC

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

    Inovalon 4.8company rating

    Benefit specialist job in Bowie, MD

    Overview: The Benefits Analyst will be responsible for providing in-depth analysis and creation of healthcare provider business rules that will modify and edit medical claims. This role requires in-depth knowledge of medical billing and coding of insurance claims from working in the healthcare profession as either a biller or at a software clearinghouse. The Analyst role is a customer facing role via email, ticketing, and occasionally in video meetings. This role requires the ability to review customer requests, ask for any clarifications from the requester and then create, test and publish custom claim edits on behalf of the client within company stated SLAs with a high level of quality. Requests can be customer initiated or medical insurance company mandates or necessary to ensure claims are paid timely. In addition, the Analyst will be responsible for reviewing claims that have failed to process in the system and come up with new edits to solve for outstanding changes that are needed within the system. The Analyst will work as part of a team to ensure that the Inovalon clearinghouse system maintains a high level of first pass claims acceptance rate through continued monitoring and proactive research to the changing needs of insurance claims processing. Duties and Responsibilities: Take ownership of triaging incoming internal and external customer requests for medical claims processing changes needed. Prioritize requests based on operational needs and escalate issues to quick resolution when needed. Implement technical business rules for processing medical claims; including building logic statements based on specific medical insurance claims fields to modify and or change; test with medical claims and implement to live systems. Take a collaborative role with the application support team to triage production problems involving claims processing, perform defect analysis and provide fixes in business logic to be implemented by software teams in a timely fashion, particularly with high priority items. Work collaboratively with other Inovalon departments to ensure fit for purpose solutions are delivered. Liaise with Technology and Engineering teams to resolve application issues and enhancement requests to internal tools used by the team to expand capabilities. Ensure compliance to Company procedures when making changes and implementing new business rules. Ensure ongoing regularly scheduled updates required for compliance are executed timely. Responsible for accessing payer websites and compliance standards research (i.e. UB Editor, payer Companion Guides) Review claim level and file level failures or errors ongoing to find and implement new rules as needed to ensure our first pass claim acceptance rate hits our internal goals. Update documentation, SOPs, and training documentation as needed. Maintain a follow up schedule for unresolved issues. Respond to support requests through phone calls, and emails. Assist operations with process improvement and finding solutions to business problems. Maintain compliance with Inovalon's policies, procedures and mission statement. Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company. Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function. We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. Job Requirements: Required: Minimum 2 years' experience with Medical Billing in a healthcare setting, doctor's office or hospital; Preferred: Clearinghouse backend operations. Understanding of Medicare NCDs, as well as Medicare/Medicaid MUE and CCI related billing rules Solid understanding of Institutional and Professional claim forms, 5010 X12 files including 837, 835, 277 and 999. Nice to have: experience in application support, SaaS experience preferred, healthcare background preferred Being able to communicate clearly with clients; client focused and sensitive to client needs Experience working with a ticketing system; Preferred: Service Now Direct experience building logic rules for medical claims processing. Excellent problem solving and analytical skills. The ability to multi-task effectively Education: Bachelor's degree or equivalent work experience required. Physical Demands and Work Environment: Sedentary work (i.e., sitting for long periods of time); Exerting up to 10 pounds of force occasionally and/or negligible amount of force; Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions; Subject to inside environmental conditions; and Travel for this position will include less than 5% locally usually for training purposes.
    $59k-75k yearly est. Auto-Apply 17d ago
  • Benefits Consultant

    Interview Hunters

    Benefit specialist job in Silver Spring, MD

    We are looking for a representative to join our team. This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the client by creating a positive working relationship. The manager is responsible for addressing client issues and responding to questions. The ideal candidate comes with experience in and developing new business opportunities among both existing and new customers. Excellent cross-functional experience working with customer service and product development to improve the entire customer experience is a critical factor in this role. Responsibilities: Oversee customer account management - Includes developing new business along with negotiating contracts and agreements to maximize profits. Collaborate cross-functionally - Work closely with the sales team to achieve quotas while keeping clients satisfied and engaged with products and services. Ensure delivery to customers - Facilitate the timely and successful delivery of solutions according to customer needs and objectives. Requirements: Sales or related field Strong verbal and written communications skills Excellent listening, negotiation, and presentation abilities Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level Our employees enjoy a work culture that promotes hard work, dedication, working well with those around you, and work diligently to addressing problems with costumers. Employees can also take advantage of Generous Compensation Program, Weekly Performance Bonus, and Leadership Development Programs to Take Your Career to the Next Level
    $66k-107k yearly est. Auto-Apply 60d+ ago
  • Employee Benefits Counsel

