Benefits Implementation Lead

100 Horizon Healthcare Services, Inc; Newark (NJ); On-site; USD 79,000 - 106,000; Full time

Benefits offered by this job

Health benefits

Retirement plans

Generous PTO

Incentive plans

Wellness programs

Volunteer time off

Tuition reimbursement

Job summary

Horizon BCBSNJ is seeking a detail‑oriented professional to interpret and document benefit and client profile information used across internal teams. You will prepare materials for client sign‑off and serve as the source for coding claim, enrollment systems and contracts.

You will lead off‑site client meetings, provide recommendations with cost implications, and coordinate with the Benefit Coding team to confirm production loading. A NJ license and CEBS are preferred.

Qualifications

• Bachelor's degree preferred or 5 years of equivalent health benefits experience.
• Requires 5+ years of benefit experience.
• Strong written communication skills and ability to interact with senior level individuals.

Responsibilities

• Interpret, document, review, update and issue all benefit and client documentation.
• Present documentation to clients for sign-off and use as source material for coding systems and contracts.
• Conduct off-site client meetings to review benefit documentation and obtain client validation.
• Coordinate internal reviews to ensure accurate interpretation of benefit paperwork.
• Review designs in new business proposals and develop counter recommendations for non‑standard benefits.
• Oversee enrollment/claims/billing issues for first 30 days of new accounts.

Skills

Strong written communication

Interacting with senior leaders

NJ Health/Life license

CEBS designation preferred

Education

Bachelor's degree preferred

5 years equivalent health benefits experience

Job description

Horizon BCBSNJ is seeking a detail‑oriented professional to interpret and document benefit and client profile information used across internal teams. You will prepare materials for client sign‑off and serve as the source for coding claim, enrollment systems and contracts.

You will lead off‑site client meetings, provide recommendations with cost implications, and coordinate with the Benefit Coding team to confirm production loading. A NJ license and CEBS are preferred.