Well-Being & Benefits Senior Specialist
Benefit Specialist Job 26 miles from Waldwick
Latham & Watkins is a global law firm consistently ranked among the top firms in the world. The success of our firm is largely determined by our commitment to hire and develop the very best and brightest, creating a team that provides our clients with the highest quality of work and service. We are driven by our core values: respect, innovation, and collaboration.
About the Role
The Well-Being & Benefits Senior Specialist is an integral part of Latham's Well-Being & Benefits team and will be responsible for assisting the Well-Being & Benefits Department with a variety of responsibilities regarding specific benefits tasks and projects to ensure the services, goals, and objectives of the department are met, while coordinating and conducting virtual new hire orientations for associates and staff, which includes developing an orientation schedule and handling new joiner benefit queries in follow up one-on-one consultations, with the goal of raising awareness and driving engagement in the firm's programs and resources. This role will be located in either our New York or Boston office. Please note that this role may be eligible for a flexible working schedule that allows for a hybrid and in-office presence.
Responsibilities & Qualifications
Other key responsibilities include:
Communicating with employees to help them navigate and access a wide variety of the firm's benefits and insurance programs
Providing Well-Being & Benefits training to new department colleagues, including overviews of programs, the Human Resources Information System (HRIS), ticketing system, and document management
Advising and mentoring junior colleagues on best practices, including cross-training, sending team communications as needed, focusing on team knowledge, and the standardization of work promoting operational efficiencies
Supporting the Well-Being & Benefits leadership team with escalated/complex matters, looping in other stakeholders (i.e. Technology & Information Systems, Payroll, and other adjacent teams), recommending solutions to resolve issues as necessary
Leveraging established knowledge and best practices to create content/reference materials for the team, and raising opportunities to address knowledge gaps to the Well-Being & Benefits Manager
Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information that Latham & Watkins retains
We'd love to hear from you if you:
Demonstrate comprehensive knowledge of Well-Being & Benefits functions
Display well-developed and professional presentation and Power Point skills
Exhibit strong attention to detail and the ability to critically and independently assess proposed projects, communications, and/or solutions
And have:
A bachelor's degree or an equivalent; a minimum of nine (9) years of experience may be considered in lieu of a degree
A minimum of three (3) years of relevant experience
A minimum of five (5) years of cumulative professional experience
Benefits & Additional Information
Successful candidates will not only be provided with an outstanding career opportunity and welcoming environment, but will also be provided with a generous total compensation package with bonuses awarded in recognition of both individual and firm performance. Eligible employees can participate in Latham's comprehensive benefit program which includes:
Healthcare, life and disability insurance
A generous 401k plan
At least 11 paid holidays per year, and a PTO program that accrues 23 days during the first year of employment and grows with tenure
Well-being programs (e.g. mental health services, mindfulness and resiliency, medical resources, well-being events, and more)
Professional development programs
Employee discounts
And more!
Additionally, we have a range of diversity programming including Global Affinity Groups. These groups provide a firmwide platform to share experiences and advice as well as an opportunity to participate in a supportive network with common interests to help make life at the firm even better.
Please click here to view the full job description for this role.
Latham & Watkins is committed to diversity, equal opportunity, sustainability, and pro bono legal services. We draw from a remarkable wealth of talent to create one of the world's leading law firms, and advance these commitments through the work of our Global Citizenship department. Our lawyers, paralegals, and professional staff worldwide comprise a rich mixture of different races, ethnic backgrounds, religions, sexual orientations, cultures, and primary languages. Our diversity makes us who we are.
Please click here to review your rights under U.S. employment laws.
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Pay Range
USD $115,000.00 - USD $125,000.00 /Yr.
Benefits & HRIS Specialist
Benefit Specialist Job 26 miles from Waldwick
About the ANA
The ANA's (Association of National Advertisers) mission is to drive growth for marketing professionals, brands and businesses, the industry, and humanity. Founded in 1910, the ANA provides leadership that advances marketing excellence and shapes the future of the industry. Our membership includes more than 20,000 brands and 50,000 industry professionals that collectively invest $400 billion in marketing and advertising annually. It consists of U.S. and international companies, including client-side marketers, nonprofits, universities, and marketing solutions providers, which include ad agencies, marketing data science and technology suppliers, law firms, consultants, and vendors. We are obsessed with delighting our members through superior products and services and an unwavering commitment to helping them become more effective marketers, build stronger brands, develop a more productive industry, and benefit humanity through bold leadership and innovation programs.
Location
New York City (hybrid)
Position Summary
The Benefits & HRIS Specialist is responsible for implementing best practice HR processes, standards and programs in the areas of employee benefits, HRIS, compensation administration, reporting and compliance. Primary responsibilities include managing the administration of group benefits programs, maintaining optimal function of the HRIS, coordinating and validating payroll activities associated with timekeeping data and personnel changes and providing input on annual budgets and business plans. This is a hybrid role so we are seeking a local candidate who can work on-site 3-4 days per week.
Primary Responsibilities:
Benefits Administration
Operate as the primary point of contact for employees and management on benefit program entitlements/coverage/options and on interpretations of related laws, regulations and policies
Develop and conduct internal training sessions, employee orientation and offboarding for all benefits plans. Oversee the approval and tracking of new hire benefit elections in the HRIS and accuracy of data reported in carrier portals
Partner with VP, HR to administer, direct and coordinate all aspects of Open Enrollment. This includes analysis of benefit options, vendor consideration, pre-planning, compilation of materials, system testing, rollout, employee assistance, audits and compilation of reports, payroll entries and carrier follow-up.
