senior benefits analyst

Bolton Partners Inc

<div>Description: 
Senior Benefit Analyst
Remote Worker or Towson local office
Job Title: Senior Benefit Analyst
Location: Remote
Salary: $80,000 - $115,000
Department: Benefit Administration Services
Employment Type: Full-time
Job Summary:
The primary responsibility of the Senior Benefit Analyst is to lead and execute complex benefits administration implementations and ongoing service support by translating HR, payroll, and benefits data into scalable configuration and data exchange solutions. Core responsibilities include advanced requirements discovery, data diagnostics, configuration strategy, testing governance, and release readiness for client set up and annual renewals. The Senior Benefit Analyst serves as a key client advisor and internal escalation point to ensure data integrity across payroll and carrier systems, optimize processes, and drive continuous improvement through documentation and standards. This position will report to the Senior Director of Benefit Administration and partner closely with clients and other Bolton Benefit Administration Services (BAS) and Health Team members.
Duties &amp; Responsibilities include:<ul><li>
Lead client implementations, renewals, and annual open enrollment cycles using strong project management and consulting skills, including workplans, testing coordination, stakeholder management, status updates, and clear next steps while balancing multiple priorities and deadlines.</li><li>
Lead end-to-end data conversion from legacy platforms, including data mapping, cleansing, validation, and reconciliation.</li><li>
Own requirements discovery and solution design by translating HR/payroll processes and benefit plan provisions into scalable configuration, integrations, and data flows; define data formats, validation rules, timelines, risks, and dependencies.</li><li>
Configure, test, and implement HR and benefits administration solutions, establishing standards for build quality, maintainability, and release readiness.</li><li>
Serve as the primary client liaison and escalation point for complex configuration, file, and data issues&mdash;diagnosing root causes and coordinating with internal teams, vendors, and carriers to align expectations and drive timely resolution.</li><li>
Own carrier file processes (e.g., 834 and custom formats), including build, testing, reconciliation, and ongoing discrepancy management.</li><li>
Perform and oversee ongoing audits of client, carrier, and platform data; establish quality checks, monitor trends, and drive corrective and preventive actions to reduce defects and rework.</li><li>
Create and maintain client-facing and internal documentation to support implementations, ongoing service, training, and audit readiness; contribute to operational tracking, reporting, metrics, and continuous process improvement.</li><li>
Mentor and develop benefit analysts through onboarding, coaching, and progressive ownership; provide peer review of builds, carrier files, and deliverables; model effective client communication and escalate risks early as needed.</li></ul>
Requirements:
<ul><li>8 &ndash; 10 years&rsquo; experience working with HR-related information systems and/or online self-service benefit enrollment systems; bswift (preferred), PlanSource and/or Benefitfocus experience.</li><li>
Strong knowledge of benefits administration systems and EDI, including 834 files; bswift FeedBuilder experience preferred.</li><li>
Advanced proficiency in MS Excel (e.g., pivots, lookups, data validation) and strong working knowledge of MS Office products.</li><li>
Experience supporting ACA administration and reporting is a plus.</li><li>
Excellent analytical skills and attention to detail, with ability to troubleshoot complex data issues end-to-end.</li><li>
Strong customer service and consulting skills; ability to manage multiple clients across implementation and ongoing service, including escalations and competing deadlines.</li><li>
Bachelor&rsquo;s degree in a related field and/or industry certification preferred (e.g., CEBS, SHRM-CP/SCP, or HRCI).</li></ul>
Our firm offers a collaborative work environment, opportunities for professional growth, and a generous benefits package, including family health, vision, and dental benefits; employer-paid disability and life insurance benefits; a 401(k) plan with match after 6 months of employment; vacation and sick leave; paid holidays; hybrid telework arrangements; and monthly fitness stipends.
Equal Employment Opportunity &amp; Accessibility Statement
We are an Equal Opportunity Employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.
Applicants requiring reasonable accommodation during the application or interview process may contact Human Resources for assistance.
Additional Information
Employment may be contingent upon the successful completion of a background check, consistent with applicable laws.</div>

Senior Benefits Analyst

TriNet

<div>TriNet is a leading provider of comprehensive human resources solutions for small to midsize businesses (SMBs). We enhance business productivity by enabling our clients to outsource their HR function to one strategic partner and allowing them to focus on operating and growing their core businesses. Our full-service HR solutions include features such as payroll processing, human capital consulting, employment law compliance and employee benefits, including health insurance, retirement plans and workers&rsquo; compensation insurance. 
 
