Benefits Director jobs in Rhode Island

Benefits Director oversees the development, implementation, administration, and maintenance of benefits programs, policies, and procedures. Ensures programs are chosen to be equitable, meet employee needs, comply with legal requirements, and to be cost effective. Being a Benefits Director establishes practices for evaluating existing benefits programs against peer organizations to determine competitiveness, trends and developments. Makes high-level decisions to modify existing benefits programs or institute new ones. Additionally, Benefits Director requires a bachelor's degree. May require Certified Employee Benefits Specialist (CEBS). Typically reports to top management. The Benefits Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Benefits Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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PBM Implementation Specialist
  • Amwins Group Benefits, LLC
  • North, RI FULL_TIME
  • PURPOSE:The Implementation Specialist is responsible for leading and managing the implementation of new client healthcare plans based on client benefits and regulatory specifications. The Implementation Specialist will also help facilitate enterprise-wide projects, program renewals, analysis, and continuous process improvement initiatives. The Implementation Specialistposition may also be called upon to implement new regulatory changes that impact our business.
    RESPONSIBILITIES:
    • Lead new employer, Union, and TPA implementation processes, including driving client, consultant/broker, and data partner meetings to gather and document requirements for internal and external teams.
    • Manage downstream entities, new group setup, and changes to meet expected deadlines and client expectations for multiple products, including Medicare and Commercial.
    • Provide clear direction and oversight to internal and external stakeholders through Implementation and projects despite potentially challenging or complex requirements.
    • Gather client benefit setup terms and effectively communicate to applicable stakeholders for new group setup.
    • Ensure operational and system readiness for client launch through collaboration and consultation with applicable stakeholders.
    • Identify project risks and mitigation strategies, ensuring communication with the appropriate stakeholders.
    • Monitor go-live claim activity to identify potential issues and facilitate response plans to implement concise solutions.
    • Help maintain benefit rework occurrences below 5% (as measured by both client event and situational event).
    • Demonstrate flexibility in adjusting requirements to minimize risk or based on client requirements.
    • Log all new/change requests to manage deliverable dates
    • Manage all signoffs by filing all documents to evidence the requirements and signoffs
    • Manage Implementation for accuracy and timeliness:
      • Document and maintain process that ensures timely, authorized updates
      • Provide documents for review by all key stakeholders
      • Maintain Client signoff document
      • Common document agreeable for Amwins and Envision with agreed-upon definitions of all items
      • Define and maintain implementation timeline to provide Sales and Account Management with expected timeframes for common scenarios
    Requirements:
    Education/Experience:
    • 3-5 years of experience in a similar role or project management; Bachelor's degree or combination of education and offsetting experience. Client-facing experience a plus
    Skills & Qualifications:
    • Broad understanding of health benefits plan setups (deductibles, copays, drug coverage, accumulators, eligibility).
    • Demonstrated Project Management and/or business analyst knowledge and applied experience, preferably in the healthcare industry.
    • Strong interpersonal communication skills, including team leadership, conflict resolution, and meeting leadership/facilitation with various internal and external leaders
    • Experience with project management software and data reporting tools a strong plus.
    • Experience or knowledge of pharmacy benefit manager and Medicare Part D a strong plus.
    • Must be a self-starter and can solve issues independently and collaboratively.
    • Goal-oriented.
    • Significant ingenuity and flexibility are expected.
    • Demonstrates initiative to learn more and take on challenges.
    • Strong written and verbal communication skills required.
    • Must be able to motivate people to accomplish goals with allotted resources.
    • Excellent leadership, organization, and prioritization skills.
    • Ability to effectively multi-task, independently prioritize work, and meet deadlines.
    • Strong attention to detail and accuracy.
    • Excellent teamwork abilities, flexibility, diligence, and organization skills.
  • 10 Days Ago

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Trainer - Quality Analytics Team
  • Amwins Group Benefits, LLC
  • North, RI FULL_TIME
  • PURPOSE: The Trainer will be working with various individuals to document processes with the purpose of using this documentation to develop training curricula and create training aids. As part of lear...
  • 8 Days Ago

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Benefits - Benefits Analyst
  • The Hilb Group
  • Warwick, RI FULL_TIME
  • Benefits Analyst Currently seeking a Benefits Analyst for an exciting opportunity within the benefits division of a US brokerage agency in Warwick, RI. Offices are throughout New England, but this pos...
  • 22 Days Ago

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Director
  • Rhode Island College
  • Providence, RI FULL_TIME
  • The offices within the Rhode Island College Center for Health and Wellness provide confidential, holistic primary health care, counseling and mentorship through case management to enhance the academic...
  • 2 Months Ago

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Benefits Specialist
  • Premier Staffing Source, Inc.
  • Providence, RI TEMPORARY
  • Premier Staffing Source, Inc. is seeking a Benefits Specialist to work an assignment in Providence, RI. The Benefits Specialist reports to the Administrator, Operations Management in the Employee Bene...
  • 7 Days Ago

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Benefits Administrator
  • Talent groups
  • Providence, RI CONTRACTOR
  • Job Description:The Benefits Specialist reports to the Administrator, Operations Management in the Employee Benefits Unit and assists in the administration and maintenance of a variety of employee ben...
  • 7 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Director jobs
$172,643 to $226,604

Benefits Director in Longview, TX
Immigration officials will now have more leeway to turn away those who are “likely to be a public charge” based on an evaluation of 20 factors, ranging from the use of certain public benefits programs — including food stamps, Section 8 housing vouchers, and Medicaid — to English language proficiency.
January 28, 2020
Benefits Director in Pittsburgh, PA
Baldrick’s Foundation, one of 79 grants awarded by the Foundation this summer, the Treehouse Initiative will expand its work internationally and will bring the potential clinical benefits of real-time data sharing to hundreds of difficult-to-treat pediatric cancer patients in the U.S.
February 13, 2020
Benefits Director in Utica, NY
In this post, guest writer, David Wilson, CEO of Fosway Group , dives into the 6 major benefits of integrating HR systems so you can focus on the important stuff.
December 23, 2019