Benefits Operations Coordinator

Scion Staffing, Inc.

New York (NY)

Hybrid

USD 68,000 - 72,000

Full time

7 days ago
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Benefits offered by this job

Competitive annual salary, $68,000–$72
Hybrid schedule with two remote days
Employer-covered health insurance
401(k) with employer matching
Additional pension plan and benefits

Job summary

Scion Staffing, Inc. is seeking an experienced Health Benefits Operations Specialist in Lower Manhattan, NY.

The role focuses on benefits administration, analysis, and reporting for supplemental health programs with emphasis on prescription drug and dental benefits. The ideal candidate will have a strong health benefits background, advanced Excel skills, and the ability to interpret complex benefits information while delivering top-tier member service.

Qualifications

  • Bachelor's degree required, with 6–8 years of health benefits administration experience (approximately 5 years may be considered).
  • Advanced Microsoft Excel proficiency including pivot tables, XLOOKUP, data validation and complex formulas.
  • Strong knowledge of prescription drug and dental benefits; experience with benefits administration databases.
  • Proficiency with MS Office and ability to learn proprietary systems; strong communication and analytical skills.

Responsibilities

  • Serve as primary point of contact for members, answering inquiries and guiding on prescription drug and dental coverage.
  • Assist with formulary management, copay structures, prior authorizations, and vendor-related processes.
  • Process enrollments, changes, and terminations; maintain accurate eligibility and enrollment records.
  • Analyze large datasets, prepare reports, and use Excel to identify trends and support decisions.
  • Prepare monthly billing reports and support audits, compliance, and financial record accuracy.
  • Collaborate with internal teams and external vendors to resolve issues and improve processes.

Skills

Analytical thinking
Attention to detail
Member service

Education

Bachelor's degree

Tools

Microsoft Excel
Microsoft Access

Job description

S cion Staffing has been engaged to conduct a confidential search for an experienced Health Benefits Operations Specialist on behalf of an established organization in New York, NY (Lower Manhattan). This is an excellent opportunity for a detail-oriented benefits professional to support the administration, analysis, and reporting of supplemental health benefits programs, with a particular focus on prescription drug and dental benefits. The ideal candidate brings a strong background in health benefits administration, advanced Microsoft Excel capabilities, and the ability to interpret complex benefits information while delivering exceptional member service. This position is well suited for someone who enjoys combining analytical responsibilities with direct member support, vendor coordination, and accurate benefits administration.

PERKS
  • Competitive annual salary of $68,000–$72,000, with flexibility for exceptionally qualified candidates.
  • Hybrid work schedule with two remote days per week.
  • Employer-covered health insurance for participating employees.
  • 401(k) retirement plan with employer matching contributions.
  • Additional pension plan and comprehensive benefits package.
RESPONSIBILITIES
  • Serve as a primary point of contact for members, responding to benefits inquiries, explaining coverage, resolving concerns, and providing accurate guidance regarding prescription drug and dental benefits.
  • Assist members with prescription drug formularies, copayment structures, prior authorizations, and vendor-related processes while identifying and escalating recurring issues.
  • Process benefit enrollments, changes, and terminations while maintaining accurate membership, eligibility, and enrollment records across internal databases and vendor platforms.
  • Analyze large datasets, prepare reports, and utilize advanced Excel functions to identify trends, investigate discrepancies, and support benefits administration decisions.
  • Prepare monthly billing reports, reconcile enrollment and vendor data, and support eligibility audits, compliance reporting, and financial record accuracy.
  • Collaborate with internal stakeholders and third-party benefits vendors to resolve operational issues, improve processes, and ensure efficient delivery of supplemental health benefits.
QUALIFICATIONS
  • Bachelor's degree required, along with 6–8 years of experience in health benefits administration or a related field; candidates with approximately 5 years of highly relevant experience will be considered.
  • Advanced Microsoft Excel proficiency, including pivot tables, XLOOKUP, data validation, complex formulas, and the ability to analyze and manipulate large datasets.
  • Strong knowledge of prescription drug benefits, including formularies, copayment structures, prior authorizations, and related administration processes; dental benefits experience is preferred.
  • Proficiency with Microsoft Office, Microsoft Access, and benefits administration databases, with the ability to learn proprietary systems and maintain accurate records.
  • Excellent written and verbal communication, analytical, organizational, and problem-solving skills, with the ability to work independently, manage competing priorities, and provide exceptional member service.
  • Experience with multi-employer benefit plans, HIPAA, or union benefits is a plus.
COMPENSATION & SCHEDULE
  • This is a full-time, direct-hire opportunity based in Lower Manhattan, New York, NY.
  • Offering an annual salary of $68,000–$72,000, commensurate with experience.
  • Additional compensation flexibility may be considered for exceptionally qualified candidates.
  • The position follows a hybrid schedule, with onsite work required Tuesday, Wednesday, and Thursday, and remote work on Monday and Friday.
  • Standard working hours are 9:00 AM–5:00 PM.
  • The hybrid arrangement is subject to change based on organizational needs.

Scion Staffing is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or any other protected class.

We are committed to the principles of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and the candidates we represent.

For opportunities located in a region that has enacted fair chance, arrest, or conviction based employment ordinances, Scion Staffing proactively follows the enacted guidance and considers for employment all qualified applications with arrest and conviction records.

We engage in socially conscious business practices and believe that diverse, equitable, inclusive, and non-biased talent and recruitment processes are foundational to the success of Scion as well as every client organization with whom we partner.

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