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Delivery Consultant, WWPS ProServe
Amazon.com, Inc. 4.7
Benefits consultant job in Arlington, VA
The Amazon Web Services Professional Services (ProServe) team is seeking a skilled Delivery Consultant to join our team at Amazon Web Services (AWS). In this role, you'll work closely with customers to design, implement, and manage AWS solutions that meet their technical requirements and business objectives. You'll be a key player in driving customer success through their cloud journey, providing technical expertise and best practices throughout the project lifecycle. Possessing a deep understanding of AWS products and services, as a Delivery Consultant you will be proficient in architecting complex, scalable, and secure solutions tailored to meet the specific needs of each customer. You'll work closely with stakeholders to gather requirements, assess current infrastructure, and propose effective migration strategies to AWS. As trusted advisors to our customers, providing guidance on industry trends, emerging technologies, and innovative solutions, you will be responsible for leading the implementation process, ensuring adherence to best practices, optimizing performance, and managing risks throughout the project.
The AWS Professional Services organization is a global team of experts that help customers realize their desired business outcomes when using the AWS Cloud. We work together with customer teams and the AWS Partner Network (APN) to execute enterprise cloud computing initiatives. Our team provides assistance through a collection of offerings which help customers achieve specific outcomes related to enterprise cloud adoption. We also deliver focused guidance through our global specialty practices, which cover a variety of solutions, technologies, and industries.
This position requires that the candidate selected be a US Citizen and must currently possess an active Top Secret security clearance. The position further requires that, after start, the selected candidate obtain and maintain an active TS/SCI security clearance with polygraph and satisfy other security related requirements.
Key job responsibilities
As an experienced technology professional, you will be responsible for:
Designing and implementing complex, scalable, and secure AWS solutions tailored to customer needs
Providing technical guidance and troubleshooting support throughout project delivery
Collaborating with stakeholders to gather requirements and propose effective migration strategies
Acting as a trusted advisor to customers on industry trends and emerging technologies
Sharing knowledge within the organization through mentoring, training, and creating reusable artifacts
About the team
About AWS
AWS values diverse experiences. Even if you do not meet all of the preferred qualifications and skills listed in the job description, we encourage candidates to apply. If your career is just starting, hasn't followed a traditional path, or includes alternative experiences, don't let it stop you from applying.
Why AWS? Amazon Web Services (AWS) is the world's most comprehensive and broadly adopted cloud platform. We pioneered cloud computing and never stopped innovating - that's why customers from the most successful startups to Global 500 companies trust our robust suite of products and services to power their businesses.
Inclusive Team Culture Here at AWS, it's in our nature to learn and be curious. Our employee-led affinity groups foster a culture of inclusion that empower us to be proud of our differences. Ongoing events and learning experiences, including our Conversations on Race and Ethnicity (CORE) and AmazeCon conferences, inspire us to never stop embracing our uniqueness.
Mentorship & Career Growth We're continuously raising our performance bar as we strive to become Earth's Best Employer. That's why you'll find endless knowledge-sharing, mentorship and other career-advancing resources here to help you develop into a better-rounded professional.
Work/Life Balance We value work-life harmony. Achieving success at work should never come at the expense of sacrifices at home, which is why we strive for flexibility as part of our working culture. When we feel supported in the workplace and at home, there's nothing we can't achieve in the cloud.
Basic Qualifications
Bachelor's degree in engineering, computer science or equivalent
5+ years of architecting/operating solutions built on any cloud service provider like Azure, AWS, GCP, OCI, etc. experience
5+ years of in design/implementation/operations/consulting with distributed applications experience
5+ years of work with software development lifecycle from conception to delivery experience
US government security clearance of top secret or above
Preferred Qualifications
5+ years of IT implementation experience
Experience and technical expertise (design and implementation) in cloud computing technologies
Experience leading the design, development and deployment of business software at scale or recent hands-on technology infrastructure, network, compute, storage, and virtualization experience
Experience communicating technical concepts to a non-technical audience
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit ********************************************************* for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The Colorado base pay for this position ranges from $131,300/year up to $177,600/year. The National base pay for this position ranges from $118,200/year in our lowest geographic market up to $204,300/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit ******************************************************** This position will remain posted until filled. Applicants should apply via our internal or external career site.
$118.2k-204.3k yearly 6d ago
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Claims Consultant
Pop-Up Talent 4.3
Benefits consultant job in Bethesda, MD
Bethesda, MD 20814
SUMMARY/OBJECTIVE:
The Claims Consultant will be responsible for conducting impact analysis, analyzing risk on complex projects, and performing forensic schedule and cost analysis consisting of identifying critical path delays, schedule disruptions, evaluating labor productivity, and pricing general conditions costs
ESSENTIAL FUNCTIONS:
Support clients in the identification, quantification, and mitigation of schedule related risks
Perform construction claims forensic analysis including document review and organization, key issue identification, schedule analysis, labor productivity studies, general conditions calculations, pricing, and graphic exhibits for input to expert reports
Have excellent written and oral communication skills that can accurately explain complex construction disputes in understandable reports and presentations
Analyze construction project cost reports, labor distribution reports, and other project accounting information.
Perform schedule assessments, including reviews of critical path, schedule content, use of relationships and lag, constraints and milestones, constructability, and general assessment based on industry knowledge
Work location will be remote with visits to client sites and K2 headquarters as necessary
REQUIRED EDUCATION AND EXPERIENCE:
At least 10+ years of hands-on claims experience in the construction industry
Strong understanding of the Critical Path Method of scheduling theoretically and as it applies to construction projects
Strong understanding of schedule delay principles and techniques, including contemporaneous time impact analysis and forensic scheduling methods
Hands-on forensic scheduling, labor productivity analysis and time impact analysis experience
Ability to understand and accurately interpret construction documents (drawings, specifications, contracts/general conditions) at all levels of design, across project types, and trade disciplines
Expert user in Primavera P6, Microsoft Project, and Microsoft Office Suite
Understanding and experience in Earned Value Management
Mediation and testimony experience a plus
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
req25-00682
$86k-119k yearly est. 1d ago
Consultant
Aarete 4.1
Benefits consultant job in Vienna, VA
AArete is one-of-a-kind when it comes to consulting firm culture.