Ensure benefits materials are up to date, easy to understand and readily available to employees on the company intranet. Maintain benefit plan compliance documents and procedures
Review, reconcile and validate benefits utilization reports and invoices that are received from carriers and third-party administrators
Plan and execute ANA's employee Wellness Program to engage employees in maintaining and improving their overall health
Assist and support 401(k) plan administration, including confirmation of deferral and loan changes and annual non-discrimination testing
Leave Administration
Provide the full life cycle administration of FMLA, STD, LTD, paid/unpaid personal leaves as well as ADA accommodation requests and Worker's Compensation claims
Document, communicate and maintain leave of absence procedures and training materials
HRIS and Payroll
Responsible for effectively entering, maintaining, and reporting employee data through Paychex Flex HRIS database. Ensure that system records are accurate and properly managed
Prepare and submit payroll information to the Finance department on a bi-weekly basis. Run reports to audit and crosscheck employee information in the HRIS after payroll is submitted
Review timesheets for hourly employees to verify accuracy
Research payroll errors and recommend corrective action
Interface with third-party benefit administrators as necessary to ensure accurate and timely processing of benefit deductions
Serve as point person for user inquiries and questions related to training, self-service capabilities, and access
Engage vendors regarding diagnosing system problems and driving appropriate solutions
People Analytics and Reporting
Write and produce customized reports for various internal stakeholders. Assist the Finance department with any reports needed for audits and tax filings. Work with Finance to make sure all necessary reports and research are done in a timely manner in support of financial reporting accuracy
Complete monthly and year-end HR reporting such as employee rosters, demographics, benefits and compensation information
Perform data analysis and update metrics to assist executive leadership in tracking expenditure and progress of benefit programs
Compliance and Recordkeeping
Ensure that the company complies with all federal and state regulations regarding benefits, compensation, and leave administration including (but not limited to) FLSA, ACA, FMLA, ADA, EEOC, ERISA, HIPAA
Manage all federal, state, and local compliance, filings, reports, and audits related to the administration of employee benefit programs. Ensure all plan documents and Summary Plan Descriptions are current, and annual audits, non-discrimination testing and 5500 filing are completed accurately and in a timely manner
Maintain company labor law posters. Ensure compliance for two physical office locations and remote staff in various states.
Professional Experience and Qualifications
Bachelor's degree plus 5-7 years' experience in benefits administration. SHRM/PHR or CEBS certification a plus.
Solid proficiency in payroll/HRIS and benefits systems, Paychex Flex and Flock Benefits is preferred
Strong analytical skills and professional judgment, particularly with respect to assessing compliance risk and controls.
Expert knowledge of employee benefits regulations and best practices
Excellent organizational and project management skills
Proven ability to build and maintain effective relationships with vendors, employees, and senior leadership
Outstanding written/verbal communication and presentation skills
Knowledgeable in multi-state leave benefits.
Salary and Total Rewards Package
Starting pay range: $80,000 to $90,000, based on relevant experience and qualifications.
Comprehensive health and wellness benefits, 401k with company match, hybrid workweek and flexible scheduling, generous paid time off program, casual dress code, incentives, and rewards.
To Apply
If your skills, experience, and enthusiasm align with the requirements and responsibilities of this position, please forward your resume with a cover letter and salary requirements to ***************. Note: only applicants who include salary requirements will be considered.
Payroll & Benefits Administrator
Benefit Specialist Job 24 miles from Waldwick
We are seeking a Payroll & Benefits Administrator to support 125 employees in multiple states. Ideally this person will have ADP WFN experience, prior payroll experience, and strong analytical skills.
Hybrid: 4x per week
Salary: $70k-$80k exempt 10% target bonus
Responsibilities:
Onboarding
Offboarding
benefits administration
heavy reporting
401k Audit
Support bi-weekly pay cycle
Qualifications:
Bachelor's degree
3+ years of experience with Payroll and Benefits
Benefits Administrator
Benefit Specialist Job 26 miles from Waldwick
Organization in Queens is seeking a Benefits Administrator on a temp to perm basis. Seeking a candidate that has experience with benefits enrollment, leave administration and excellent customer service skills.
Hybrid schedule: 1 day in the office, 4 days remote
Pay rate: $40/hr
Hours: 9am - 5pm
Responsibilities:
Act as a main point of contact for employees regarding all benefits inquiries
Assist with open enrollment process
Support the recruiting process by scheduling candidate interviews, liaising with hiring managers & candidates, and processing applications
Coordinate with outside vendors and benefit providers
Help with the coordination of resolution for any benefit related issues
Maintain and create records, reports, and documentation in accordance with federal, state, and provider regulations
Implement employee engagement activities and wellness initiatives
Assist with the organization's well-being programs
Any additional responsibilities as required by the benefits team
Support other HR projects ad events as needed
Requirements:
Bachelor's degree preferred
3+ years of hands-on benefits and leave experience
Excellent interpersonal, analytical, and written communication skills
Must have strong attention to detail
Experience with HRIS Systems and a quick learner of new databases
Be a team player and comfortable working independently, as well
Temp Benefits-Leave Admin
Benefit Specialist Job 19 miles from Waldwick
Our client is currently expanding and is looking for an in office Temporary Benefits-Leave Admin who will work closely with the Benefits Director to support their Benefits program.
You will be responsible for reconciling monthly benefit invoices and resolves discrepancies identified with payroll and vendors. You will update payroll with any benefit deduction changes and assist with calculating retroactive deductions if needed. You will research and respond to employee questions regarding all aspects of employee benefits and act as a liaison between employees and insurance carriers/brokers to ensure timely resolution of any issue and much more.
To be considered for this role, you will have at least 5 years of experience in Benefits and Leave experience. You should have benefits integration, vendor management, and benefits administration experience. Additionally, you'll have knowledge of employee benefit plans compliance with an emphasis on state and federal leave regulations.
• Duration: 3 months; can possibly go permanent for the right person
• Schedule: 5 days onsite (Mon-Fri)
• Location: White Plains, NY; 45 minutes outside the city
• Compensation: $35/hr.-$45/hr. plus bonus IF converted to a permanent employee.
• Requirement: Advance Excel (creating complex reports, pivot tables, v-lookups, etc.)
If this opportunity aligns with your experience, please apply. If reaching out directly to a Recruiter, you are already acquainted with please reference JN -102024-52620. Please note that our client is unable to provide visa sponsorship nor relocation for this role.
Payroll Benefits Manager
Benefit Specialist Job 26 miles from Waldwick
Sisley Paris is a French cosmetics company that specializes in creating and distributing high-end skincare, make-up products, and fine perfumes. It is currently sold in high-end retail distribution in the US & Canada such as Neiman Marcus, Nordstrom, Saks Fifth Avenue, Bloomingdales, Holt Renfrew & Blue Mercury, as well as online, spas and owned retail. The brand retails over $100M annually and is experiencing double digits growth.