TriNet has a nationwide presence and an experienced executive team. Our stock is publicly traded on the NYSE under the ticker symbol TNET. If you&rsquo;re passionate about innovation and making an impact on the large SMB market, come join us as we power our clients&rsquo; business success with extraordinary HR. 
 
Don't meet every single requirement? Studies have shown that many potential applicants discourage themselves from applying to jobs unless they meet every single requirement. TriNet always strives to hire the most qualified candidate for a particular role, ensuring we deliver outstanding results for our small and medium-size customers. So, if you're excited about this role but your past experience doesn't align perfectly with every single qualification in the job description, nobody&rsquo;s perfect &ndash; and we encourage you to apply. You may just be the right candidate for this or other roles. 
 
A Brief Overview 
The Senior Benefits Analyst facilitates initiatives undertaken by the Benefits Carrier Management team and extensively engages, interacts and partners with internal colleagues and external vendor contacts. This position supports Insurance Services leaders in collaborating to achieve specific segments of the overall benefits renewal process. This includes implementing new benefits strategies and managing escalated vendor relations issues. 
 
What you will do
<ul>
<li>Assist with the implementation of medical, dental, vision and other supplemental carrier benefit plans, programs, and procedures at an enterprise level with minimal supervision.</li>
<li>Provide project support for benefits initiatives and open enrollment, including employee and client communications, timeline coordination and portal preparation.</li>
<li>Contribute to and influence product‑related meetings, including development, design, and implementation, leveraging knowledge of carrier practices and customer experience insights.</li>
<li>Research, troubleshoot, and resolve tasks regarding insurance claims, benefit inquiries and enrollment issues experienced by employees, clients, providers, and carriers.</li>
<li>Deliver effective technical training on insurance benefit programs and details to large internal audiences using various tools and platforms.</li>
<li>Develop and maintain strong working knowledge of systems and tools such as Salesforce (SFDC), PeopleSoft and other company‑provided platforms.</li>
<li>Ensure compliance with internal policies, standards, reporting and regulatory requirements related to benefits administration.</li>
<li>Analyze enrollment, claims, and operational data to identify trends, assess program performance, and recommend data‑driven improvements.</li>
<li>Perform other duties as assigned.</li>
<li>Complies with all policies and standards</li>
</ul>
Education Qualifications
<ul>
<li>Bachelor's degree in finance, economics, or other business-related area, or equivalent education and experience required</li>
</ul>
Experience Qualifications
<ul>
<li>Typically 5+ years in healthcare analytics and/or insurance with Open Enrollment experience required</li>
</ul>
Skills and Abilities
<ul>
<li>Experience in a customer service environment</li>
<li>Demonstrate ability to work independently with minimal direction while effectively prioritizing and driving tasks to completion.</li>
<li>Ability to solve problems and troubleshoot systems</li>
<li>Strong organizational and project management skills with the ability to manage time</li>
<li>Ability to identify, analyze, diagnose, and resolve critical client/carrier issues and trends.</li>
<li>Ability to create and deliver effective presentations and deliver technical training</li>
<li>Strong knowledge of regulations and laws pertaining to benefits administration</li>
<li>Attention to detail in documents, correspondence, and process adherence</li>
<li>PeopleSoft, MS Office Suite: Excel, Access, Visio, PowerPoint, Project Management, Teams, SharePoint (Intermediate proficiency)</li>
<li>Ability to adapt to a fast paced continually changing business and work environment while managing multiple priorities</li>
</ul>
Travel Requirements 
minimal 
 
Work Environment
<ul>
<li>Work in clean, pleasant, and comfortable office or home setting. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable persons with disabilities to perform the essential functions.</li>
</ul>
The preferred location for this role is Atlanta, GA, and the salary range for this location is $70,800.00 to $141,600.00. All qualified external applicants will be considered for an in-office role, based in Atlanta. All qualified internal candidates are encouraged to apply and consider relocation to Atlanta and may be considered for remote hire at the company&rsquo;s discretion. The candidate&rsquo;s final salary offer will be based on the candidate&rsquo;s skills, education, work location and experience.