    WTW

    Benefit specialist job in Arlington, VA

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

    FAS 4.3company rating

    Benefit specialist job in Washington, DC

    Manager, Payroll and Benefits Full-time FAS staff Washington, DC Why FAS? Does FAS sound like an organization that you would be energized to join? Is it aligned to your values? The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community. FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity. The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world. Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world. Skills and Expertise: Must Haves What skills do you need to show proficiency (or higher) in order to be a strong candidate? Bachelor's degree or higher in Accounting, Finance or Business Administration. 4-6 years of experience in benefits and payroll administration. A deep understanding of various employee benefits, including health, retirement, and insurance. Intermediate/expert skills in Excel required. Previous experience with HRIS software is highly desirable. Excellent communication, interpersonal, and negotiation skills. Proven ability to build and maintain effective working relationships at all levels across the organization. Monitors own work to ensure professional quality and punctuality. Ability to handle sensitive and confidential information with discretion. Strong analytical and problem-solving skills Highly Preferred: Certified Benefits Professional (CBP) is highly preferred. Non-profit experience is highly preferred. To Sum It Up… What's the “elevator pitch” for the role? The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes. In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards. This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization. This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision. At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture. What you'll do: (Core responsibilities) Benefits Administration Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs. Manage open enrollment, employee eligibility, and benefit plan changes throughout the year. Serve as the primary point of contact for benefits-related inquiries and issue resolution. Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery. Coordinate benefits education sessions and communications to enhance employee understanding and engagement. Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement. Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors. Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others. Payroll Management Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws. Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements. Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting. Administer wage adjustments, retroactive pay, and off-cycle payments as needed. Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws. Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records. Review and update payroll-related policies and procedures for clarity and compliance. Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll. Special projects and tasks as assigned. Compliance and Reporting Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.). Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits. Work Environment This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote. Salary Range $70,000-$85,000 Hiring Statement Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate. The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States.
    $70k-85k yearly Auto-Apply 60d ago
  • Payroll and Benefits Professional

    Beyond SOF

    Benefit specialist job in Alexandria, VA

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

    Merito Group

    Benefit specialist job in Arlington, VA

    A large global $5 billion company is seeking a Benefits Consultant to handle the administration of employee benefits programs in North America. Our client's U.S. headquarters are in Northern Virginia and the company has 8,000 employees in the U.S. * a Bachelors Degree in HR or a related field (required) - Masters Degree is strongly preferred * a Certified Benefits Professional (CBP) certification and / or a Certified Employee Benefit Specialist (CEBS) certification (preferred) * 7+ years of experience in employee benefits management with companies that have large geographically-dispersed employee populations of varying levels and backgrounds (required) * experience with outsourced benefits administration self-funded medical plans (required) * experience in vendor management and / or Canadian health and wellness benefit programs (preferred) If you're interested in and qualified for this position, just click on the green "apply" button and enter your name and contact information. Then, upload your resume and click send. _________________________________________________________ A boutique certified woman owned company, Merito Group provides comprehensive talent acquisition solutions including retained executive search, direct-hire placement, high-volume & RPO sourcing, temporary & contingent labor, consulting services, and career coaching. Merito Group is recognized as a Top Executive and Professional Recruiting Firm by the Business Journal Newspapers. For a full list of career opportunities and to contact us about our services, visit us at ********************
    $66k-107k yearly est. 60d+ ago
  • Aflac Benefits Consultant

    Whitaker & Associates/Aflac

    Benefit specialist job in Arlington, VA

    Aflac, a Fortune 200 company, is an industry leader in voluntary insurance products that pay cash directly to policyholders and one of America's best known brands. Aflac has been recognized by Fortune magazine as one of the 100 Best Companies to Work For in America for the sixteenth consecutive year in January 2014 and as one of America's Most Admired Companies for the thirteenth year in March 2014. Our business is about being there for people in need. Job Description Are you an enthusiastic, career-minded, self-motivated individual looking for a career where you can make your mark and earn competitive commissions? As an Aflac Benefits Consultant you will work in a professional business-to-business sales environment. You'll build your own business and manage your own time and schedule, with unlimited potential for growth, while being backed with the support of a Fortune 500 company and industry leader. Qualifications • Desire to work with a leading company that will offer you excellent marketing support. • Vibrant personality and professional presence. • Drive to help others. • Articulate self-starter and team player. • Associate or bachelor's degree preferred, but not required. • Prior sales experience preferred, but not required. Additional Information • Competitive commissions & vested lifetime renewals • Generous stock bonus program • High brand awareness, supported by national advertising campaigns • Professional sales support from a friendly headquarters staff • Sales coaches and mentors to help as you build your business • Professional orientation, training, and certifications • Management opportunities for qualified candidates All your information will be kept confidential according to EEO guidelines.
    $66k-107k yearly est. 13h ago
  • Employee Benefits Account Specialist