We're a global, innovative management and technology consulting firm with offices in the U.S., India, and Europe. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for.
We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience.
AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.
The Role
As an AArete Consultant, you will collaborate closely with clients to understand their most pressing challenges and develop strategies for meaningful change. You will leverage your analytical expertise, entrepreneurial mindset, and commitment to excellence to drive results.
With strong critical thinking skills, exceptional communication abilities, and a high-performing mindset, you are recognized as a self-starter. You leverage your analytical reasoning to determine the best ways to evaluate data and identify insightful elements that translate into client findings or recommendations. You take initiative in researching business challenges to understand market conditions, consistently bringing your perspective forward. Your resourceful and innovative approach to problem solving allows you to analyze data and build business cases that support project success and maximize value.
In this role, you will apply deep expertise in data analytics, business case development, client stakeholder collaboration, and executive communications. You will be responsible for executing project goals and deliverables with precision while solving complex business challenges for both clients and internal initiatives, giving leadership leverage by providing client-ready, high-quality, insightful deliverables. Your contributions will have a lasting impact, shaping strategies and driving measurable outcomes.
Work You'll Do
As an AArete Consultant, you will support projects and drive successful outcomes through the following:
Conducting in-depth analysis and research to identify and understand market dynamics, industry leading practices, and business challenges
Leveraging and conducting data analysis to uncover insights and develop potential solutions for clients
Identifying potential solutions to business challenges through research, interviews, internal collaboration with other AArete teams and data analysis
Assisting in the creation of business cases, delivering actionable recommendations, and supporting the implementation of initiatives, including cost savings and operational improvement
Developing and delivering presentations that communicate key insights and recommendations, concisely presenting information using clear, industry-appropriate language
Collaborating closely within your project team to ensure alignment and success, acting as an accountable team member who works together with others to reach a common goal
Learning from senior team members and attending trainings to continuously develop your skills and expertise, showing eagerness, curiosity, and reception to feedback
Leading and mentoring Analysts, fostering their growth and development by modeling strong communication, accountability, and teamwork
Preparing polished deliverables, with a focus on storytelling, for final review with the engagement manager
Exercising excellent judgment, clear communication, and a solution-oriented approach in all aspects of your work
Managing client stakeholder and vendor relationships to understand challenges, develop solutions and implement improvements
Delegating tasks as necessary to accelerate delivery within our Intern, Analyst and global support teams
Collaborating across other AArete solutions in identifying client challenges and escalating to leadership to contribute in cross-selling and up-selling
Other duties as assigned
Requirements
2+ years of experience in consulting, professional services, healthcare operations, or other relevant industries with demonstrated project-based, analytical, and client-facing responsibilities
Bachelor's degree required
Advanced proficiency utilizing Microsoft Office applications, especially Excel and PowerPoint, and basic SQL for data analysis
Strong analytical skills, with the ability to analyze and interpret data, identify client profitability improvement opportunities, and develop actionable business cases
Strong professional communication skills, including expertise in written, verbal, and interpersonal communication, as well as in-person presentations
Passion to solve challenges for our clients in the healthcare industry, particularly within payer processes and data
Ability to work within diverse project teams both internally and client facing
Enthusiasm for joining a fast-paced, high-growth company and contributing to the development of business architecture in technology applications and tools
High self-motivation, accountability, and a collaborative spirit
Willingness to engage in direct client interaction, including travel to client locations
Must be legally authorized to work in the United States without the need for employer sponsorship
Preferred Requirements
Strong preference for experience in the payer and healthcare industry, including candidates with provider backgrounds who have worked with payers (e.g., managed care contracting)
Experience with healthcare claims analytics and/or network analytics, with strong understanding of payer/provider contracts, reimbursement language, and key terms
Experience with AArete's other focus industries: Pharmacy, Financial Services, Retail, Manufacturing, Higher Ed, or Technology & Professional Services
Cost reduction and process improvement experience within relevant client industries (Healthcare, Financial Services, Retail, Higher Ed, etc.)
Experience in healthcare systems and digital platforms, including Provider Data Management, Claims Adjudication (e.g., Facets, QNXT, etc.), and related tools, with the ability to leverage these systems to improve data quality, operational efficiency, and end-to-end healthcare processes
Based in Chicago, IL, and able to work from our Chicago office as needed
Compensation & Benefits
Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
Own Your Day flexible work policy
Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
Generous paid parental leave options
Employer paid Life Insurance, Short-Term Disability, and Long-Term Disability
Charitable contribution matching program
New client commission opportunities and referral bonus program
Bike share discount program
The estimated base salary range for this position is $84,000 - $102,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline and individual total compensation may vary due to numerous factors including but not limited to experience level, certifications, and other relevant business considerations.
AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available.
We put humans at the center of our work
We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.
But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.
And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.
We've earned aGreat Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault'sTop 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000'sFastest Growing Firms, and Consulting Magazine'sFastest Growing Firms.
Learn moreabout our award-winning culture
We are an Equal Employment Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
#LI-DNI
$84k-102k yearly 4d ago
Aflac Benefits Consultant
Whitaker & Associates/Aflac
Benefits consultant 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 BenefitsConsultant 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. 2d ago
Employee Benefits Consultant opportunity - major focus on benefits administration in US and Canada
Merito Group
Benefits consultant job in Arlington, VA
A large global $5 billion company is seeking a BenefitsConsultant 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 ********************
The next part of your journey is right around the corner - with The Standard.
