Benefit Specialist

RightwayDenver, CO
$44,000 - $55,000Remote

About The Position

The Benefits Specialist role, under the direction of the Manager of Operations Enablement, and in close collaboration with the Navigation Delivery leadership, Customer Success and Implementation teams, is responsible to ensure that our Navigation Team is best equipped to launch and support new and renewing customers. The role may also require external member and client communication responsibilities as needed.

Requirements

  • Demonstrates in-depth understanding of healthcare benefits, i.e. medical, pharmacy, dental, vision.
  • Demonstrates ability to synthesize benefit information, healthcare jargon, and communicate in plain language.
  • Analytic skills set required, i.e. research and analyze information related to the client’s benefit offerings and ecosystem.
  • Impeccable communication, both verbal and written, skills.
  • Proficient technological ability / literacy, i.e., computer literacy, content management system experience a plus.
  • Proficient in Microsoft Office including but not limited to Excel, Word, GoogleDocs/sheets, etc.
  • Demonstrated ability to work independently.
  • Goal oriented and ability to meet demanding deadlines.
  • Ability to adapt to changing priorities and business demands.
  • Ability to multitask and manage more than one project at a time.
  • Continuous process improvement mindset and desire to enable NavOps to scale.
  • Ability to translate complex competencies into common speak.
  • Ability to organize work and documents that may come from disparate sources.
  • Clearly organize information in a logical flow.

Nice To Haves

  • content management system experience a plus

Responsibilities

  • Source, analyze and maintain up to date information in order for our Health Guides to best support our members with benefit options and available programs and services.
  • Conduct quality audits and maintain accountability for accuracy
  • Maintenance of our content management system as well as the member-facing benefits tools, primarily focused on small group and mid-sized clients.
  • Partner cross-functionally with internal stakeholders to assess priorities for navigating benefit ecosystem.
  • Answers benefit questions; ensures members understand their options and shared financial responsibility, e.g. deductibles, coinsurance, and out of pocket maximum
  • During peak periods, supports the navigation team by sourcing high-quality care providers based on a member’s needs and preferences

Benefits

  • We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success. Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
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