Health Benefits Implementation Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership and oversee the implementation projects for both new and existing self-funded health benefit clients from the initial kickoff to the go-live stage.

• Create, manage, and uphold comprehensive implementation project plans, including timelines, milestones, deliverables, and tracking documentation.

• Facilitate implementation kickoff meetings, status updates, and other client-centric discussions with client leadership, brokers, vendors, and internal stakeholders.

• Collect, document, and validate client requirements associated with the setup and implementation of benefit plans.

• Coordinate implementation efforts across internal operational teams and external partners to guarantee accurate and timely delivery.

• Identify project risks, dependencies, delays, and implementation challenges, guiding them towards resolution.

• Manage multiple implementations and competing deadlines while ensuring clear ownership of deliverables and follow-up actions.

• Clearly communicate project status, risks, decisions, and next steps to clients and internal stakeholders.

• Coordinate implementation requirements related to self-funded medical plans and associated benefit services such as claims administration, eligibility, HSAs, FSAs, COBRA, and other relevant services.

• Cultivate strong working relationships with clients, brokers, vendors, and cross-functional internal teams.

• Maintain accurate implementation documentation and contribute to the ongoing enhancement of implementation processes, templates, and standards.

• Perform other related duties as assigned.

⛳️ Requirements

• A minimum of 2 years of direct experience in health insurance, TPA, or employee benefits implementation.

• Proven experience in implementing or supporting self-funded employer health benefit plans.

• Experience in managing implementation projects that involve multiple internal departments, external partners, and client stakeholders.

• Strong project management and coordination skills, including the ability to create and manage project plans, timelines, milestones, dependencies, and deliverables.

• Demonstrated experience leading client-facing implementation meetings, kickoff meetings, and discussions with stakeholders.

• Working knowledge of the self-funded benefits/TPA environment, including claims administration, eligibility, plan setup, HSAs, FSAs, and COBRA.

• Ability to manage multiple concurrent projects and priorities while adhering to established deadlines.

• Excellent written and verbal communication skills, with the ability to effectively communicate with client management and internal leadership.

• Strong problem-solving abilities to identify implementation risks and drive issues to resolution.

• Proficiency in Microsoft Office, especially Excel and PowerPoint, and the ability to learn web-based implementation/project management systems.

• Associate’s degree or relevant industry experience equivalent.

• Willingness to travel up to 10% during peak implementation periods.

• Must meet employment eligibility verification requirements through E-Verify.

🏝️ Benefits

• Excellent medical, dental, and vision insurance.

• Biannual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible.

• Company-provided Basic Life and AD&D insurance.

• Employer-paid Short-Term and Long-Term Disability insurance.

• Flexible Spending Accounts available.

• 401(k) Retirement Plan with up to a 6% employer match.

• 100% fully vested after 3 years of service.

• Over 10 paid holidays each year.

• Fully paid half-day Summer Fridays.

• Generous paid vacation and sick time.

• Annual Paid Volunteer Day.

• Annual Tuition Reimbursement.

• Annual Health and Wellness Reimbursement.

• Fun company events throughout the year.

• Eligibility for hybrid or fully remote work, depending on candidate location and business needs.