A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?
JOB SUMMARY
Our Voluntary Benefits Division is growing! We are looking for a Senior Employee BenefitsConsultant who will be responsible for recruiting, training, educating, motivating and maintaining National and Regional Broker Partners to sell, service and conserve business in order to ensure profitable growth and to meet sales objectives established for an assigned market within the mid-Atlantic territory, which includes DC, MD and VA.
Recruiting new producers, training, achievement of premium growth objectives, and the servicing and conservation of insurance in force.
Make qualified calls on groups with producers and provide enrollment support on a new producers first couple of accounts opened. The Sales Representative provides training and on-going development of producers in assigned areas in the region.
Responsible for maintaining a positive working relationship with Sales Support, Underwriting, Policyholder Services, Billing Support, Compliance, Commission Accounting, and Home Office personnel.
Meet or exceed assigned production plan.
Recruit, train, motivate and develop producers throughout assigned area in the region.
Contribute to effective relationships between the producers and Home Office departments.
Help analyze markets and formulate recruiting programs, secure producers who will effectively produce quality premiums.
Work with producers to help bring value to their existing book of business and develop new opportunities.
Provide feedback on changes in the marketplace.
Help implement and support the corporate strategy including cross-selling partner products.
* Must reside within the territory to be considered for this role. *
* Must have an established broker network within the territory to be considered for this role. *
* Ability to travel as needed within the territory is required for this role. *
Skills and Background You'll Need
Prior experience in voluntary and/or employee benefits required.
Must possess an established broker network within the defined territory.
The ability to travel as needed throughout the defined territory is required.
LICENSING: Life & Health licenses required. If not currently licensed, licensing must be obtained upon hire.
EDUCATION: Bachelor's degree preferred.
EXPERIENCE: 10+ years of voluntary and/or employee benefits sales experience.
Key Behaviors of a Successful Candidate
Customer Focus. Understanding needs of internal and external clients.
Driving Success. Proactive approach to developing a team that exceeds expectations.
Winning Together: Work as a collaborative member on the Employee Benefits team strategizing and driving sales success.
#LI-REMOTE
Why Join The Standard?
We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:
A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
An annual incentive bonus plan
Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure
A supportive, responsive management approach and opportunities for career growth and advancement
Paid parental leave and adoption/surrogacy assistance
An employee giving program that double matches your donations to eligible nonprofits and schools
In addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about
working at The Standard.
Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.
Performance guarantees may be applied to roles with highly incentivized compensation plans for a specified period of time to support a new hire's transition into the sales incentive plan.
Compensation is made up of a base salary, incentives, and/or other bonuses when applicable. This is a minimum range that can be increased based on performance and sales activity.
Salary Range:
$200k - $300k+, which includes a base salary and target incentive compensation
Positions will be posted for at least 5 days from original posting date.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on The Standard's property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. After any conditional offer of employment is made, the background check will include an individualized assessment based on the applicant's specific record and the duties and requirements of the specific job. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable.
$79k-102k yearly est. Auto-Apply 60d+ ago
Group Employee Benefits Consulting Manager
Accenture 4.7
Benefits consultant job in Arlington, VA
Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services-creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 799,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at ******************
Group Benefits managers are focused on developing new capabilities for our group employee and voluntary benefits industry and bringing those to our clients through delivery. This requires delivery leadership coupled with expertise in group benefits business processes, operating models, industry platforms, and emerging trends and technologies. The role includes leveraging AI and agentic AI to transform the connections between guided experiences for brokers, Bentech partners, employer groups, their employees to group benefits operations for enabling innovative solutions. Business development skills are essential for driving growth through client relationships and strategic initiatives.
Responsibilities:
+ Adapt methods and procedures to solve moderately complex problems creatively.
+ Align work with strategic direction set by senior management.
+ Exercise judgment on solutions; seek guidance for complex issues.
+ Interact primarily with supervisors, including with client and Accenture leadership.
+ Develop new ideas and help turn them into go-to-market offerings.
+ Define methods and procedures for new assignments with guidance.
+ Manage small teams or work efforts at client sites or within Accenture.
+ Work as part of a team delivering client value at the intersection of business and technology.
+ Perform product management and/or product owner responsibilities in the context of consulting and technology implementations.
+ Travel up to 80%.
Basic Qualifications
+ 7+ years consulting or industry experience with group benefits carriers focused on technology implementations and/or business process design.
+ 2+ years of experience with the group benefits value chain (quoting & proposals, onboarding and enrollment, data exchange, billing and remittance, absence and disability claims)
+ 3+ years working in agile delivery, with experience as a product manager or product owner
+ Bachelors Degree
Preferred Qualifications
+ Working knowledge of products and benefits offered across life, absence, disability, voluntary and supplemental benefits and stop loss coverage.
+ Working knowledge of key customer constituents and needs of brokers, employer groups, their employees, and ben tech parters
+ Foundational knowledge of AI and agentic AI concepts and their application in life and annuities (e.g., automation, fraud detection, predictive analytics).
+ Ability to design AI-enabled workflows and collaborate with tech teams to implement solutions while ensuring compliance and ethical standards.
+ Proven ability to identify, shape, sell, and lead consulting engagements in Insurance.
+ Creative problem-solving skills to design innovative solutions for claims challenges.
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.We accept applications on an on-going basis and there is no fixed deadline to apply.