A candidate&rsquo;s compensation may also include bonuses consistent with TriNet&rsquo;s corporate bonus plan.

Additionally, subject to applicable eligibility requirements, TriNet offers permanent full-time employees a variety of benefits including medical, dental, and vision plans, life and disability insurance, a 401(K) savings plan, an employee stock purchase plan, eleven (11) Company observed holidays, PTO and a comprehensive leave program. Please click the following link for detailed information about our benefits offerings: https://www.trinet.com/documents/blt5b61a1040aae1904
Please Note: TriNet reserves the right to change or modify job duties and assignments at any time. The above job description is not all encompassing. Position functions and qualifications may vary depending on business necessity. 
 
TriNet is an Equal Opportunity Employer and does not discriminate against applicants based on race, religion, color, disability, medical condition, legally protected genetic information, national origin, gender, sexual orientation, marital status, gender identity or expression, sex (including pregnancy, childbirth or related medical conditions), age, veteran status or other legally protected characteristics. Any applicant with a mental or physical disability who requires an accommodation during the application process should contact recruiting@trinet.com to request such an accommodation.</div>

Rochester Regional Health

<div>Job Title: Senior Benefits Analyst: Riedman Campus: (Full time, Hybrid)
Department: Human Resources- Benefits, Leave and Retirement
Location: 100 Kings Highway South Rochester, NY 14617
Hours Per Week: 40 hours per week
Schedule: 08:30am-5:00pm. This is a hybrid position with approximately 2-3 days on site.
Position Summary:
Responsible for analyzing current market trends in order to make benefit recommendations to department leadership. Day to day responsibilities include accurate and timely administration of all benefit programs. Acts as a liaison between participants and vendors with regard to benefit issues.
Resolves benefit escalations from employees and management; and provides guidance to members of the Human Resources department, management, and general employee population regarding benefit policies and procedures. Assists in fulfillment of regulatory requirements to ensure compliance.
Assumes preceptor role for other Benefits Analysts or direct responsibility and accountability for oversight of other Benefits Analysts. Provides leadership by delegating appropriate responsibilities to assigned Benefit personnel. Assesses the needs and provides recommendations regarding team member development to HR leadership team.
Key Responsibilities:<ul><li>Administers various benefit programs including, but not limited to: self-funded medical, prescription, dental, vision, flexible spending accounts, health savings accounts, COBRA disability, life insurance, AD&amp;D, voluntary benefits, tuition benefits, retirement plans while maintaining an in-depth understating of all benefit policies, programs and eligibility requirements.</li><li>Serves as a Benefits subject matter expert and communicates effectively with employees, and all Human Resources functional areas and leadership across RRH.</li><li>Provides excellent customer service to all customers (employees, management, vendors) in answering benefit/policy questions and assisting with problem resolution. Follows through on all questions/problems until satisfactory completion is assured.</li><li>Monitors benefit practices from a legal perspective to ensure compliance with various laws and regulations such as ACA, COBRA, DOL, ERISA, HIPAA, IRS, Section 125, etc. Notifies management of patterns that appear to violate such laws and regulations.</li><li>Verifies eligibility and enforce regulatory requirements for all employees.</li><li>Audits, researches and correct employee benefit data between HRM, Payroll, and vendor databases to ensure accuracy and integrity to resolve issues.</li><li>Implements benefit changes and retro benefit deductions (as approved by leadership) in conjunction with Payroll.