Project Manager, Medical Benefits

Justworks•New York, NY

1d•$97,000 - $106,700•Hybrid

About The Position

As the Project Manager for the Medical Benefits Operations team, you will be tasked with developing processes and strategies to ensure that larger projects function and operate as intended. Your responsibilities will encompass onboarding, overseeing, and managing the new and existing projects related to the Medical Benefits. Your role will require engagement with stakeholders from various sectors including external Broker Partners and State Agencies and internal teams including the Medical team, Product and Engineering, Internal Audit, and Finance. The Project Manager will help shape the medical benefits at Justworks by managing projects related to customer risk, premiums, compliance, and payroll information. This position will impact the operating procedures of the team by understanding customer and policy data and recommending process changes to ensure customer and PEO compliance.

Requirements

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; PMP certification preferred
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

Nice To Haves

Experience working with PEOs preferred

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 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.