Information on benefits is here. (************************************************************
Role Location Annual Salary Range
California $94,400 to $293,800
Cleveland $87,400 to $235,000
Colorado $94,400 to $253,800
District of Columbia $100,500 to $270,300
Illinois $87,400 to $253,800
Maryland $94,400 to $253,800
Massachusetts $94,400 to $270,300
Minnesota $94,400 to $253,800
New York/New Jersey $87,400 to $293,800
Washington $100,500 to $270,300
Requesting an Accommodation
Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at **************** or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
For details, view a copy of the Accenture Equal Opportunity Statement (********************************************************************************************************************************************
Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
$100.5k-270.3k yearly 34d ago
Senior Benefits Manager
Mag 4.6
Benefits consultant 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.
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**ID** _2026-8025_
**Category** _Human Resources_
**Type** _Regular Full-Time_
**Clearance** _None_
$94.5k-150k yearly 6d ago
Bi-Lingual Spanish Insurance Benefits Consultant
Modern Insurance Pros
Benefits consultant 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 BenefitsConsultant 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 BenefitsConsultants are independent contractors of Aflac. Applicants must be United States Citizens or own a permanent resident card.
At Aflac, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.
$45k-65k yearly 60d+ ago
Employee Benefits Producer/Broker
Business Benefits Group
Benefits consultant job in Fairfax, VA
Job Description
The Employee Benefits Producer/Broker is responsible for driving new business revenue growth by identifying and attracting new clients who align with BBG's value proposition. In addition to demonstrating their sales skills, successful candidates will also build and maintain the relationship with clients by working with them on an ongoing basis and through the annual renewal process. Successful candidates will also demonstrate a superb work ethic, high level of motivation and strong team working skills by routinely collaborating with our internal service, marketing and HR/Technology team on specific client needs.
Desired skills, experience and position requirements:
Life and Health license or the ability to obtain within 90 days of employment
Bachelor's degree preferred
Two or more years of relevant experience, preferably in the insurance industry or similar sales & consultative role
Successful business-to-business sales experience (professional services or employee benefits preferred) with experience selling to the senior executive level
Ability to learn, understand and champion sales process/campaigns
Professional demeanor and strong verbal and written communication skills
Good organizational and time management skills
General level of comfort with group presentations and public speaking
Ability to apply critical thinking, make sound judgments, and pay attention to detail
Ability to work with well with multiple teammates in a high pace office environment
Required experience:
Insurance Industry or similar sales/consulting role: 2 years
Required license or certification:
Life & Health License or ability to obtain within 90 days of hire
Physical Demands:
These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job.
While performing the responsibilities of the job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers, to handle or feel and to manipulate keys on a keyboard
The employee is required to be able to walk up three (3) flights of stairs, multiple times per day, on a daily basis
The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision
Work Environment:
Work typically performed in an office environment
Daily work performed Monday - Friday, 8:00 a.m. - 5:00 p.m. but hours will vary due to client demands
Additional hours may be required on an as needed basis
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$77k-129k yearly est. 23d ago
Manager of Benefits and Retirement Services
Mid-Atlantic Permanente Medical Group Careers
Benefits consultant 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
Employee Benefits Account Manager
Harrison Gray Search & Consulting
Benefits consultant job in McLean, VA
Job Description
Benefits Account Manager
Harrison Gray Search has partnered with an award-winning, privately held insurance and financial services firm to find an experienced Benefits Account Manager. Our client is a premier, all-lines broker that has been recognized as a "Best Place to Work" and holds a gold standard for excellence in customer service.
Role Overview
The Benefits Account Manager is a client-facing professional responsible for managing the daily operations and serving as the primary point of contact for an assigned book of business. This role involves high-level collaboration with Account Executives throughout the pre-renewal, renewal, and post-renewal phases to ensure a seamless client experience.
Key Responsibilities
Account Management: Act as the main day-to-day contact for clients, managing operations and leading service calls.
Marketing & Analysis: Manage renewal and new business carrier marketing and analysis using established workflows.
Implementation & Audits: Spearhead carrier and vendor implementation and facilitate post-renewal audits.
Communication: Create benefits communication materials and presentations for clients.
Issue Resolution: Handle escalated billing, eligibility, and claim requests, and resolve any carrier or vendor errors.
Leadership: Educate, train, and mentor team members while delegating tasks as appropriate.
Documentation: Maintain accurate records of all activities in the agency management system.
Qualifications
Licensing: Must hold an active Life & Health Insurance license.
Professional Experience: At least 5 years of experience in employee benefits service.
Market Expertise: A minimum of 2-3 years of experience managing a book of business in the 50+ lives market.
Technical Skills: Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint) and experience with agency management systems.
Preferred Knowledge: Experience with level-funded and self-funded plans is preferred.
Location: Local residency (MD, DC, VA) is preferred to attend open enrollment meetings as needed.
Compensation & Culture
Work Environment: This is a hybrid role within a supportive and professional organization.
Pay: Salary is commensurate with qualifications and experience.
Incentives: Bonus opportunities are available based on retention, new business, and client satisfaction goals.
Benefits: A comprehensive package is offered, including health, dental, life insurance, 401K, and disability coverage.
$77k-129k yearly est. 9d ago
Benefits Manager
Ijm
Benefits consultant job in Washington, DC
Benefits Manager Who We Are
International Justice Mission (IJM) is the global leader in protecting vulnerable people from violence around the world. Our team of over 1,200 professionals are at work worldwide in over 30 offices. Together we are on a mission to rescue millions, protect half a billion, and make justice unstoppable.
We are a global community that cares for one another. We believe that the way we work is as important as the results we achieve. We provide professional excellence with joy and celebration to all those we serve.
The Need
For over 25 years, IJM has pioneered the work to protect vulnerable people from violence. 9 out of 9 times in the last decade, IJM's Justice System Strengthening Projects have reduced slavery and violence between 50 and 85% for very large populations of people in poverty.
