Benefit Specialist

🔥 44 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $23 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 3%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Rightway

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $100M Series C on 2021-03

Healthcare • Healthcare Insurance • SaaS

Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.

📋 Description

• Source, analyze and maintain up to date information so Health Guides can support members with benefit options and available programs and services. • Conduct quality audits and maintain accountability for accuracy. • Maintain the content management system and member-facing benefits tools, primarily for small group and mid-sized clients. • Partner cross-functionally with internal stakeholders to assess priorities for navigating the benefit ecosystem. • Answer benefit questions and ensure members understand options and shared financial responsibility, including deductibles, coinsurance, and out-of-pocket maximums. • During peak periods, support the navigation team by sourcing high-quality care providers based on members’ needs and preferences. • Collaborate with Navigation Delivery leadership, Customer Success, and Implementation teams to equip the Navigation Team to launch and support new and renewing customers. • Provide external member and client communication 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; 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. • 2 - 3 years of experience in benefits administration or the healthcare industry strongly preferred. • Proven background in working with healthcare benefit structures (medical, pharmacy, dental, vision) and member tools. • Demonstrated proficiency with content management systems and data analysis in an operations or enablement role. • Experience in external customer or client-facing roles, with the ability to engage directly with external clients strongly preferred.