Rightway Logo

Rightway

Benefit Specialist

Posted 17 Days Ago
Be an Early Applicant
Remote or Hybrid
2 Locations
44K-55K Annually
Mid level
Remote or Hybrid
2 Locations
44K-55K Annually
Mid level
Support Navigation Team by sourcing, analyzing, and maintaining benefit information and member-facing content. Conduct quality audits, maintain CMS and benefits tools, answer member benefit questions, and partner cross-functionally to prioritize benefit navigation. Provide provider sourcing support during peak periods.
The summary above was generated by AI

ABOUT THE ROLE:

The Benefits Specialist role, under the direction of the 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.

COMPENSATION: $21.15 - $26.44 hourly

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 $200mm from investors including Khosla Ventures, Thrive Capital, 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.

Rightway Denver, Colorado, USA Office

Denver, CO, United States

Similar Jobs

10 Days Ago
In-Office or Remote
United States
40K-163K Annually
Mid level
40K-163K Annually
Mid level
Agency • Information Technology
Configure and maintain QNXT benefit plans and hierarchies; perform data formatting, validation, unit testing, and error remediation; analyze claims and data to identify configuration gaps; create/maintain UM authorization templates; write intermediate SQL queries; lead stakeholder communications; identify automation opportunities using automation tools/GenAI; support performance tuning and system optimization.
Top Skills: Automation ToolsGenaiQnxtSQL
18-28 Hourly
Entry level
HR Tech • Consulting
Perform quality audits and controls for benefits administration (COBRA/LOA/retiree), own reports and process documentation, support system testing and bug validation, identify process gaps, assist onboarding/offboarding, support client inquiries, approve refunds, train and liaise with internal teams to drive process improvement and ensure accurate end-to-end resolution.
Top Skills: LookupsMicrosoft Excel (PivottablesNested Functions)SaaS
16 Days Ago
In-Office or Remote
2 Locations
19-42 Hourly
Senior level
19-42 Hourly
Senior level
Fitness • Healthtech • Retail • Pharmaceutical
Reviews and adjudicates medical claims, providing guidance on escalated issues, ensuring compliance, and mentoring team members for improved performance.
Top Skills: Dg System KnowledgeMedical Claim Processing

What you need to know about the Colorado Tech Scene

With a business-friendly climate and research universities like CU Boulder and Colorado State, Colorado has made a name for itself as a startup ecosystem. The state boasts a skilled workforce and high quality of life thanks to its affordable housing, vibrant cultural scene and unparalleled opportunities for outdoor recreation. Colorado is also home to the National Renewable Energy Laboratory, helping cement its status as a hub for renewable energy innovation.

Key Facts About Colorado Tech

  • Number of Tech Workers: 260,000; 8.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lockheed Martin, Century Link, Comcast, BAE Systems, Level 3
  • Key Industries: Software, artificial intelligence, aerospace, e-commerce, fintech, healthtech
  • Funding Landscape: $4.9 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Access Venture Partners, Ridgeline Ventures, Techstars, Blackhorn Ventures
  • Research Centers and Universities: Colorado School of Mines, University of Colorado Boulder, University of Denver, Colorado State University, Mesa Laboratory, Space Science Institute, National Center for Atmospheric Research, National Renewable Energy Laboratory, Gottlieb Institute

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account