As we grow to expand our impact to protect 500 million people from violence, we are seeking a Benefits Manager to lead the strategic and operational delivery of benefits programs for employees in the U.S. This role ensures alignment with organizational goals, regulatory compliance, and employee engagement, while enhancing IJM's employee value proposition.
This position is hybrid (onsite Tuesdays & Thursdays) based in the Washington, DC area and reports to the VP, HR Operations. It is only available for candidates with the right to work in the U.S.
Responsibilities:
Health & Welfare Design and Administration
Design and evaluate health and welfare programs to align with IJM goals and objectives.
Manage day-to-day operations of U.S. employee and expatriate benefit programs (medical, dental, vision, retirement, FMLA, leaves of absence, disability).
Serve as subject matter expert for benefits and primary point of contact for employee inquiries.
Collaborate with vendors and brokers to negotiate contracts and monitor service quality.
Ensure integrity of employee and program data in Workday and related systems.
Lead education and training associated with health and welfare program execution.
Regulatory and Compliance
Ensure benefits programs meet federal, state, and local regulations (ACA, ERISA, HIPAA, COBRA, FMLA).
Partner cross-functionally to maintain accurate plan documents and required notifications.
Lead or participate in audits to identify and mitigate compliance risks.
Serve as primary point of contact for brokers, vendors, and regulatory agencies.
Communication and Training
Develop and deliver benefits training for new hires, open enrollment, and plan changes.
Maintain internal information sites to ensure policies and program details remain current.
Qualifications:
Bachelor's degree in human resources management or related field.
5-7 years' experience in employee benefits design and administration.
Benefit plan audit experience and experience partnering with regulatory agencies.
CEBS designation is desirable.
Technical Competencies
Proficient with Workday HCM and MS Office Suite.
Strong data analysis and research skills.
Working knowledge of SharePoint.
Critical Qualities:
Eager commitment to IJM's Core Values: Christian, Professional and Bridge-Building.
Highly organized with strong attention to detail.
Ability to work independently and lead projects.
Strong time management and problem-solving skills.
Application Process:
Upload Resume, Cover Letter & Statement of Faith* in one PDF document.
*What is a statement of faith?
A statement of faith should describe your Christian faith and how you see it as relevant to your involvement with IJM. The statement can either be incorporated into the cover letter or submitted as a separate document and should include, at a minimum, a description of your spiritual disciplines (prayer, study, etc.) and your current fellowship or place of worship.
What does IJM have to offer?
Comprehensive Medical/Dental/Vision benefits
Monthly commuter and parking benefits in the DC metro area
Retirement benefit options
Paid leave starting at 23 days
12 holidays (plus early release the day prior)
Daily, quarterly, and annual community spiritual formation
Robust staff care resources
IJM holds strict safeguarding principles and a zero tolerance to violations of the Safeguarding Policy, Protection against Sexual Exploitation, Abuse and Harassment Policy, and Code of Ethics. Candidate selection is based on technical competence, recruitment, selection and hiring criteria subject to assessing the candidate's value congruence and thorough background, police clearance, and reference check processes.
At IJM, we're committed to building a diverse workforce through fair and equitable employment practices. IJM encourages people of any race, color, age, sex, marital status or political ideology to apply for employment. While we welcome everyone into this work, we truly believe that the work we are doing is God's work, not our own, and practice spiritual disciplines together daily. That's why we legally require under SEC. 2000e-1 [Section702] of Title VII of the Civil Rights Act of 1964 that all employees practice a mature orthodox Christian faith, as defined by the Apostles' Creed.
IJM requires a background check, police clearance and thorough review of references with an employment offer and/or employment contract.
$65k-114k yearly est. Auto-Apply 29d ago
Health Benefits Appeals Analyst
HH Medstar Health Inc.
Benefits consultant job in Columbia, MD
About the Job Regularly communicates with both internal and external customers concerning benefit and fee schedule interpretation NCCI (National Correct Coding Initiative) and other claims issues. Researches incoming appeals and determines final resolution based on health plan policies and procedures. Uses knowledge of Medicaid rules and regulations claims appeals and managed care to explain procedures to vendors providers and customers. Acts as a resource for claims customer service provider relations and other departments.
Primary Duties and Responsibilities
* Researches and analyzes health plan benefits fee schedules and payment policies to determine how to decision provider requests.
* Reviews claims appeals provides communication to providers keeps accurate and complete claims appeal records. Researches and resolves billing and payment issues.
* Assists in implementing and maintaining administrative claims appeal policies procedures and appeal infrastructure.
* Coordinates the review and processing of provider claim appeals. Evaluates and investigates claim appeals by reviewing plan benefit documentation payment and reimbursement policies.
* Generates appeal acknowledgment letters and resolution letters per Maryland Department of Health (MDH) / District of Columbia regulations.
* Ensures that providers have submitted appeal request timely.
* Tracks all inquiries or complaints to ensure that cases are resolved within State-required timeframes. Documents resolution and prepares and sends written correspondence in response to members initiating complaints within State / NCQA required timeframes.
* Maintains established daily performance benchmarks and meets the established productivity standard for the department.
Minimal Qualifications
Education
* Associate degree in Healthcare Administration, Business Administration or related field required
* Bachelor's degree in Healthcare Administration, Business Administration or related field preferred
* One year of relevant education may be substituted for one year of required work experience.
Experience
* 5-7 years Experience in the health care delivery system or insurance setting required
* Experience with managed care/claims appeals experience including experience with insurance/managed care benefits and procedures for appeals and claims processing required
* One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
* Certified Professional Coder (CPC) preferred
* Claims Appeals certification preferred
Knowledge Skills and Abilities
* Knowledge of all aspects of claims processing auditing coding A/R and reporting (MicroSoft Excel and Access).