</li><li>Implements changes in HRM affecting employee's benefits and amends employee records as necessary.</li><li>Coordinates payment of multimillion dollar contracts with payors (i.e., health and welfare vendors).</li><li>Collects monthly premium payments from inactive employees; maintains accurate record of premiums owed and received.</li><li>Prepares and presents the Benefits segment of New Employee Orientation.</li><li>Maintains Benefits data files electronically (i.e., folders in the Benefits email Box/Network Drive folders).</li><li>Assists in the Open Enrollment process including participating in client group meetings, answering employee questions, reviewing employee communications, and testing the online enrollment system.</li><li>Effectively uses critical thinking skills and attention to detail to conduct a thorough analysis of market values, affordability, and internal operational factors to make benefit plan recommendations, often relying on inference as well as concrete resource materials.</li><li>Conduct business analysis in partnership with the operation and other HR functional areas to understand business needs and maintain a competitive benefit offering.</li><li>Participates in benefit surveys to collect competitive benefit information. Analyzes results and makes benefit recommendations to Manager, Benefits based on the analysis.</li><li>Routinely develops and manages confidential and sensitive data, documentation and reports using appropriate discretion.</li><li>Participates in workshops, seminars, roundtables and self-study to stay abreast of benefit developments and trends.</li><li>Proficient in all HR and Benefit systems. Responsible for maintaining databases and makes recommendations for updates as needed.</li><li>Displays an understanding and skilled use of the various HRM databases, web-based applications and general flow of system interfaces for processing purposes.</li><li>Reviews and recommends process improvements and ways to streamline processes.</li><li>Completes annual non-discrimination testing, Form 5500 filing and other legally required reporting.</li><li>Assists with the assigned tasks as directed by the Benefits Leadership related to acquisitions, re-organizations and other system initiatives.</li><li>Trains, serves as a resource to, and may manage to Benefit Analysts.</li><li>Performs other duties as assigned.</li></ul>
Minimum Qualifications:<ul><li>Bachelor's degree in Human Resources, Business Administration or related field or equivalent combination of education and experience.</li><li>Minimum of 3 years benefits administration experience.</li><li>Equivalent combination of education and experience will be considered.</li><li>Demonstrated analytical (critical thinking) skills are essential.</li><li>Exceptional customer service and PC skills required.</li><li>High level of proficiency with Microsoft Office products (Excel, Word, PowerPoint) required.</li><li>Excellent written communication and group presentation skills with all internal employees and external vendors.</li><li>Attention to detail, sense of urgency, time management, follow up, and problem solving skills.</li><li>Ability to maintain confidentiality and appropriate handling of sensitive information with tact and discretion required.</li><li>Able to multi-task, meet deadlines, work on a team as well as independently.</li><li>Thorough understanding of benefit regulations required, e.g., COBRA, HIPAA, ERISA, Health Care Reform, Section 125, and IRS rules on pertinent benefit programs required.</li></ul>
Required Licensure/Certification Skills:<ul><li>None</li></ul>
Rochester Regional Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee&rsquo;s physician or delegate will be considered for accommodations.
PAY RANGE:
$70,000.00 - $90,000.00<div><div><div><div><div><div><div>
CITY:</div></div></div></div></div></div></div>
Rochester<div><div><div><div><div><div><div>
POSTAL CODE:</div></div></div></div></div></div></div>
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.</div>