    Corporate Synergies 3.9company rating

    Benefit specialist job in Columbia, MD

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

    Lewis & Associates 3.8company rating

    Benefit specialist job in Washington, DC

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

    American University 4.3company rating

    Benefit specialist job in Washington, DC

    American University is a student-centered research institution located in Washington, DC, with highly-ranked schools and colleges, internationally-renowned faculty, and a reputation for creating meaningful change in the world. Learn more about American University Department: Employee Benefits Time Type: Full time Job Type: Regular FLSA Status: Exempt Work Modality: Hybrid 01 (On Campus 3-4 Days/Week) Union: Job Description: Summary: The Benefits Manager is responsible for the strategic development and management of comprehensive benefits programs for the university. The Manager will be responsible for providing competitive benefits program and support for 2,900 faculty, staff and retirees. The Manager will participate in the development of the Annual Open Enrollment, Digital Transformation of the Total Rewards Department, Retirement Portal and effective management and communication of Health & Welfare, Life and Disability, Retirement and Educational benefit programs. The Benefits Manager, in collaboration with the Director of Employee Benefits and Retirement, provides overall leadership and administration for benefits planning and administration for university faculty, staff and retirees. They recommend policy, oversee the benefits operations, and directly manage benefits and retirement administration. The Manager plans, negotiates and administers all University benefits programs and initiatives; develops long range and current planning proposals for budget; serves as contract liaison between benefits carriers, mutual fund companies, and consulting firms and university offices of procurement and finance; prepares and presents critical research and trend data and analyses on benefits and retirement programs; reviews and evaluates new and existing laws and regulations for retirement compliance; and designs and implements ongoing initiatives to enhance the effectiveness of the retirement programs and costs at American University. Essential Functions: 1.) Health and Welfare * Manage the day-to-day operational activities of AU's health and welfare programs to ensure compliance with AU policies and applicable laws. Ensure high standards of customer service. Develop and implement initiatives to ensure high quality of service for the university, faculty, staff, and retirees. Interface with vendors on behalf of participants and HR staff to clarify vendor and AU policies and procedures, resolve claims, and provide direction to vendors. In consultation with Director of Employee Benefits and Retirement, make decisions on policy exceptions and special requests. Counsel faculty and staff members on benefits programs. 2.) Education * Administers the university's educational benefits to include tuition remission, Tuition Exchange Scholarship, and cash grant programs in accordance with university policies and processes, and in compliance with federal tax code. Responds to faculty and staff member questions and works closely with Financial Aid and Student Accounts to ensure tuition remission is posted in a timely manner. Maintain the applicant/participant databases for each of the educational benefits programs. Maintains and updates educational benefits information in benefit manuals and online. 3.) Retirement * Manage administration and support systems of the University's competitive retirement programs and support systems for faculty, staff, and retirees. Provide support and oversight for all university retirement planning and administration. Recommend policy changes and modernization. Plan, participate in negotiations, and administer all University retirement programs and initiatives. Develop current planning proposals, including budget impact. Serve as a liaison between retirement vendors and university offices of procurement and finance on contracts and coverage with insurance carriers, mutual fund companies, compensation vendors, and consulting firms. Prepare and present critical research and trend data and analyses on retirement. Review, evaluate and ensure programs remain in compliance with new and existing laws and regulations and align with university policies. Design and implement ongoing initiatives to enhance retirement offerings, ensure equity, and effectively manage costs. 