* Excellent verbal and written communication skills.
* Data mining and analytical skills.
* Ability to recognize analyze and solve a variety of problems.
This position has a hiring range of
USD $28.76 - USD $48.96 /Hr.
$28.8-49 hourly 35d ago
Health Benefits Appeals Analyst
Medstar Research Institute
Benefits consultant job in Columbia, MD
About the Job Regularly communicates with both internal and external customers concerning benefit and fee schedule interpretation NCCI (National Correct Coding Initiative) and other claims issues. Researches incoming appeals and determines final resolution based on health plan policies and procedures. Uses knowledge of Medicaid rules and regulations claims appeals and managed care to explain procedures to vendors providers and customers. Acts as a resource for claims customer service provider relations and other departments.
Primary Duties and Responsibilities
* Researches and analyzes health plan benefits fee schedules and payment policies to determine how to decision provider requests.
* Reviews claims appeals provides communication to providers keeps accurate and complete claims appeal records. Researches and resolves billing and payment issues.
* Assists in implementing and maintaining administrative claims appeal policies procedures and appeal infrastructure.
* Coordinates the review and processing of provider claim appeals. Evaluates and investigates claim appeals by reviewing plan benefit documentation payment and reimbursement policies.
* Generates appeal acknowledgment letters and resolution letters per Maryland Department of Health (MDH) / District of Columbia regulations.
* Ensures that providers have submitted appeal request timely.
* Tracks all inquiries or complaints to ensure that cases are resolved within State-required timeframes. Documents resolution and prepares and sends written correspondence in response to members initiating complaints within State / NCQA required timeframes.
* Maintains established daily performance benchmarks and meets the established productivity standard for the department.
Minimal Qualifications
Education
* Associate degree in Healthcare Administration, Business Administration or related field required
* Bachelor's degree in Healthcare Administration, Business Administration or related field preferred
* One year of relevant education may be substituted for one year of required work experience.
Experience
* 5-7 years Experience in the health care delivery system or insurance setting required
* Experience with managed care/claims appeals experience including experience with insurance/managed care benefits and procedures for appeals and claims processing required
* One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
* Certified Professional Coder (CPC) preferred
* Claims Appeals certification preferred
Knowledge Skills and Abilities
* Knowledge of all aspects of claims processing auditing coding A/R and reporting (MicroSoft Excel and Access).
* Excellent verbal and written communication skills.
* Data mining and analytical skills.
* Ability to recognize analyze and solve a variety of problems.
This position has a hiring range of
USD $28.76 - USD $48.96 /Hr.
General Summary of Position
Regularly communicates with both internal and external customers concerning benefit and fee schedule interpretation NCCI (National Correct Coding Initiative) and other claims issues. Researches incoming appeals and determines final resolution based on health plan policies and procedures. Uses knowledge of Medicaid rules and regulations claims appeals and managed care to explain procedures to vendors providers and customers. Acts as a resource for claims customer service provider relations and other departments.
Primary Duties and Responsibilities
* Researches and analyzes health plan benefits fee schedules and payment policies to determine how to decision provider requests.
* Reviews claims appeals provides communication to providers keeps accurate and complete claims appeal records. Researches and resolves billing and payment issues.
* Assists in implementing and maintaining administrative claims appeal policies procedures and appeal infrastructure.
* Coordinates the review and processing of provider claim appeals. Evaluates and investigates claim appeals by reviewing plan benefit documentation payment and reimbursement policies.
* Generates appeal acknowledgment letters and resolution letters per Maryland Department of Health (MDH) / District of Columbia regulations.
* Ensures that providers have submitted appeal request timely.
* Tracks all inquiries or complaints to ensure that cases are resolved within State-required timeframes. Documents resolution and prepares and sends written correspondence in response to members initiating complaints within State / NCQA required timeframes.
* Maintains established daily performance benchmarks and meets the established productivity standard for the department.
Minimal Qualifications
Education
* Associate degree in Healthcare Administration, Business Administration or related field required
* Bachelor's degree in Healthcare Administration, Business Administration or related field preferred
* One year of relevant education may be substituted for one year of required work experience.
Experience
* 5-7 years Experience in the health care delivery system or insurance setting required
* Experience with managed care/claims appeals experience including experience with insurance/managed care benefits and procedures for appeals and claims processing required
* One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
* Certified Professional Coder (CPC) preferred
* Claims Appeals certification preferred
Knowledge Skills and Abilities
* Knowledge of all aspects of claims processing auditing coding A/R and reporting (MicroSoft Excel and Access).
* Excellent verbal and written communication skills.
* Data mining and analytical skills.
* Ability to recognize analyze and solve a variety of problems.
$28.8-49 hourly 35d ago
Employee Benefits Counsel
WTW
Benefits consultant 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 4.3
Benefits consultant job in Washington, DC
Manager, Payroll and Benefits Full-time FAS staff Washington, DC
Why FAS?
Does FAS sound like an organization that you would be energized to join? Is it aligned to your values?
The Federation of American Scientists (FAS) takes quite seriously our role as a beacon and voice for the science community.
FAS has a rich history: after the devastating bombings of Hiroshima and Nagasaki in 1945, a group of atomic researchers - deeply concerned about the use of science for malice - created an organization committed to using science and technology to benefit humanity.
The group they created - the Federation of Atomic Scientists - soon became the Federation of American Scientists in recognition of the hundreds of scientists across diverse disciplines who joined together to speak with one voice for the betterment of the world.
Today, we are a group of entrepreneurial, intrepid changemakers, forging a better future for all through the nexus of science, technology and talent. We value equity, inclusion, and transparency. As a collective, we are building an organization focused on being impact-driven, customer-focused, and growth-oriented as a force for good in the world.