Dolby

<div><div><div><div><div><div>Job description</div></div><div></div><div><div>
Company and benefits</div></div><div><div>
Social Impact &amp; Sustainability</div></div></div></div></div><div><div><div><div><div>
Job ID</div><div>
41431</div></div></div><div><div>
Join the leader in entertainment innovation and help us design the future. At Dolby, science meets art, and high tech means more than computer code. As a member of the Dolby team, you&rsquo;ll see and hear the results of your work everywhere, from movie theaters to smartphones. We continue to revolutionize how people create, deliver, and enjoy entertainment worldwide. To do that, we need the absolute best talent. We&rsquo;re big enough to give you all the resources you need, and small enough so you can make a real difference and earn recognition for your work. We offer a collegial culture, challenging projects, and excellent compensation and benefits, not to mention a Flex Work approach that is truly flexible to support where, when, and how you do your best work.
The People and Places team designs spectacular experiences for people around the globe, curating the conditions for our talent to do their best work and drive business growth.
Global Benefits oversees Dolby&rsquo;s integrated approach to overall employee wellbeing which includes: core benefits (health &amp; welfare, retirement, time-off &amp; LOA, commute, business travel, additional fringe benefits), physical, mental, financial, and social wellbeing programs, as well as cross functional engagement to cultivate a healthy, inclusive, and connected work environment.
Reporting to the Director, Global Benefits the Sr. Benefits Analyst will support the day-to-day management of Dolby&rsquo;s core benefit and wellbeing programs. While the primary focus will be Dolby&rsquo;s US programs, the Sr. Benefits Analyst will also support benefit programs and initiatives across the globe as needed.
Key Responsibilities
Analytics &amp; Reporting 
<ul><li>
Analyze benefits data to assess the effectiveness of benefits programs and provide insights for decision-making.</li></ul><ul><li>
Prepare and present ad-hoc reports on the utilization and cost of benefits programs.</li><li>
Manage and update benefit and wellbeing program metrics and dashboards.</li><li>
Prepare submissions for various benchmarking surveys.</li></ul>
Operations &amp; Administration 
<ul><li>
Monitor on-going operations and conduct periodic audits to ensure data integrity across internal and external systems.</li><li>
Partner with vendors and internal stakeholders to troubleshoot and resolve operational issues, including scope analysis, proposed resolution, and communication.</li><li>
Identify and implement process changes for increased efficiency and improved employee experience.</li><li>
Develop and update benefits policies and procedures to ensure clarity, compliance, and efficiency in benefits administration.</li><li>
Utilize insights from employee support cases and industry best practices to develop new benefits portal content to drive increased employee self-service.</li><li>
Perform recurring or ad-hoc administrative tasks required for the effective program operation.</li></ul>
Compliance &amp; Risk Management 
<ul><li>
Prepare submissions for various federal, state, and local compliance reporting such as 5500s, Non-Discrimination Testing, ACA, San Francisco Health Care Security Ordinance, etc.</li><li>
Coordinate the distribution of annual and ad-hoc required disclosures and communications.</li><li>
Keep abreast of federal, state, and local legislative changes affecting benefits and recommend program &amp; policy adjustments as necessary.</li></ul>
Leave of Absence Program Coordination 
<ul><li>
Partner with outsourced US leave of absence administrator and People Services team to promote an efficient and transparent employee experience.</li><li>
Calculate bi-weekly leave of absence pay.</li></ul>
Communication, Education, and Engagement 
<ul><li>
Manage benefits and wellbeing communication calendar.</li><li>
Assist in the development and deployment of regular and ad-hoc employee communications.</li><li>
Plan and deploy benefit and wellbeing employee engagement events (e.g., webinars, trainings, etc.)</li></ul>
Employee Support 
<ul><li>
Provide training and documentation for People Operations staff as needed to enable resolution of Tier 0-2 employee support cases.</li><li>
Serve as the primary point of contact for escalated employee inquiries (Tier 2+)</li><li>
Lead new employee benefits and wellbeing onboarding and orientation.</li><li>
Provide consultation on leave of absence programs and process.</li></ul>
Program &amp; Vendor Administrative Support 
<ul><li>
Vendor administration support including invoice administration, resolving service and operational issues, etc.</li></ul>
Qualifications 
<ul><li>
Bachelor&rsquo;s degree in Human Resources, Business Administration, or related field.</li><li>
A minimum of 5 years of experience in benefits administration and analysis, with progressive responsibility.</li><li>
Strong knowledge of US federal and state regulations governing employee benefit programs.</li><li>
Proficiency in benefits administration software and HRIS systems.</li><li>
Strong customer service orientation.</li><li>
Excellent communication skills, both written and verbal, with the ability to effectively communicate complex benefits information to employees.</li><li>
Experience with data analytics and reporting with solid proficiency in data analysis tools, including Microsoft Excel.</li><li>
Ability to work independently and as part of a team, with strong problem-solving capabilities.</li><li>
Periodic travel to San Francisco HQ.</li></ul>
Preferred Qualifications<ul><li>
Certified Employee Benefits Specialist (CEBS) designation</li><li>
ServiceNow case management and content management experience</li><li>
High tech industry experience</li></ul> 
The Atlanta Area base salary range for this full-time position is $89,800 - $120,100, which can vary if outside this location, plus bonus, benefits, and some roles may also include equity. Our salary ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, competencies, experience, market demands, internal parity, and relevant education or training. Your recruiter can share more about the specific salary range and perks and benefits for your location during the hiring process.
Dolby will consider qualified applicants with criminal histories in a manner consistent with the requirements of San Francisco Police Code, Article 49, and Administrative Code, Article 12
Equal Employment Opportunity: 
Dolby is proud to be an equal opportunity employer. Our success depends on the combined skills and talents of all our employees. We are committed to making employment decisions without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, family status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions or any other classification protected by federal, state, and local laws and ordinances.</div></div></div></div></div>