4.) Programs and Engagement * Develop content and present benefits information, updates and proposals for leadership, Benefits Advisory Project Team, events and stakeholders. Manage New Hire Enrollment processes. Process, investigate, and collaborate with vendors to resolve customer benefit issues. 5.) Leaves * Support the day-to-day operational activities of the benefits team by investigating and resolving routine customer benefits issues relating to AU's benefit programs and educating the HR Support / Employee Relations / HR Operations teams in a way that enhances their collective knowledge so they can better support their clients and customers. Benefit programs include health plans, dental plans, vision plans, Rx plans, flexible spending accounts, group legal plans, group pet insurance, group auto and home insurance plans, and others. Identify trends and issues with potential broad customer impact and report findings to leadership. Process corrections to coverage information and ensure prompt notification to vendors of errors. Answer plan issues inquiries, qualifying events, COBRA, and benefits for staff and faculty members on Leave of Absence or Long-Term Disability. 6.) Compliance * Manage the annual audits, data and regulatory filings with the different agencies, committees, and institutions. Monitors and stays current on changes to state and federal laws. Partner with key stakeholders, including Finance, IT, and Legal, to support effective implementation and compliance. 7.) Supervision * Serve as part of the Total Rewards team. Provide direction, supervision and mentorship to Benefit Analyst roles. 8.) Other Duties as Assigned Supervisory Responsibility: * This position will supervise two Benefits Analyst positions. Competencies: * Prioritizing and Organizing. * Acquiring and Analyzing Information. * Evaluating and Implementing Ideas. * Developing Plans. * Making Accurate Judgments and Decisions. * Building and Supporting Teams. * Building a Customer Focused Organization. * Driving Continuous Improvement. * Collaborative Leadership. Position Type/Expected Hours of Work: * Full-Time. * 35 hours per week. * Hybrid 1 work modality (on campus 3 - 4 days per week). Salary Range: * $90,000 - $100,000 annually. Required Education and Experience: * A Bachelor's degree or equivalent combination of education and experience. * At least 5 years progressively responsible experience in benefits and retirement or equivalent in education, training and experience. * Proficiency in consultation skills, executive coaching, customer service skills, strategic communications, collaboration, interpersonal and management skills, committed to supporting a diverse and inclusive community. * Knowledge, understanding and application of Federal and State employment laws. * Proficiency in financial analysis, modeling and budgeting. * Proficiency in data analytics and use of Excel. Preferred Education and Experience: * Master's degree, or Accounting, Economics or Finance Bachelor's degree. * 5 - 8 years of relevant experience. * Proficiency in Microsoft Office Suite and Power Point. Additional Eligibility Qualifications: * CEBS certification or other benefit certification(s) or accounts / finance certification is highly desirable. Benefits AU offers a competitive benefits package. Click here to learn about American University's unique benefit options. Other Details * Hiring offers for this position are contingent on successful completion of a background check. * Employees in staff positions at American University must deliver their services to the university from either the District of Columbia, Maryland, or Virginia, or perform work on-site at the university. * Please note this job announcement is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. * American University is an E-Verify employer. Current American University Employees American University current employees must apply through their employee Workday account. If you are a current employee at American University, please log into Workday and select the Find Jobs report which will take you to our internal career listings. Contact Us For more information or assistance with the American University careers site, email ************************. American University is an equal opportunity, affirmative action institution that operates in compliance with applicable laws and regulations. The university does not discriminate on the basis of race, color, national origin, religion, sex (including pregnancy), age, sexual orientation, disability, marital status, personal appearance, gender identity and expression, family responsibilities, political affiliation, source of income, veteran status, an individual's genetic information or any other bases under federal or local laws (collectively "Protected Bases") in its programs and activities.
    $90k-100k yearly Auto-Apply 21d ago
  • Benefits Manager

    City of Alexandria (Va 4.0company rating

    Benefit specialist job in Alexandria, VA

    As a member of the City of Alexandria Human Resources Leadership Team, the Benefits Manager is responsible for innovatively leading and driving benefits-related programs in accordance with the City government's vision, strategy, and goals. This position manages the design, administration, interpretation, and evaluation of employee benefit policies and plans for the City. Using the latest technology, the incumbent will lead areas including, but not limited to, health and wellness programs, employee assistance programs, and City insurance plans. The Opportunity * Drive effective execution of the City's benefit programs in alignment with guidance from Human Resources leadership, using data to assess value on investment, cost, service, and overall program performance. * Lead the annual open enrollment process, including planning, system testing, vendor coordination, and employee communications, and work with brokers to identify improvements for leadership review. * Engage and advise department leaders on benefit program design that supports attraction and retention, and provide clear recommendations and operational insights to City Human Resources Leadership and Senior Management. * Oversee the day-to-day administration of employee and retiree benefits with a focus on accuracy, consistency, and high-quality service. * Manage vendor relationships and contractor performance in partnership with Procurement, ensuring timelines, renewals, and deliverables are met and risks are monitored and addressed proactively. * Support compliance with laws and regulations by maintaining documented procedures, accurate records, and timely communication of potential risks or required updates. * Coordinate benefits data, reporting, and system updates to support payroll, HRIS, budgeting, and broader organizational decision-making. * Lead and support the benefits team by setting clear expectations, balancing workloads, and fostering a collaborative and service-oriented environment. * Partner closely with the Deputy Director of Human Resources to carry out strategic priorities and ensure smooth and reliable benefits operations. About the Department The Human Resources Department is made up of a dedicated team of professionals working to support the strategic direction of the City government through the recruitment, development, and retention of a high quality workforce capable of delivering public services in a complex and stimulating community environment. Through thoughtful planning and the diligent execution of work, the Human Resources Department focuses on the critical needs of our dynamic organization and its employees. Minimum & Additional Requirements Minimum Requirements: To qualify for this position, all candidates should possess at least a Bachelor's degree in Human Resources Management, Public Administration, Health Administration, Business Administration or a related field, as well as: * At least five (5) years of professional experience administering benefits related program(s) within a public or private organization * At least two (2) years of supervisory experience * Experience developing and writing policies and procedures and complex related reports * Experience developing and monitoring budgets and contracts * Experience providing professional support and guidance to line and departmental managers Any equivalent combination of experience and training which provides the required knowledge, skills, and abilities may be substituted for the experience qualifications above. Preferred Qualifications Preferred Qualifications: To be considered as an ideal candidate, one must also possess a Master's degree in Human Resources Management, Public Administration, Health Administration, Business Administration or a related field, as well as: * At least five (5) years of progressive management experience as a strategic business partner in employee benefits including life, medical, dental, vision, and disability insurance plans; flexible spending accounts (FSA); employee assistance; and other benefit programs. * At least five (5) years of experience ensuring compliance with relevant laws and regulations (e.g. ACA, ERISA, HIPAA, COBRA, FMLA, SPDs, Form 5500, Form 1095-C). * Demonstrated ability to consistently and effectively communicate with key stakeholders. * At least five (5) years of experience managing vendor relationships. * At least five (5) years of supervisory experience. * At least five (5) years of experience with developing and writing policies and procedures and complex related reports; developing and monitoring budgets and contracts; and providing professional support and guidance to line and departmental managers within a public or private organization. * CEBS, CBP, CCP and/or WLCP certification. Notes Please note that the working location for this role is: 2331 Mill Rd, Alexandria, VA 22314.
    $51k-65k yearly est. 13d ago
  • Insurance Benefits Consultant

    Modern Insurance Pros

    Benefit specialist job in Silver Spring, MD

    A career with Aflac is one of the most sought-after, highly paid, rewarding and fun careers on the market today! Aflac is a strong, stable, ethical company where you can work smarter (not harder), earn more money each year, enjoy more time off and work with great people. With Aflac you can enjoy what you do each day AND help people in the process. Businesses need our no-cost business solutions and employees need our cash benefit programs. This means there's never been a better time to join Aflac! This is what a successful career with Aflac can give you and your family: Solid 1st year income with 15% to 40% increases in your income each year. Complete control of your career path, your clients and your daily schedule. Job security and long-term financial security. General job responsibilities: Complete our award-winning onboarding process and training both in the classroom and out in the field with a personal mentor. Establish new relationships with companies through networking, field marketing, social media, LinkedIn, referrals and warm leads. Meet with business owners, identify their business needs, discuss our no-cost business solutions, schedule employee education meetings and enroll employees in Aflac benefits. Assist with billing, invoicing, claims and policyholder servicing. Leadership Positions are available within three to six months (as long as business goals are achieved). This allows you to build your own Aflac agency. The Aflac Experience: Make $45,000 to $65,000 during their first year before bonuses. Earn additional compensation through our new Benefits Consultant Award Series (up to $12,900 1st year), stock bonuses, renewal income, nomination bonuses and ongoing contests that include trips, prizes and cash bonuses. After certain time periods you receive a percentage of your policy renewal income (2 Years = 50%, 5 years = 75% and 10 years = 100%). You continue to receive this income even if you leave the company! Represent the #1 company in the industry. Flexible schedule (no nights or weekends, unless you want to). We pride ourselves in being a fun, ethical, professional team that actively work together in a positive, cooperative work environment. Several management and specialty opportunities are available for qualified candidates. Job Requirements: An Accident, Life and Health License is preferred. *If you don't have a license that is okay. If you are willing to obtain your Accident, Life and Health License will also be considered. It's a simple process and you will be supported throughout. No F1, OPT or CPT Visa positions available for this position. Insurance Benefits Consultants are independent contractors of Aflac. Applicants must be United States Citizens or own a permanent resident card.
    $45k-65k yearly 60d+ ago

Learn more about benefit specialist jobs

How much does a benefit specialist earn in Reston, VA?

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

Average benefit specialist salary in Reston, VA

$51,000

What are the biggest employers of Benefit Specialists in Reston, VA?

The biggest employers of Benefit Specialists in Reston, VA are:
  1. Verit
  2. Addison Group
  3. Arthritis & Rheumatism Associates P
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