Skills and Expertise: Must Haves
What skills do you need to show proficiency (or higher) in order to be a strong candidate?
Bachelor's degree or higher in Accounting, Finance or Business Administration.
4-6 years of experience in benefits and payroll administration.
A deep understanding of various employee benefits, including health, retirement, and insurance.
Intermediate/expert skills in Excel required.
Previous experience with HRIS software is highly desirable.
Excellent communication, interpersonal, and negotiation skills.
Proven ability to build and maintain effective working relationships at all levels across the organization.
Monitors own work to ensure professional quality and punctuality.
Ability to handle sensitive and confidential information with discretion.
Strong analytical and problem-solving skills
Highly Preferred:
Certified Benefits Professional (CBP) is highly preferred.
Non-profit experience is highly preferred.
To Sum It Up…
What's the “elevator pitch” for the role?
The Federation of American Scientists is searching for a Benefits & Payroll Manager to join our People & Culture team and play a key role in supporting our employees and ensuring financial accuracy behind the scenes.
In this position, you'll handle benefits administration and reconciliation, contribute to a broad range of administrative and payroll tasks that keep our operations running smoothly. This position plays a vital role in ensuring our team is supported through accurate, compliant, administration of pay and benefits programs.This role combines technical expertise with a people-first approach, ensuring employees are paid correctly, benefits are administered smoothly, and HR policies align with organizational values and legal standards.
This position partners closely with Finance, People & Culture, and external vendors to manage systems, streamline processes, and enhance the employee experience across the organization.
This is an ideal opportunity for someone who thrives in a collaborative, mission-driven environment and is comfortable managing confidential information with integrity and precision.
At the Federation of American Scientists, we believe in embracing a growth oriented and entrepreneurial mindset to drive impact for our colleagues, our customers and the world. The Benefits & Payroll Manager Specialist will report to the Director of People & Culture.
What you'll do: (Core responsibilities)
Benefits Administration
Administer employee benefits programs, including health, dental, vision, life, disability, FSA/HSA, retirement, and leave programs.
Manage open enrollment, employee eligibility, and benefit plan changes throughout the year.
Serve as the primary point of contact for benefits-related inquiries and issue resolution.
Collaborate with insurance brokers and benefit vendors to ensure smooth operations and service delivery.
Coordinate benefits education sessions and communications to enhance employee understanding and engagement.
Stay abreast of industry trends and best practices in human resources management and make recommendations for continuous improvement.
Audit and maintain accurate benefit use and accruals. Facilitate audits by providing records and documentation to auditors.
Reconcile benefits invoices and payroll deductions monthly, including COBRA enrollments and terminations, 403b contributions, FSA accounts and others.
Payroll Management
Manage and process semi-monthly payroll for all FAS employees, ensuring accuracy, timeliness, and compliance with federal, state and local laws.
Maintain payroll records, deductions (for benefits, retirement, garnishments), and tax withholdings in accordance with legal requirements.
Reconcile payroll accounts and collaborate with Finance on reporting, audits, and budgeting.
Administer wage adjustments, retroactive pay, and off-cycle payments as needed.
Ensure compliance with FLSA, IRS regulations, and other applicable wage and hour laws.
Liaison with payroll vendors to ensure payroll tax returns are filed timely and maintain accurate payroll tax records.
Review and update payroll-related policies and procedures for clarity and compliance.
Assist People & Culture with onboarding/entry of the open enrollment processes for new employee benefits and payroll.
Special projects and tasks as assigned.
Compliance and Reporting
Ensure all payroll and benefits programs comply with applicable laws (ACA, ERISA, COBRA, HIPAA, FMLA, etc.).
Prepare and file required reports such as ACA filings, 403(b) or 401(k) contributions, and benefits audits.
Work Environment
This position will be based in Washington DC and will operate as a hybrid role, meaning that both remote and in-person work can be accommodated, generally two to three days per week on-site, and two to three days per week remote.
Salary Range
$70,000-$85,000
Hiring Statement
Don't check off every box? Apply anyway! Studies have shown that women and people of color are less likely to apply for jobs unless they meet every listed qualification. At FAS we are dedicated to building a diverse and inclusive workplace, and developing new voices. If you're excited about this role but your past experience doesn't align perfectly, we encourage you to apply anyway - you might just be the right candidate.
The Federation of American Scientists is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. The Federation of American Scientists prohibits discriminating against employees and job applicants who inquire about, discuss, or disclose the compensation of the employee or applicant or another employee or applicant. Employment is contingent on successful verification of eligibility to work in the United States.
$70k-85k yearly Auto-Apply 54d ago
Benefits Manager
Latitude Inc.
Benefits consultant job in Columbia, MD
About the Opportunity A well-established, highly regarded professional services organization is seeking an experienced Benefits & Leave Administration Manager to lead and oversee its benefits and leave programs. This is a highly visible role within Human Resources, ideal for a seasoned professional who enjoys both hands-on administration and strategic process improvement.
The organization is looking for someone with deep experience who can step in confidently, assess current operations, and ensure smooth, compliant delivery of benefits and leave services. This contract-to-hire structure allows both the organization and the candidate to ensure long-term fit, with intent to convert for the right individual.
Position OverviewThe Benefits & Leave Administration Manager is responsible for the end-to-end administration, compliance, and optimization of employee benefits and leave programs. This role partners closely with HR leadership, Finance, and external vendors to ensure an excellent employee experience while maintaining regulatory compliance and operational efficiency.