White Cap

<div>A position at White Cap isn&rsquo;t your ordinary job. You&rsquo;ll work in an exciting and diverse environment, meet interesting people, and have a variety of career opportunities.
The White Cap family is committed to Building Trust on Every Job. We do this by being deeply knowledgeable, fully capable, and always dependable, and our associates are the driving force behind this commitment.
Responsible for supporting the administration, analysis, and ongoing improvement of the Company&rsquo;s health, welfare, and retirement benefit programs. Partners with the Benefits Manager and cross-functional teams to oversee plan operations, manage vendor relationships, monitor cost and utilization trends, and ensure regulatory compliance. Supports benefits reporting, plan governance, and strategic decision-making to ensure programs are competitive, compliant, and aligned with organizational objectives.
Major Tasks, Responsibilities and Key Accountabilities
<ul><li>Supports the administration and ongoing management of the Company&rsquo;s health, welfare, and retirement benefit programs, including plan operations, eligibility, payroll integration, and data reconciliation.</li>
<li>Serves as a subject matter resource to HR, Payroll, Finance, and other stakeholders on benefits data, reporting, plan performance, and vendor operations.</li>
<li>Collects, validates, and analyzes benefits data from HRIS, benefits platforms, payroll systems, and vendors to identify trends in utilization, enrollment, costs, and plan performance.</li>
<li>Performs financial, utilization, and participation analyses to support medical, disability, and retirement programs, including budgeting, forecasting, and enrollment modeling.</li>
<li>Oversees benefits and retirement vendor performance by monitoring service levels, reviewing reporting outputs, and addressing operational issues.</li>
<li>Supports retirement plan governance and compliance, including committee materials, ERISA reporting, audits, nondiscrimination testing coordination, and documentation reviews.</li>
<li>Develops and maintains recurring and ad hoc reports, dashboards, and data visualizations to support leadership decision-making.</li>
<li>Supports annual enrollment and benefits-related projects, including vendor implementations, system integrations, plan changes, and process improvements.</li>
<li>Provides data-driven recommendations to support program enhancements, vendor management, and plan design decisions.</li>
<li>Performs other duties as assigned.</li>
</ul>Nature and Scope
<ul><li>Identifies key barriers/core problems and applies problem solving skills in order to deal creatively with complex situations. Troubleshoots and resolves complex problems. Makes decisions under conditions of uncertainty, sometimes with incomplete information, that produce effective end results.</li>
<li>Independently performs assignments with instruction limited to the expected results. Determines and develops an approach to solutions. Receives technical guidance only on unusual or complex problems or issues.</li>
<li>May oversee the completion of projects and assignments, including planning, assigning, monitoring and reviewing progress and accuracy of work, evaluating results, etc. Contributes to employees' professional development but does not have hiring or firing authority.</li>
</ul>Work Environment
<ul><li>Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable.</li>
<li>Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles.</li>
<li>Typically requires overnight travel less than 10% of the time.</li>
</ul>Education and Experience
<ul><li>Typically requires BS/BA in a related discipline. Generally 5-8 years of experience in a related field OR MS/MA and generally 3-5 years of experience in a related field. Certification is required in some areas.</li>
</ul>Preferred Qualifications
<ul><li>Bachelor&rsquo;s degree in a related field preferred with 4&ndash;6 years of experience in benefits administration, analytics, or HR-related analytical roles.</li>
<li>Strong knowledge of health, welfare, and retirement benefit programs, including defined contribution plans.</li>
<li>Experience with HRIS, benefits platforms, vendor reporting, and advanced Excel; data visualization tools preferred.</li>
<li>Strong analytical, communication, and problem-solving skills with attention to detail and confidentiality.</li>
</ul>If you&rsquo;re looking to play a role in building America, consider one of our open opportunities. We can&rsquo;t wait to meet you.
Functional Area Human Resources
Work Type Hybrid
Recruiter Banglinti, Shilpa
Req ID WCJR-031720
White Cap is an Equal Opportunity Minority/Female/Individuals with Disabilities/Protected Veteran and Affirmative Action Employer. White Cap considers for employment and hires qualified candidates without regard to age, race, religion, color, sex, sexual orientation, gender, gender identity, national origin, ancestry, citizenship, protected veteran or disability status or any factor prohibited by law.</div>