Founded in 1976 by Hubert d'Ornano, Sisley was a pioneer in using botanical active ingredients and essential oils in beauty products. With a rigorous approach to research and a focus on Phyto-Cosmetology, Sisley offers innovative and high-quality products. The Company upholds five core values: Collaborative, Mindful of others, Entrepreneurial, Responsible, and Organized. These values are at the heart of everything we do and inspire our employees to embody them in every aspect of their work.
Luxury French cosmetics brand, Sisley-Paris, is looking for a dynamic and experienced Payroll & Benefits Manager to oversee and optimize our payroll and benefits operations. In this role you will lead the end-to-end payroll process for over 700 employees across the USA and Canada, ensuring accuracy, efficiency, and compliance. The ideal candidate will drive continuous improvement initiatives, streamline operational workflows, and deliver exceptional service to our employees.
If you have the confidence to lead, the ability to build meaningful relationships with people from diverse perspectives, and the drive to deliver results for your team, this is the perfect opportunity for you!
Core Responsibilities:
General
Must be an independent thinker with hands-on, can-do, “roll up your sleeves” attitude, an open-minded team player with a collaborative attitude.
Must be highly organized, detail-oriented, and can thrive in a fast-paced, deadline-oriented and high-energy environment.
Ability to work well in a team environment but flexible working independently, meeting goals and deadlines.
Payroll Operations & Compliance
Manage end to end payroll process for hourly and salaried employees which includes but is not limited to review, validation and reconciliation of payroll data to ensure accurate and timely processing and payment.
Serve as the payroll expert within the HR team, internal stakeholders, auditors, and one of the primary points of contact for our payroll provider ADP.
Analyze, audit, reconcile and resolve payroll and timekeeping processing and employee payroll issues to ensure compliance with company policy.
Work closely with cross-functional teams within the company on payroll, benefits and new business activities to ensure regional payroll needs are identified, considered and communicated.
Stay current on regulations, benefit changes and labor laws impacting payroll process, and partner with internal stakeholders to stay compliant with all payroll tax jurisdictions.
Design, develop and implement payroll strategy and operating model within the context of an expanding operation.
Preparation of various documentations, and summaries for audit and compliance.
Follow, develop, and maintain internal control policies, procedures, and compliance with respect to the payroll process, including, but not limited to pay policies, payroll calendars, payroll checklists, process maps and other procedural documentation and support internal/external audits
Review compensation practices on an ongoing basis to determine market competitiveness and internal equity; monitor federal and state regulation changes.
Support the annual performance appraisal process for corporate & retail employees, including the merit increase and bonus payment process.
Lead system interfaces of local payroll with US & Canada HRIS systems, third-party insurance and 401K vendors; act as primary liaison with third-party payroll provider.
Budget & HRIS
Manage the annual payroll budget and forecasting process, including date entry, validation, and submission.
Budgeting & forecasting spend on payroll system usage, ensuring payroll activities align with the approved budget. Perform other assignments and special projects as requested.
Review and track variances to payroll budgeting.
Track budgeted headcount and FTE to ensure Company maintains consistency with budget.
Assess the financial impact of proposed compensation changes on an ongoing basis.
Manage monthly and annual accruals process and transmit to finance.
Input and manage HRIS data across multiple platforms; leverage systems and data sources to generate HR reporting; including ADP, and Company organization charts and databases.
Maintain and update Employee Joiners/Leavers/Job Change Report.
Manage employee onboarding and offboarding procedures.
Benefits Administration
Administer employee healthcare benefits enrollment and management.
Manage the annual open enrollment process once a year.
Conduct EEOC and 5500 filing.
Manage FMLA and employee Leave of Absence process.
Reconcile insurance billing.
Complete all mandatory reporting required as dictated by rules and regulations, such as the Employee Retirement Income Security Act (ERISA).
Required Experience and Skills:
Minimum 5 years' HR experience; primarily in payroll and benefits administration; knowledge of the retail industry preferred, including an understanding of legal guidelines pertaining to employment.
High detail-orientation and organization with the ability to manage multiple tasks simultaneously with tight deadlines.
Ability to manage confidential information with the utmost discretion.
Strong analytical skills and business acumen with attention to detail.
Strong problem-solving skills along with the ability to adapt to a rapidly changing and dynamic environment.
Exceptional communication and relationship building skills.
Independent self-starter and team player with a strong work ethic.
Sense of urgency and drive for results.
Prior experience with ADP.
A collaborative team player who enjoys working in a cross-functional team environment.
Proficiency in other Microsoft Office programs, with expert Excel skills.
Ability to work flexible schedule based on business and event needs, including evenings, weekends, and holidays as needed.
Senior Benefits Specialist
Benefit Specialist Job 26 miles from Waldwick
About the Role
The Well-Being & Benefits Senior Specialist is an integral part of our teaam's Well-Being & Benefits team and will be responsible for assisting the Well-Being & Benefits Department with a variety of responsibilities regarding specific benefits tasks and projects to ensure the services, goals, and objectives of the department are met, while coordinating and conducting virtual new hire orientations for associates and staff, which includes developing an orientation schedule and handling new joiner benefit queries in follow up one-on-one consultations, with the goal of raising awareness and driving engagement in the firm's programs and resources. This role will be located in either our New York or Boston office. Please note that this role may be eligible for a flexible working schedule that allows for a hybrid and in-office presence.