Key ResponsibilitiesBenefits Administration & ComplianceOversee relationships with benefit vendors and third-party administrators Manage enrollments, terminations, beneficiary updates, COBRA, disability and life insurance claims, and retirement plan transactions Ensure compliance with applicable federal and state regulations (ERISA, ACA, HIPAA, etc.) Prepare and file ACA reporting (including 1095-C forms) Coordinate annual retirement plan audits, compliance testing, QDROs, and required filings
Leave AdministrationManage all leave of absence programs, including FMLA, ADA, short-term and long-term disability Maintain accurate documentation, coordinate benefits premium payments during leave, and communicate with employees and managers
Process Improvement & StrategyEvaluate current benefits and leave processes and implement improvements to increase efficiency and accuracy Support wellness initiatives, employee communications, and engagement efforts Partner with HR leadership to develop and deliver training related to benefits and leave policies Produce utilization reports and analysis to support leadership decision-making
Vendor & Financial OversightAudit vendor performance and billing accuracy Support contract negotiations, renewals, and cost management in collaboration with HR and Finance leadership
HRIS & SystemsServe as the subject matter expert for benefits and leave functionality within the HRISEnsure data integrity, troubleshoot issues, and support system enhancements or upgrades
QualificationsBachelor's degree in Human Resources, Business Administration, or a related field strongly preferred7-10+ years of progressive experience in benefits and leave administration, including leadership or senior-level responsibility Strong knowledge of benefits compliance and multi-state leave regulations Experience in a professional services or similarly structured corporate environment preferred Hands-on experience with HRIS platforms (experience with UKG is a plus but not required) Strong Excel and Microsoft Office skills Proven ability to manage vendors, oversee budgets, and navigate complex benefit programs Excellent communication skills with the ability to clearly explain complex topics and influence stakeholders Highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment
$59k-104k yearly est. Auto-Apply 12d ago
Benefits Manager
Amgen 4.8
Benefits consultant job in Washington, DC
**Join Amgen's Mission of Serving Patients** At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Benefits Manager
**What you will do**
Let's do this. Let's change the world. We are seeking a detail-oriented and compliance-focused Manager, U.S. Benefits to oversee the design, program execution, and regulatory oversight of our US health and welfare benefit programs, including Puerto Rico. This role is responsible for ensuring programs remain competitive, cost-effective, and compliant with federal, state, and local regulations. The ideal candidate will have strong expertise in US and Puerto Rico health benefits, demonstrated experience in compliance and regulatory monitoring, and the ability to collaborate across multiple functions and geographies.
**Roles & Responsibilities:**
Plan Design & Strategy
+ Partner with internal stakeholders and external consultants to design and evaluate US and Puerto Rico health and welfare benefit programs, ensuring alignment with Amgen's total rewards strategy and employee value proposition.
+ Assess plan competitiveness and recommend changes to improve cost efficiency, employee engagement, and alignment with business goals
+ Collaborate with global total rewards and internal communications teams to support benefit and equity education campaigns.
+ Partner with finance on budget, accrual and forecasting of self-funded plans
**Compliance & Regulatory Oversight**
+ Ensure health and welfare benefit programs comply with federal and state laws, including ERISA, ACA, HIPAA, COBRA, and other applicable legislation.
+ Monitor evolving legislation and regulatory changes, proactively advising on plan and policy implications.
+ Oversee annual compliance activities, including nondiscrimination testing, Form 5500 filings, and required notices.
**Employee Communication & Support**
+ Collaborate with internal communications and HR teams to design and deliver clear, employee-friendly education materials on health benefits.
+ Support employee inquiries with a focus on accurate, timely, and compliant responses.
+ Provide insights and reporting on plan utilization, cost trends, and regulatory developments to inform strategic decision-making.
**What we expect of you**
We are all different, yet we all use our unique contributions to serve patients. The [vital attribute] professional we seek is a [type of person] with these qualifications.
**Basic Qualifications:**
Doctorate degree
**Or**
Master's degree and 2 years of Human Resources/Benefits experience
**Or**
Bachelor's degree and 4 years of Human Resources/Benefits experience
**Or**
Associate's degree and 8 years of Human Resources/Benefits experience
**Or**
High school diploma/GED and 10 years of Human Resources/Benefits experience
**Preferred Qualifications:**
+ 6+ years of progressive experience in US health benefits, with strong knowledge of plan design, compliance, and administration.
+ Experience managing Puerto Rico health benefits preferred.
+ Knowledge of and experience with fully insured and self funded plans.
+ Deep understanding of federal and state health benefit regulations, including ERISA, ACA, HIPAA, and COBRA.
+ Experience leading vendor relationships and managing benefits in large, complex organizations.
+ Strong analytical, organizational, and communication skills with the ability to explain complex benefits topics clearly.
+ Ability to manage multiple priorities and regulatory requirements in a dynamic environment.
+ Strong knowledge of HRIS and benefit administration tools such as Workday, Conduent, Alight, or similar systems.
+ Excellent communication, organizational, and analytical skills.
**What you can expect from us**
As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way.
The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications.
In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include:
+ A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
+ A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
+ Stock-based long-term incentives
+ Award-winning time-off plans
+ Flexible work models where possible. Refer to the Work Location Type in the job posting to see if this applies.
**Apply now and make a lasting impact with the Amgen team.**
**careers.amgen.com**
In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information.
**Application deadline**
Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.
**Sponsorship**
Sponsorship for this role is not guaranteed.
As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.
Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
$86k-113k yearly est. 6d ago
Benefits Analyst (Claims Focused Analyst)
Inovalon 4.8
Benefits consultant 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.
How much does a benefits consultant earn in Newington, VA?
The average benefits consultant in Newington, VA earns between $53,000 and $132,000 annually. This compares to the national average benefits consultant range of $51,000 to $121,000.
Average benefits consultant salary in Newington, VA
$84,000
What are the biggest employers of Benefits Consultants in Newington, VA?
The biggest employers of Benefits Consultants in Newington, VA are: