Benefit Specialist

Posted 2 Days Ago
Be an Early Applicant
Denver, CO, USA
Hybrid
23-27 Hourly
Junior
Healthtech • HR Tech • Software
Rightway is a technology and services company on a mission to simplify the healthcare experience.
The Role
Maintains accurate healthcare benefits information and member-facing tools, audits content quality, answers benefit questions, and collaborates with navigation, customer success, and implementation teams. The role communicates complex medical, pharmacy, dental, and vision benefits in plain language, supports provider research during peak periods, and helps improve operational processes and scalability.
Summary Generated by Built In

*This is a hybrid role (3 days in office, 2 days WFH) based at our office in the Denver Tech Center area

ABOUT THE ROLE:

The Benefits Specialist role, under the direction of the Senior Manager of Operations Enablement, and in close collaboration with the Navigation Delivery leadership, Customer Success and Implementation teams, is responsible to ensure that our Navigation Team is best equipped to launch and support new and renewing customers. The role may also require external member and client communication responsibilities as needed.

WHAT YOU’LL DO:

  • Source, analyze and maintain up to date information in order for our Health Guides to best support our members with benefit options and available programs and services. 
  • Conduct quality audits and maintain accountability for accuracy
  • Maintenance of our content management system as well as the member-facing benefits tools, primarily focused on small group and mid-sized clients.
  • Partner cross-functionally with internal stakeholders to assess priorities for navigating benefit ecosystem.
  • Answers benefit questions; ensures members understand their options and shared financial responsibility, e.g.  deductibles, coinsurance, and out of pocket maximum
  • During peak periods, supports the navigation team by sourcing high-quality care providers based on a member’s needs and preferences

WHO YOU ARE:

  • Demonstrates in-depth understanding of healthcare benefits, i.e. medical, pharmacy, dental, vision.
  • Demonstrates ability to synthesize benefit information, healthcare jargon, and communicate in plain language.
  • Analytic skills set required, i.e. research and analyze information related to the client’s benefit offerings and ecosystem.
  • Impeccable communication, both verbal and written, skills.
  • Proficient technological ability / literacy, i.e., computer literacy, content management system experience a plus.
  • Proficient in Microsoft Office including but not limited to Excel, Word, GoogleDocs/sheets, etc.
  • Demonstrated ability to work independently.
  • Goal oriented and ability to meet demanding deadlines.
  • Ability to adapt to changing priorities and business demands.
  • Ability to multitask and manage more than one project at a time.
  • Continuous process improvement mindset and desire to enable NavOps to scale. 
  • Ability to translate complex competencies into common speak.
  • Ability to organize work and documents that may come from disparate sources.
  • Clearly organize information in a logical flow.

QUALIFICATIONS:

  • 2 - 3 years of experience in benefits administration or the healthcare industry strongly preferred.
  • Proven background in working with healthcare benefit structures (medical, pharmacy, dental, vision) and member tools.
  • Demonstrated proficiency with content management systems and data analysis in an operations or enablement role.
  • Experience in external customer or client-facing roles, with the ability to engage directly with external clients strongly preferred

COMPENSATION: $23.00 - $27.00/hr

Compensation offered will be determined by geographic location, experience, and qualifications.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. 

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $300mm from investors including Khosla Ventures, Thrive Capital, Francisco Partners, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our core values:

1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.

Skills Required

  • 2–3 years of experience in benefits administration or the healthcare industry
  • In-depth understanding of medical, pharmacy, dental, and vision healthcare benefits
  • Experience working with healthcare benefit structures and member tools
  • Proficiency with content management systems
  • Experience with data analysis in an operations or enablement role
  • External customer or client-facing experience
  • Strong verbal and written communication skills
  • Proficiency with Microsoft Office, including Excel and Word, and Google Docs/Sheets
  • Ability to work independently and meet demanding deadlines
  • Ability to adapt to changing priorities and manage multiple projects

Rightway Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Rightway and has not been reviewed or approved by Rightway.

  • Healthcare Strength — Core coverage includes full medical, dental, and vision insurance with an HSA option, alongside additional health and wellness resources. These offerings present a comprehensive baseline of healthcare support.
  • Leave & Time Off Breadth — Time off is positioned as ample, with PTO, paid sick days, holidays, and parental leave noted across employer materials. This breadth supports rest, recovery, and family needs.
  • Wellbeing & Lifestyle Benefits — Perks span hybrid work, commuter benefits, in-office meals/snacks, wellness initiatives, ERGs, home-office stipends, and learning/development programs. These elements enhance everyday experience beyond core pay and insurance.

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The Company
HQ: New York, NY
400 Employees
Year Founded: 2017

What We Do

Our care navigation and pharmacy benefits management solutions are delivered through a consumer-centric app that pairs every member with a live, clinician-led care team. By combining expert, human guidance with intuitive technology, Rightway drives members towards the best care and medication at the best price while eliminating wasteful and preventable spend.

Why Work With Us

Rightway is a company of real humans helping real humans. Join a team that's creating a better healthcare experience for all. Nothing is more important to us than the health and happiness of our members — and our employees.

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