Responsibilities & Qualifications:
Other key responsibilities include:Communicating with employees to help them navigate and access a wide variety of the firm's benefits and insurance programs
Providing Well-Being & Benefits training to new department colleagues, including overviews of programs, the Human Resources Information System (HRIS), ticketing system, and document management
Advising and mentoring junior colleagues on best practices, including cross-training, sending team communications as needed, focusing on team knowledge, and the standardization of work promoting operational efficiencies
Supporting the Well-Being & Benefits leadership team with escalated/complex matters, looping in other stakeholders (i.e. Technology & Information Systems, Payroll, and other adjacent teams), recommending solutions to resolve issues as necessary
Leveraging established knowledge and best practices to create content/reference materials for the team, and raising opportunities to address knowledge gaps to the Well-Being & Benefits Manager
Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information that the firm retains
We'd love to hear from you if you:
Demonstrate comprehensive knowledge of Well-Being & Benefits functions
Display well-developed and professional presentation and Power Point skills
Exhibit strong attention to detail and the ability to critically and independently assess proposed projects, communications, and/or solutions
A bachelor's degree or an equivalent; a minimum of nine (9) years of experience may be considered in lieu of a degree
A minimum of three (3) years of relevant experience
A minimum of five (5) years of cumulative professional experience
Health Benefit Rep - Brooklyn (Yiddish) / Staten Island (Arabic)
Benefit Specialist Job 26 miles from Waldwick
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Field Based position
Covering Brooklyn or Staten Island county
Bilingual English/ Arabic or Yiddish highly preferred
Position Purpose: The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an assigned territory and then meeting or exceeding production goals by enrolling individuals in the appropriate Fidelis Care product. The HBR fully and thoroughly understands and is able to effectively explain, communicate, recommend and enroll individuals into the best product for their unique needs. In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
The HBR interacts directly with individuals, first conducting a needs based analysis to better understand and recommend the best product for their unique needs. They educate individuals on healthy lifestyles, preventive care services and assist them through each step of the application and enrollment process.
This position may represent Fidelis Care at various community events, marketing sites, and in an individual's home. By virtue of understanding and serving the individual's needs, they generate referrals from the individuals they have assisted for other individuals that may benefit from one of Fidelis Care's products.
The successful HBR also builds and establishes relationships within the community in order to find new opportunities and sites in their assigned territory. The HBR may routinely deliver presentations in order to educate and promote Fidelis Care products. This includes presentations to individuals, groups, providers, community based organizations and local businesses leaders.
The HBR thoroughly and completely understands and regularly uses the Sales Force CRM as an activity tracking and lead/referral tracking tool, to manage appointments and follow up, manage their calendar and report on activity to their management. They also are fluent and can articulate the QCMI program, are knowledgeable of the provider networks in their territory and have a working knowledge of Fidelis Care's care management approach.
Field Based position - high community engagement
Occasional evenings and weekends.
Highly Preferred - Bilingual English/ Arabic or Yiddish
Education/Experience: High School diploma or GED, required. 2 to 5 years prior experience in managed care, sales, customer service or related experience preferred. Basic computer skills.
Driver's License required
Specific language skills may be required by some plans.
Pay Range: $22.36 - $38.07 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
EDGAR Specialist
Benefit Specialist Job 26 miles from Waldwick
Work Schedule
Available shifts:
Monday through Thursday, 4:00 pm to midnight and Friday 2:00 p.m. to 10:00 p.m.
During training period: Monday-Friday 11am-7 pm
Additional hours as required.
Position Summary
The EDGAR/Compliance Specialist is responsible for the conversion, revision and submission of SEC compliance documents.
Essential Duties and Responsibilities
Typical responsibilities include, but are not limited to, the following:
Convert documents into SEC compliant format
Set up submission folders for filing purposes; verify form-type(s); validate filing codes; confirm documents meet SEC rule requirements; calculate filing fees and offsets where applicable; check SEC account balance; validate filings to ensure SEC EDGAR compliance; submit filings to SEC; complete billing
Revise and distribute EDGAR documents per clients' request
Proficiency in iXBRL tagging 8-K cover pages; experience with tagging filing fee exhibits
Proficiency in processing XML-based EDGAR filings (including Section 16, 144, 13D/13G, 13F, 13H, D)
Provide assistance to clients and legal staff with EDGAR filing matters and questions
Qualifications/Position Requirements
In-depth knowledge of EDGAR conversion tools (GoFiler)
Knowledge of HTML coding techniques
XBRL - general understanding of its purpose and when iXBRL is required; know how to validate XBRL files, troubleshoot, and resolve issues
Knowledge of SEC compliance filing requirements
Ability to understand and apply existing SEC rules and regulations and keep abreast of rule changes
Ability to manage a varied workload and meet deadlines
Must be punctual and reliable
Proficient in MS Word, Excel, PowerPoint, Outlook and other applications as needed
Must be able to work collaboratively with lawyers and staff, demonstrating strong teamwork and a positive attitude
Good written and verbal communication skills
Ability to proofread typed material for typographical, spelling, and grammatical errors
Ability to work independently in a fast-paced, deadline driven and client-facing environment
Ensure confidentiality of all the Firm's and clients' documentation and information
Education and/or Experience
College degree
Minimum of 3 years' relevant experience
Compensation
The expected base salary for this position ranges from $80,000 - $90,000. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, anticipated assignment, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. Davis Polk offers a competitive salary and comprehensive benefits package.
Enrollment Specialist
Benefit Specialist Job 5 miles from Waldwick
Job Title: Payer Enrollment Coordinator
Shift: Day 5x8-Hour (09:00 - 17:30) - 40 hours weekly
Duration: 26 Weeks with the possibility of extension.
Pay Range: $30/Hour.
This role is assisting with the migration of data from one software to another. This Provider Enrollment Specialist ‘AKA' a Payor Enrollment Specialist is also assisting with provider enrollments with insurance companies and experience with these actions is required from a prior role. This worker will assist with completing packets for providers and getting these completed packets to insurance groups. The data is compiled in software and pulled into Excel, candidates must have proficient excel experience to pull and migrate the data in Excel reports. This contractor will be verifying education, practice locations, provider demographic information is up to date, etc., to ensure data in the system is clean.
Requirements:
1. At least 3 to 6 months working in a Payor Enrollment/Provider Credentialing Coordinator or Specialist type of position
2. Proficient experience level in Excel and experience with pivot tables
Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors
Benefits Specialist
Benefit Specialist Job 26 miles from Waldwick
Responsible for overseeing benefit carrier performance for all health, welfare and retirement plans to ensure that plans are administered accurately. Manages the occupational and non-occupational leave benefits to ensure minimal employee absence and minimal corporate expense. Acts in the absence of the Manager, Benefits.
Responsibilities
Reviews qualified life event documentation and approves enrollment as appropriate
Researches issues involving benefit eligibility, enrollment and payroll deduction errors and discrepancies. Discusses and resolves issues with benefit vendors. Provides phone and e-mail responses to all employees regarding benefit issues.
