Justworks-posted 24 days ago
$97,000 - $106,700/Yr
Full-time • Mid Level
Hybrid • New York, NY
1,001-5,000 employees
Professional, Scientific, and Technical Services

At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program offerings, company retreats, and the ability to interact with and learn from leaders in the startup community. We work hard and care about our most prized asset - our people. We're helping businesses get off the ground by enabling them to focus on running their business. We solve HR issues. We're data-driven and never stop iterating. If you'd like to work in a supportive, entrepreneurial environment, are interested in building something meaningful and having fun while doing it, we'd love to hear from you. We're united by shared goals and shared motivations at Justworks. These are best summed up in our company values, which are reflected in our product and in our team. You have a knack for process innovation and project management. You build from scratch, find solutions, and think creatively to enhance team productivity and processes. You possess an ability to perform complex analysis, develop findings and improve project operations critical to the Insurance Benefits team. As the Medical Insurance Benefits Operations Specialist, you will be tasked with developing processes and strategies to ensure that larger projects function and operate as intended. Your responsibilities will encompass onboarding, overseeing, and managing the new and existing projects related to the Medical Insurance Benefits. Your role will require engagement with stakeholders from various sectors including external Broker Partners and State Agencies and internal teams including the Medical team, Product and Engineering, Internal Audit, and Finance. The Benefits Operations Specialist will help shape the Medical Insurance benefits at Justworks by managing projects related to customer risk, premiums, compliance, and payroll information. This position will impact the operating procedures of the team by understanding customer and policy data and recommending process changes to ensure customer and PEO compliance.

  • Create and manage new and existing projects related to the Medical Carrier Benefits including but not limited to:
  • Documentation management
  • Medical Carrier Arbitration Recertification
  • Annual Business Reviews
  • State Licensing Renewal
  • Massachusetts Health Insurance Responsibility Disclosure Filing (MA HIRD)
  • Summary Annual Report and Form 5500 Filing
  • Medicare Part D Testing & Notices
  • Ensure the success of analytical aspects of major projects.
  • Work with the other Insurance Benefits Operations teams to evaluate current processes and implement solutions to manual procedures.
  • Communicate across various departments to make recommendations on processes to improve the operational efficiency of the Operations team and performance of the plan.
  • Collaborate with stakeholders from government agencies, employer groups, and individuals to gather insights into industry challenges, requirements, and desired outcomes.
  • Develop and implement strategies to optimize the efficiency and effectiveness of the Medical Insurance Benefits to identify areas for improvement.
  • Prioritize updates based on user feedback, regulatory changes, and technological advancements.
  • Ensure compliance with relevant regulations and guidelines governing Medical Insurance Benefits.
  • Keep up to date with current employment security laws, policies, and procedures.
  • Partner with internal and external stakeholders to implement new benefit offerings related to our Insurance products.
  • Perform other related responsibilities as needed based on department and/or organizational needs.
  • 3-5 years of work experience in operations or project management - experience in Health Insurance or financial sector strongly preferred
  • Prior project management experience required; PMP certification preferred
  • Experience working with PEOs preferred
  • Excellent written and verbal communication skills; skilled in presenting and hosting meetings, trainings, and knowledge-sharing sessions
  • Technologically savvy; experience with utilizing multiple systems and software programs
  • Familiarity with business process management activities (process mapping, improvement, implementation, etc.)
  • Demonstrated leadership skills and ability to take initiative and work effectively on one's own
  • welcoming and casual environment
  • great benefits
  • wellness program offerings
  • company retreats
  • the ability to interact with and learn from leaders in the startup community
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