Deliver Personalized Support

• Serve as the dedicated resource for client HR teams, providing personalized benefits support and guidance that enhances the employee experience.
• Build trusted client partnerships while delivering a seamless benefits experience and exceptional customer service.

Resolve Complex Issues

• Own and resolve escalated service issues, including complex claims, appeals, authorizations, eligibility inquiries, and incentive-related questions.
• Coordinate with internal and external partners to ensure timely and effective outcomes.

Collaborate Across Internal Team

• Partner closely with Client Service Executives, account managers, implementation teams, clinical partners, operations teams, and other cross-functional stakeholders to address service needs and improve outcomes.

Educate and Guide

• Educate employees on plan options, benefit resources, and how to maximize their healthcare benefits.
• Deliver presentations, benefit education sessions, and communications that simplify complex healthcare information and drive employee engagement.

Support Key Client Events

• Assist with new hire onboarding, open enrollment activities, health fairs, and employee engagement initiatives.
• Partner with client HR teams to promote awareness and participation in benefit programs.

Promote Health and Wellness

• Support and coordinate onsite wellness initiatives aligned with client goals.
• Encourage employee engagement in wellness programs and available health resources.

Drive Client Success

• Identify trends and opportunities to enhance employee experience and program performance.
• Deliver strategic insights and solutions that improve client outcomes and access to care.

Required Qualifications:

• High School Diploma or GED required.
• Minimum 3 years of experience in healthcare, pharmacy, PBM, benefits administration, or a related client-facing role.
• Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook) and benefits administration platforms.
• Strong relationship-building, problem-solving, communication, and presentation skills.
• Ability to manage multiple priorities independently in a fast-paced environment.
• Experience conducting presentations, employee education, or wellness initiatives.
• Flexible schedule availability

Job Data by YubHub.