Responsible for the review, reconciliation and payment of all benefit vendor invoices including Healthy San Francisco
Prepares updated benefit communications i.e. SPD's, Annual Open Enrollment material etc
Maintains and updates plan administrative procedures
Assists in the implementation and maintenance of dependent eligibility audits
Review and verifies monthly billing for health and welfare plans
Review and resolves issues affecting the 401(K) plan including contributions, match and catch-up contributions
Works closely with the Manager, Employee Benefits to resolve any ERISA or HIPPA compliance issues
Develops and maintains relationships with Benefits vendors, communicates plan changes
Advises and trains regional human resource representatives on Disability and Workers' Compensation laws and procedures
Provides subject matter expertise regarding disability, workers' compensation, CBPS's leave policy and any other questions related to CBPS' benefit program
Recommends pro-active programs to bring employees with medical work limitations back to work quickly, with as little expense to the company as possible
Collaborates with corporate risk management on developing strategies to close workers compensation open claims
Recommends ideas and processes to reduce costs in the area of Workers' Compensation
Manages the salary continuation benefit for eligible exempt employees
Administers the direct bill process for employees on leave. Follows up with employees who have not paid direct bill invoices and advises of cancellation policy
Keeps informed of state and federal policy and law changes that may affect the benefits plans
Assist with projects as required
Acts in the absence of the Benefits Manager
Qualifications
Bachelor's degree or equivalent knowledge required
Minimum of 5 yrs. Benefits Administration experience with a strong knowledge of FMLA, COBRA, ERISA, Section 125, ADA and applicable federal and state laws
Knowledge of all office equipment
Proficient in Microsoft Word/Excel and MS Access
Knowledge of AS400 Infinium or similar HRIS system preferred
Highly motivated self-starter with excellent oral & written communication skills
Ability to set priorities/be confidential/organized/detail oriented
Ability to handle stress and conflict & able to resolve issues effectively and confidentially
Excellent customer service skills/great attitude/team player
Excellent follow up skills
Ability to be creative
Ability to communicate accurately, clearly and effectively
Excellent attention to detail
What We Offer:
An opportunity to join an established team and be part of a successful and proven global organization!
A competitive compensation program!
Large Company Benefits: Medical/Dental/Vision/401K with a competitive company match!
Employee discounts on Canon products & vendor discount programs for employees!
World-Class Training & Career Development Programs!
Human Resources Specialist
Benefit Specialist Job 26 miles from Waldwick
TITLE: Human Resources Specialist
SALARY: $85k - $105k + Bonus
Prominent Law Firm is seeking a Human Resources Specialist to join their team!
RESPONSIBILITIES
Responsible for the day-to-day recruitment process for temporary and permanent non- legal staff including but not limited to job description maintenance, job postings, search firm relationships, applicant tracking, resume screening, scheduling and conducting interviews, generating offer letters, completing reference and background checks.
Execute a meaningful and seamless onboarding experience for new hires by creating new hire profiles and scheduling and facilitating orientation meetings.
Assist with the preparation and processing of the semi-monthly employee payroll transaction and help ensure all payroll changes are accurate.
Manage performance review processes for non-legal staff by creating and assigning evaluation forms, providing guidance to managers, participating in review meetings, preparing documentation as needed, and assisting with compensation analysis.
Maintain non-legal recruiting budget.
Responsible for ensuring HRIS data is accurate and up to date by performing periodic audits.
Ensure compliance with federal, state, and local employment laws and regulations, and recommended best practices. This includes reviewing, drafting, and implementing policies, postings, and supporting HR and 401(k) audits.
Generate salary, FTE, and headcount reports for senior management review as needed.
Prepare HR-related reporting such as salary and wages, EEO-1, RFPs, diversity surveys, turnover statistics, etc.
Respond to unemployment claims and employment verification requests.
Develop workflows to improve operational efficiency for the department.
Participate in exit interviews for voluntary resignations.
Provide backup support to the Senior Payroll and Benefits Specialist for leave management.
Respond to general human resources inquiries submitted from across the firm.
QUALIFICATIONS
Bachelor's degree required; HR certification (e.g., SHRM-CP, PHR) a plus.
3 plus years of Human Resources experience, preferably in a professional services environment.
Experience with HRIS programs, Paycom preferred.
Extensive knowledge and proficiency in Microsoft Office (Excel, Word, PowerPoint), with the ability to learn new software and operating systems.
Photography Specialist
Benefit Specialist Job 19 miles from Waldwick
Photograph frames, producing high-quality product images (both tabletop and automated) in accordance with established style guides.
Retouch product images following company-defined style guidelines.
Create clipping paths for product images.
Ensure all images are properly exposed without extreme highlights.
Prepare image files to meet delivery and company standards.
Troubleshoot internal retouching and photography issues or processes.
Perform other duties as assigned.
Required Skills:
Proficiency in Photoshop for retouching, color correction, compositing, and layer management.
Experience using Capture One for RAW file processing and tethered shooting.
Familiarity with Helicon for focus stacking and multi-layer editing.
Strong attention to detail and a commitment to quality control.
Ability to follow detailed style guides, client specifications, and maintain brand consistency.
Knowledge of AI tools (e.g., Adobe Firefly) for image enhancement and background replacement.
Expertise in file organization, naming conventions, and file format requirements (e.g., TIFF, JPEG, PNG).
Proficiency in batch processing for efficiency and automation.
Understanding of lighting adjustments, color profiles, and calibration to ensure accurate output.
Ability to work under tight deadlines while maintaining high-quality results.
Strong organizational skills to handle multiple projects simultaneously.
Excellent communication skills to provide updates, address feedback, and collaborate effectively with the team.
Required Education:
Bachelor's Degree or equivalent professional experience.
Benefit & 401(k) Analyst
Benefit Specialist Job 26 miles from Waldwick
Apparel that comes from the Japanese values of simplicity, quality and longevity. Designed to be of the time and for the time, LifeWear is made with such modern elegance that it becomes the building blocks of each individual's style. A perfect shirt that is always being made more perfect. The simplest design hiding the most thoughtful and modern details. The best in fit and fabric made to be affordable and accessible to all. LifeWear is clothing that is constantly being innovated, bringing more warmth, better design, and better comfort to people's lives.
Position Overview:
The Benefit & 401(k) Analyst is responsible for assisting the Total Rewards Senior Manager and Total Rewards Generalist in the areas of benefits, compensation, and other key initiatives. This role will work directly with employees, assisting them with questions or concerns related to all total rewards.
