Justworks · 13 hours ago
Benefits Operations Specialist, Medical Benefits
New York, New York
Full-time
Hybrid
Mid Level
$97K/yr - $107K/yr
3+ years expJustworks is a company that provides support to businesses by solving HR issues and enhancing productivity. They are seeking a Medical Insurance Benefits Operations Specialist to manage and innovate processes related to medical benefits, ensuring compliance and operational efficiency while collaborating with various stakeholders.
Bookkeeping and PayrollComplianceEmployee BenefitsHealth InsurancePayments
Responsibilities
Create and manage new and existing projects related to the Medical Carrier Benefits including but not limited to:
Documentation management
Medical Carrier Arbitration Recertification
Annual Business Reviews
State Licensing Renewal
Massachusetts Health Insurance Responsibility Disclosure Filing (MA HIRD)
Summary Annual Report and Form 5500 Filing
Medicare Part D Testing & Notices
Ensure the success of analytical aspects of major projects
Work with the other Insurance Benefits Operations teams to evaluate current processes and implement solutions to manual procedures
Communicate across various departments to make recommendations on processes to improve the operational efficiency of the Operations team and performance of the plan
Collaborate with stakeholders from government agencies, employer groups, and individuals to gather insights into industry challenges, requirements, and desired outcomes
Develop and implement strategies to optimize the efficiency and effectiveness of the Medical Insurance Benefits to identify areas for improvement
Prioritize updates based on user feedback, regulatory changes, and technological advancements
Ensure compliance with relevant regulations and guidelines governing Medical Insurance Benefits
Keep up to date with current employment security laws, policies, and procedures
Partner with internal and external stakeholders to implement new benefit offerings related to our Insurance products
Perform other related responsibilities as needed based on department and/or organizational needs
Qualification
Required
3-5 years of work experience in operations or project management - experience in Health Insurance or financial sector strongly preferred
Prior project management experience required
Excellent written and verbal communication skills; skilled in presenting and hosting meetings, trainings, and knowledge-sharing sessions
Technologically savvy; experience with utilizing multiple systems and software programs
Familiarity with business process management activities (process mapping, improvement, implementation, etc.)
Demonstrated leadership skills and ability to take initiative and work effectively on one's own
Preferred
PMP certification preferred
Experience working with PEOs preferred
Benefits
Great benefits
Wellness program offerings
Company retreats
Company
Justworks
Justworks is a cloud-based HR and payroll platform that helps small and mid-sized companies manage payroll, benefits, compliance, and HR.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$159.84MKey Investors
FirstMarkRedpointBain Capital Ventures
2023-11-01Series Unknown· $16.84M
2020-01-28Series E· $50M
2018-03-06Series D· $40M
Leadership Team
Michael Seckler
Chief Executive Officer
David Feinberg
Senior Vice President Risk & Insurance Programs
Recent News
Index Ventures
2025-12-29
2025-11-23
2025-10-30
Company data provided by crunchbase