Open Enrollment Benefits Consultant

PEPL; Atlanta (GA); On-site; USD 110,000 - 160,000; Full time

Job summary

PEPL seeks an experienced Benefits Consultant specializing in Workday Benefits Administration to optimize configurations, enrollment events, and carrier integrations. You will drive Open Enrollment and ensure secure data exchanges across systems.

Ideal candidates have 5+ years in Benefits Administration, multiple Workday implementations, and deep knowledge of ACA, COBRA, EDI feeds, and payroll interfaces to support accurate eligibility and data transmission.

Qualifications

• 5+ years of Benefits Administration experience
• Experience configuring Workday Benefits and benefit plans
• Experience leading Open Enrollment implementations
• Experience working with insurance carriers and benefits vendors

Responsibilities

• Configure and optimize Workday Benefits module and benefit plans
• Design enrollment events and security roles
• Develop EDI, XML, CSV integrations and data mappings
• Lead end-to-end Open Enrollment planning and execution
• Coordinate payroll and benefits data interfaces
• Ensure compliance with ACA, HIPAA, ERISA, COBRA
• Lead testing: unit, integration, UAT, eligibility
• Provide project management and stakeholder communications
• Develop documentation and SOPs
• Monitor ongoing data transmissions and exception handling

Skills

Workday Benefits Administration

EDI file integrations

Open Enrollment

Benefits configuration

ACA/ COBRA knowledge

Carrier connectivity

Education

Bachelor's degree in HR, IT, or related field

Tools

Workday

EDI specifications

Job description

We are seeking an experienced Benefits Consultant with deep expertise in Workday Benefits Administration, EDI file integrations, carrier implementations, and automated Open Enrollment processes. This consultant will serve as the subject matter expert responsible for assessing current benefits administration processes, configuring Workday Benefits, implementing carrier file feeds, improving automation, and ensuring seamless enrollment and eligibility data transmission between Workday and insurance carriers.

The ideal candidate has successfully led multiple Workday Benefits implementations or optimizations and possesses extensive knowledge of benefit plan configuration, eligibility rules, event processing, ACA requirements, COBRA integrations, carrier connectivity, and benefits administration best practices.

This role works closely with HR, Payroll, IT, Benefits vendors, insurance carriers, and third-party administrators to deliver scalable and compliant benefits operations.

Primary Responsibilities

Workday Benefits Administration

• Configure and optimize Workday Benefits module
• Build and maintain benefit plans, plan options, eligibility rules, and enrollment events
• Configure life event processing and benefit event workflows
• Design benefit security roles and business processes
• Maintain benefit rates and employer contribution structures
• Support annual plan renewals and benefit updates
• Configure passive and active enrollment strategies
• Ensure compliance with Workday best practices

Lead the end-to-end Open Enrollment process including:

• Open Enrollment project planning
• Communication support
• Enrollment validation
• Exception management

Develop automated enrollment workflows that reduce manual intervention while improving employee experience.

Serve as the technical lead for benefits data integrations including:

• Requirements gathering
• Mapping benefit eligibility data
• Developing EDI specifications
• Building inbound/outbound integrations
• Production migration
• Ongoing monitoring

EDI File Management

Design, implement, and support:

• ANSI 834 files
• XML integrations
• CSV file feeds
• API integrations (where applicable)
• SFTP connectivity
• Secure file transmission
• Scheduled integrations
• Exception reporting

Lead all phases of testing including:

• Unit testing
• System Integration Testing
• User Acceptance Testing
• Eligibility testing

Payroll Integration

Partner with Payroll to ensure:

• Benefit deductions calculate correctly
• Payroll interfaces function properly
• Retroactive adjustments process correctly
• Deduction codes align with benefit plans
• Payroll reconciliation processes are established

Compliance

Ensure compliance with:

• ACA
• HIPAA
• ERISA
• COBRA
• IRS Section 125
• Affordable Care Act reporting
• Benefit eligibility regulations
• Privacy and security standards

Project Management

Lead benefits technology projects including:

• Project planning
• Timeline management
• Stakeholder communication
• Go-live support
• Documentation

Process Improvement

Evaluate current processes and recommend improvements including:

• Workflow automation
• Manual process elimination
• Employee experience enhancements
• Reporting automation
• Standard Operating Procedures (SOPs)

Documentation

Develop and maintain:

• Process maps
• SOPs
• EDI specifications
• Testing scripts

Qualifications

Required Experience

• Bachelor's degree in Human Resources, Business, Information Systems, or related field
• 5+ years of Benefits Administration experience
• 3+ years configuring Workday Benefits
• Multiple Workday Benefits implementations or optimization projects
• Extensive experience implementing EDI carrier feeds
• Experience leading Open Enrollment implementations
• Strong understanding of benefits administration operations
• Experience working directly with insurance carriers