Job Responsibilities:
Benefits Administration:
Assists with the administration of comprehensive benefits programs, including medical, wellness, dental, vision, disability, life, flexible spending account, retirement and auxiliary plans.
Respond to employees' benefits-related questions
Audit benefit vendor invoices quarterly for accuracy and process for payment on a monthly basis.
Develop and implement benefit communications to assist employees with benefit programs and policies, conduct training workshops, working with brokers and vendors to resolve issues.
Resolve escalated health and insurance program claims and advocate for employees in benefits-related matters.
Support and serve as a subject-matter expert on select benefit plan rules, acting as a liaison between the company, carriers, and benefit vendors.
Work with stakeholders across the organization to support the resolution of benefit issues and enhance process efficiencies.
Support annual benefits activities such as Open Enrollment, compliance reporting, and program valuation.
Participate in project work relating to benefit design, administration, systems development, and legislative compliance.
Assist in developing and implementing HR policies and procedures related to benefits administration
Provide support for other HR initiatives and projects as required
Stay informed about legislation and governmental requirements to assist in analyzing impacts on benefits programs in the U.S.
Additional duties as assigned, contributing to the successful operation of the company's health & insurance benefits services.
Other duties as assigned by supervisor
Frequent in person collaboration
401(k) Administration:
Manage and support US retirement benefits, including vendor integrations, data integrity & accuracy, administration and required disclosures
Assist in design development, launch, and communications for retirement benefits, benefit integrations, and assessments of current program design and assessment within market competitors.
Lead audits, year-end activities, compliance and project support, and supporting other HR initiatives development of retirement benefits.
Manage annual audits of retirement plans and preparation of Forms 5500, 945 and other filings in collaboration with CFO, other HR specialists and Plan auditors
Ensure compliance with federal, state, and local regulations such as ERISA, ACA, HIPAA, and FMLA
Administer retirement plans, including 401(k), ensuring IRS compliance and fiduciary duties
Open Enrollment Administration:
Coordinate annual open enrollment process.
Review open enrollment elections for accuracy and timely completion.
Integral contributor and facilitator during annual open enrollment process.
Manage open enrollment activities, including communication preparation, information sessions and overseeing enrollment procedures in HRIS system
Leave Administration:
Coordinate leave administration (FMLA, ADA, Paid Family Leave, disability plans) in conjunction with managers and outsourced absence management vendors for new and open claims.
Coordinate administration of liability and workers' compensation claims.
Oversee the administrative aspects of leave management, such as generating reports on leave usage and balances, and providing guidance to employees and managers on leave-related matters.
Regularly evaluating leave management processes and procedures to identify areas for improvement and implementing enhancements to streamline operations, enhance efficiency, and improve the employee experience.
Qualifications
Bachelor's degree in Human Resources, Business Administration, or a related field
5+ years of experience in benefits administration in a professional environment
Proficient knowledge of employee benefits laws, regulations, and best practices
Experience with benefits administration software and HRIS systems; ADP experience is a plus
Strong communication (written and verbal) and interpersonal skills, capable of engaging with employees across all levels
Excellent analytical and problem-solving abilities, with meticulous attention to detail
Ability to handle sensitive information discreetly and professionally
Experience with Workday or similar HRIS systems
Strong analytical and problem-solving skills.
Ability to manage multiple tasks and projects simultaneously.
Proficient in Microsoft Office Suite, especially Excel and PowerPoint.
Salary: $103,000 - $119,000 annually*
*The offered salary or salary range is based on several factors, including, but not limited to, overall experience, relevant experience, education level, certifications, applicable skills and expertise, and location of the position.
As an Equal Opportunity Employer, UNIQLO USA does not discriminate against applicants or employees because of race, color, creed, religion, sex, national origin, veteran status, disability, age, citizenship, marital or domestic/civil partnership status, sexual orientation, gender identity or expression or because of any other status or condition protected by applicable federal, state, or local law.
Adobe Analytics Specialist
Benefit Specialist Job 26 miles from Waldwick
Adobe Analytics Specialist with 7+ yrs experience & having expertise in reporting, analytics, visualization, and customer journey mapping, with the ability to derive actionable insights and build data-driven strategies. Additional knowledge in Customer Journey Analytics (CJA) and Adobe Experience Platform (AEP) connections will be highly valued.
He/She will be working atleast 2 days/ week in NYC office.
Key Responsibilities:
Adobe Analytics Expertise:
Configure and support knowledge of Adobe Analytics for accurate data collection and reporting.
Build and manage dashboards, custom reports, and data visualizations tailored to business needs.
Analyze website and digital campaign performance, providing actionable insights to improve KPIs.
Customer Journey Mapping & Use Cases:
Share ideas to Design and analyze customer journeys, identifying pain points and opportunities for optimization.
Develop and implement use cases for personalization and improved customer experience.
Cross-Platform Analytics:
Integrate data across Customer Journey Analytics (CJA), and other tools.
Leverage AEP connections to enrich customer profiles and enable real-time journey analysis.
Basic understanding of Data query will be helpful as the SMEs might require running some data validations on BQ / SQL as well
Measure the effectiveness and performance of segments, journeys, offers, and campaigns in CJA.
Stakeholder Collaboration:
Work closely with Business Marketing and IT Marketing to align analytics with business goals.
Translate complex analytics data into clear, actionable recommendations for stakeholders.
Advanced Insights & Optimization:
Conduct deep-dive analysis to identify trends, patterns, and opportunities for growth.
Monitor and optimize the effectiveness of customer journeys and touchpoints.
Technical Skills:
Manage tagging, tracking, and data layer requirements for Adobe Analytics and connected platforms.
Troubleshoot and resolve issues related to data accuracy, tracking, and integration.
Other requirements
Knowledge of Customer Journey Analytics (CJA) and its integration with AEP.
Proficiency in data visualization tools like Power BI,
Strong understanding of web analytics, customer journeys, and experience optimization.
Ability to communicate insights effectively to technical and non-technical audiences.
VDCO Specialist
Benefit Specialist Job 26 miles from Waldwick
US-NY-New York Type: Regular Full-Time # of Openings: 1 The LiRo Group
We have an immediate need for a VDCO Specialist for our New York City Office in lower Manhattan.
