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Healthcare Benefits Specialist/Business Specialist

Pyramid Consulting, Inc - Philadelphia, PA

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Job Description

Immediate need for a talented Healthcare Benefits Specialist/Business Specialist. This is a 06+ Months Contract opportunity with long-term potential and is located in Philadelphia, PA (Hybrid). Please review the job description below and contact me ASAP if you are interested.Job ID:25-72548Pay Range: $22 - $28/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities:Create, update, and maintain year over year product portfolios – Medical, RX, Vision, Dental.Package defined standard products as defined by Product Management.Coordinate auditing (validation) efforts with team members, Product Teams, and others as required.Track changes and update necessary portfolio processing grids.Process requests for custom benefit option updates: including language, cost sharing data, creation and/or update of standard and custom Benefit Highlights, SBCs.Support corporate, state, federal mandates, or project requirements around benefit documentation.Generate, save, post files, and ensure document availability to designated drives, links/URLs, portals, BFOL, etc.Perform User Acceptance testing for Product Configurator System Releases.Manage translation requests for SBCs, Benefit Highlights, and Member Benefit Booklets.Coordinate with vendor, tracking, and payment processing.Participate in ad-hoc projects and assignments to support departmental and corporate initiatives and goals, and other duties, as assigned.Key Requirements and Technology Experience:Skills-Healthcare, Auditing, Claim VerificationBachelor’s degree in marketing, Business Communications/Administration, related field or equivalent work experience.3 years of related work experience with Product or Benefits.Strong organizational, written, and oral communication skills.Proven ability to interact with all levels of management.Strong troubleshooting and problem-solving skills. Must be able to effectively communicate potential problems as well as support workable solutions.Ability to work in a fast-paced environment with the ability to meet strict deadlines imposed by the customer.Knowledge of Independence and AmeriHealth New Jersey Lines of Business and products.Must be detail oriented and possess the ability to manage multiple tasks simultaneously, with minimal supervision.Working knowledge of Microsoft Office, Adobe, Printing System, among other Marketing systems’ knowledge.Our client is a leading Health Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.By applying to our jobs, you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Created: 2025-06-04

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