Benefit Specialist

Socket.dev; Portland (OR); On-site; USD 29,000 - 36,000; Full time

Job summary

Rightway is seeking a Benefits Specialist to support the Navigation Team in launching and supporting new and renewing customers. The role collaborates with Operations Enablement, Navigation Delivery leadership, Customer Success and Implementation to ensure smooth customer journeys and external communications as needed.

You will source, analyze and maintain information for Health Guides; audit data for accuracy; manage CMS and member-facing tools; work with internal partners to prioritize

Qualifications

• Deep understanding of healthcare benefits (medical, pharmacy, dental, vision).
• Ability to translate benefit information into plain language.
• Strong data analysis and research skills related to benefits offerings.
• Proficient in Microsoft Office and content management systems.

Responsibilities

• Source, analyze and maintain up-to-date information for Health Guides and benefit options.
• Conduct quality audits and maintain accountability for accuracy.
• Maintain CMS and member-facing benefits tools for small to mid-sized clients.
• Partner cross-functionally with internal stakeholders to set navigational priorities.
• Answer benefit questions and explain options, deductibles, coinsurance, and OOP max.
• Sourcing high-quality care providers during peak periods based on member needs.

Skills

Benefits knowledge

Analytical thinking

Communication skills

Independent worker

Multitasking

Microsoft Office

CMS experience

Tools

CMS

Job description

ABOUT THE ROLE:

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.

WHAT YOU’LL DO:

• 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

WHO YOU ARE:

• 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.

COMPENSATION: $21.15 - $26.44 hourly.

Compensation offered will be determined by geographic location, experience, and qualifications.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our core values:

1. We are human, firstOur 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 possibleWe 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 commitWe 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 gritChanging 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 delightHealthcare 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 proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.