LiRo-Hill Virtual Design & Construction Operations (VDCO) is a multidisciplinary practice seamlessly integrating technology and innovation for the built environment. Our team has a long history of delivering complex, ambitious projects utilizing the latest technology. The team consists of full-time staff with backgrounds and focus ranging from Architecture, Engineering, Construction Management and Operations. We implement BIM, Reality Capture, 3D coordination, Project Controls, Data Analytics, BIM Implementation Consulting, and much more.
Come join our team! We are looking to build services and capabilities through the growth of our key asset - our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to be a trusted resource for our clients in the public and private sector. We are proud to be known as an
“Integrated Construction, Design and Technology Solutions”
firm and we have delivered on that label time and again.
Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient, and cost-effective team to serve clients. LiRo-Hill is a 1100-person firm with offices in NYC, Long Island, Buffalo, Rochester, Boston and Metro Park, NJ.
Responsibilities
VDCO Specialist is a junior-level role designed for professionals looking to expand their expertise and pursue career advancement opportunities. In this role, the candidate will be responsible for 3D & 4D modeling, visualization, simulations, clash detection, and coordination on some of the most intricate construction projects in the area.
Assist in Scan-to-BIM workflows including LiDAR scanning and point cloud processing
Produce highly detailed 3D models using Revit, consistent with AEC industry guidelines, and LiRo standards and practices
Create design and construction documentation including axonometric 3D views, sections and elevations
Create 4D models using resource loaded P6 schedules and Fuzor
Create renderings and simulations on an as-needed basis for marketing or project use
Use tools such as Navisworks and ACC to support project collaboration and coordination across multiple disciplines
Interface with Construction/Design teams to coordinate BIM content and approaches, model exchanges, quality control, and delivery
Visualize and create reports on an ongoing basis
Engage with engineers, clients, and consultants, ensuring effective implementation of the BIM Execution Plan (BEP).
Qualifications
Bachelor's degree or higher in Architecture, Engineering, Civil Engineering, Construction Management or AEC-related discipline preferred
Minimum 2 years of experience in architecture/engineering/construction and BIM/VDC
Proficiency in minimum two Autodesk BIM tools, such as Revit, Navisworks, AutoCAD, ReCap, BIM Collaborate Pro, and Construction Cloud
Experience utilizing Reality Capture technologies (LiDAR, SLAM, Drone) to support project development
Experience completing project deliverables on time and within budget, under the guidance of the VDCO manager
Capable of leading specific project tasks to ensure successful completion
Excellent verbal and written communication and presentation skills, with the ability to express ideas clearly and professionally to both technical and non-technical audiences
A comprehensive understanding of BIM coordination and construction drawings
Preferred Skills:
Experience developing solutions using Revit/Autodesk APIs and/or Dynamo Scripting is a plus
Familiarity with one or more of: Bentley Project-Wise, Open Buildings, Open Bridge, Micro-Station, Civil 3D, GIS, and others
Experience in implementing project-specific BIM standards and refining them as necessary to meet project needs
Experience with Data Analytics & Visualization using dashboards is a plus
Experience using game engines for visualizations is a plus
Additional Information:
This role may require working on-site with client project teams to ensure seamless project coordination.
The responsibilities described here offer a broad outline of the role and may extend beyond what is listed
Relocation assistance is not available
US Visa Sponsorship is not available
Our Culture:
We believe in the power of collaboration. We work hard to build a corporate culture that empowers all our employees to freely share their ideas, know their presence, and contributions are truly valued, fostering a climate where our employees are enabled to maximize their full potential.
-We offer a comprehensive benefits package and a positive work environment
-Compensation: Minimum: $70,000: Maximum: $95,000. The range provided is the salary that the Firm in good faith believes at the time of this posting is willing to pay for the advertised position. Exact compensation will be determined on the individual candidates' qualifications and location.
LiRo-Hill is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, national origin, ancestry, marital status, sex, affectional or sexual orientation, gender identity or expression, or protected veteran status; and will not be discriminated against on the basis of disability.
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Mailroom Specialist
Benefit Specialist Job 19 miles from Waldwick
Job Title: Facilities Assistant/Mailroom
Contract to Hire
Rate : $20/hr. on w2
This role supports facilities operations, focusing on mail and shipment processing, supply inventory management, and basic maintenance of business machines. The assistant will also handle deliveries, facilitate office setups, and assist with guest/vendor accompaniment.
Primary Responsibilities
Mail and Parcel Handling
Process incoming and outgoing mail, parcels, and freight.
Use postage machines for outgoing mail and create labels via FedEx/USPS systems.
Document shipment activities and coordinate shipments with other offices as needed.
Delivery and Office Support:
Deliver mail, packages, and office supplies to staff.
Manage office and kitchen supply inventories, including replenishment orders.
Assist in setting up cubicles/offices for new occupants.
Maintenance and Administrative Tasks:
Provide basic maintenance for furniture and machines, and order necessary consumables.
Act as an admin for Federal Express accounts.
Cover Day Porter responsibilities and escort guests/vendors onsite.
Education/Experience:
High school diploma or GED with one year of relevant experience.
Skills and Abilities:
Strong organizational and time management skills.
Excellent verbal and written communication abilities.
Proficiency in reading/interpreting documents like memos, manuals, and safety rules.
Basic MS Word and Excel knowledge.
Problem-solving and customer service skills to handle inquiries and complaints professionally
Onboarding Specialist
Benefit Specialist Job 26 miles from Waldwick
The Customer Onboarding Specialist is the first point of contact for new customers and plays a pivotal role in ensuring a smooth and successful transition to the company's SaaS platform. This role focuses on understanding customer goals, providing guidance, and setting them up for long-term success by delivering an exceptional onboarding experience.
The ideal candidate is highly organized, customer-focused, and has a passion for technology and building relationships.
Key Responsibilities
Onboarding Management:
Guide new customers through the onboarding process, including account setup, product training, and initial implementation.
Develop and execute tailored onboarding plans based on customer goals, industry, and use cases.
Ensure customers are effectively introduced to the features and value of the SaaS platform.
Customer Training and Education:
Conduct product demonstrations, walkthroughs, and training sessions for individuals or teams.
Create and deliver onboarding resources, such as guides, videos, and FAQs.
Answer customer inquiries promptly and escalate issues when necessary.
Relationship Building:
Establish strong relationships with customers, ensuring they feel supported and confident in using the platform.
Act as the primary point of contact during the onboarding phase.
Gather feedback from customers to improve the onboarding experience and address potential challenges proactively.
Collaboration with Internal Teams:
Work closely with Sales, Product, and Customer Success teams to align onboarding processes with customer needs.
Provide insights to the Product team about common customer pain points and feature requests.
Partner with Technical Support teams to resolve onboarding issues efficiently.
Metrics and Reporting:
Track and report onboarding progress and customer satisfaction metrics.
Monitor key performance indicators (KPIs) such as time-to-value, onboarding completion rates, and churn risk.
Identify opportunities for improving onboarding processes and reducing customer ramp-up time.
Skills & Qualifications
Education: Bachelor's degree in Business, Communication, Technology, or a related field (preferred).
Experience:
5+ years in customer success, onboarding, or implementation roles, ideally in SaaS or technology.
Experience working directly with customers to deliver product training or technical support.
Technical Skills:
Proficiency in SaaS tools and platforms (e.g., CRM systems, Salesforce).
Ability to quickly learn and explain complex software features.
Soft Skills:
Exceptional communication and interpersonal skills.
Problem-solving mindset with the ability to anticipate and address customer challenges.
Strong organizational skills and attention to detail.
Key Competencies
Customer-centric approach with a focus on delivering value.
Strong project management and time management skills.
Ability to work collaboratively in cross-functional teams.
Analytical mindset to identify trends and opportunities for improvement.
Furniture and Bedding Specialist - Full Time (Temp): Hiring Now!
Benefit Specialist Job 9 miles from Waldwick
Hiring expert sellers for our Furniture, Mattress and Bedding positions at Bloomingdale's Short Hills!
With your knowledge of luxury home furnishings and expertise in building a total home presentation, you will create an exceptional customer experience and cultivate lasting client relationships that satisfy your customers total home needs.
This job is eligible for sales commission.
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About
Bloomingdale's makes fashion personal and fun, aspirational yet approachable. Our mission is to guide and inspire our customers to make style a source of creative energy in their lives. We will always strive to make Bloomingdale's like no other store in the world. Everyone plays a critical role to bring our mission to life. Regardless of position, we believe all colleagues have a voice and access to share their thoughts with every level of leadership. Our colleagues are passionate, driven, entrepreneurial and collaborative. We welcome and embrace diversity of background, thought and opinion while having a lot of fun along the way.
Job Overview
A Bloomingdale's Sales Professionals primary role is to guide and inspire our customers to make style a source of creative energy in their lives. With a passion for gracious service, an interest in fashion, styling talent and product knowledge proficiency, they establish and cultivate long term client relationships both in store and online. As a Sales Professional, they deliver the Bloomingdale's customer experience through the art of conversation; always being welcoming, engaging and inquisitive; creating that human connection that our customers are seeking when shopping in our stores. Sales Professionals are responsible for actively circulating the sales floor, determining the customer's needs, sharing the benefits of our Loyalty programs and supporting the shopping experience from start to finish. The Bloomingdale's Sales Professional must also deliver operational excellence by leveraging our fulfillment system, merchandise to sell standards, floor and fitting room upkeep.
Job Essentials
Create an in-store and online easy, seamless and fun experience; building and cultivating customer relationships
Drive sales with in-store and online clients by embracing and being proficient with technology
Participate in the merchandising and operational requirements of the role
Qualifications And Competencies
High School Diploma or equivalent required
Practices open and continuous communication, values keeping others informed, effectively presenting information in a clear, concise manner
Excellent interpersonal skills, with the ability to work across functional lines and at many levels
Ability to think creatively and strategically to satisfy customer needs
Ability to read and interpret instructional documents such as safety rules, operating and maintenance instructions, and procedural manuals
Ability to work a flexible schedule with retail hours, including day, evening, weekends, and/or holidays
Physical Requirements
Position requires prolonged periods of standing/walking around store or department
May involve reaching, crouching, kneeling, stooping and color vision
Frequent use of computers and other technology, necessary to perform job functions, including handheld equipment, cash register and ability to process register transactions
Frequently lift/move up to 25lbs
This is not all-inclusive, and Macy's Inc. reserves the right to amend this job description at any time. Macy's Inc. is an Equal Opportunity Employer and is committed to a diverse and inclusive work environment. Candidates for positions in San Francisco ONLY can review their rights and the Company's obligations under SFPC Art. 49 here. Candidates for positions in Los Angeles ONLY can review their rights and the Company's obligations under LA MC Ch. XVIII Art. 9 here. Candidates for positions in Philadelphia ONLY can review their rights and the Company's obligations under PC Ch. 9-3500 here.
Credentialing and Provider Enrollment Specialist
Benefit Specialist Job 26 miles from Waldwick
Are you detail-oriented, organized, and passionate about ensuring healthcare providers can deliver care smoothly?
We're hiring a Credentialing and Provider Enrollment Specialist to join our team!
Key Responsibilities:
Provider Enrollment: Manage Medicaid, Medicare, and commercial payer enrollments for providers (e.g., anesthesiologists, CRNAs). Resolve application delays, rejections, and discrepancies.
Insurance Credentialing: Oversee credentialing and re-credentialing with insurance carriers, ensuring compliance with timelines and regulations. Address credentialing-related payer denials.
Database Management: Maintain accurate records of provider credentials, licensure, and certifications. Track expirations and ensure timely renewals.
Policy and Compliance: Develop and implement credentialing policies. Conduct audits to ensure compliance with internal standards.
Communication and Coordination: Liaise with providers, payers, and internal teams to collect documentation, resolve issues, and align credentials with billing.
System Oversight: Manage online payer portals, update demographic information, and monitor CMS NPPES reporting.
What We're Looking For:
Education: Bachelor's degree preferred (or equivalent experience).
Experience: Prior experience in credentialing or healthcare administration, with knowledge of Medicaid and Medicare processes.
Skills: Proficiency in credentialing software and payer portals. Detail-oriented with strong organizational, problem-solving, and communication skills.
Join our team to play a vital role in streamlining provider enrollment and ensuring compliance with healthcare regulations!
Apply today at Careers.CenturionAnesthesia.com.