Elevance Health

<div>JR188434 Senior Claims Analyst 
CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. 
CareBridge is seeking a Senior Claims Analyst professional to support reporting, analytics, and process improvements across the claim&rsquo;s lifecycle. In this role, you&rsquo;ll use your claims expertise and SQL/data skills to turn complex data into actionable insights, support claim corrections, and improve workflows.
You&rsquo;ll build reporting solutions, enhance submission performance, and partner with Product, Engineering, Finance, and Operations to improve and scale end-to-end claims processes.
Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. 
How you will make an impact: 
Claims &amp; Encounter Reporting<ul><li>
Build and maintain reporting to track the full claims lifecycle from submission to payer response.</li><li>
Create self-service tools for Operations, Finance, and Client Success.</li><li>
Reconcile data across systems to ensure accurate claim status tracking.</li></ul>
Claims Subject Matter Expertise<ul><li>
Act as an SME on claims structure, clearinghouse workflows, and payer responses.</li><li>
Support complex claim issues and partner with Product and Engineering to resolve data/workflow gaps and validate fixes.</li></ul>
Payer Configuration &amp; Onboarding<ul><li>
Support new payer implementations, including workflow setup and validation.</li><li>
Develop standardized monitoring for go-lives and streamline payer-specific processes.</li></ul>
Process Improvement &amp; Operations<ul><li>
Identify and resolve recurring submission issues.</li><li>
Partner cross-functionally to improve workflows, tools, and documentation.</li><li>
Support audits and quality reviews.</li></ul>
Minimum Requirements:<ul><li>
Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.</li></ul>
Preferred Skills, Capabilities and Experiences:<ul><li>
5+ years of experience in provider-side claims, revenue cycle, or data management.</li><li>
Strong understanding of professional claim formats (837P), remittance advice (835), and clearinghouse workflows.</li><li>
Advanced SQL skills with experience querying complex healthcare production or analytics databases.</li><li>
Hands-on experience within a claims platform, including claim correction, resubmission, and configuration validation.</li><li>
Experience developing reports and dashboards using BI tools (e.g., Tableau, Power BI, Metabase)</li><li>
Ability to translate complex data into clear, actionable insights for business stakeholders.</li><li>
Strong cross-functional communication skills with experience partnering across Product, Engineering, Finance, and Operations.</li><li>
Experience working in value-based care environments.</li></ul> 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Senior Claims Analyst

PruittHealth

JOB PURPOSE: 
The Senior Insurance Risk Analyst is responsible for analyzing insurance risk strategy, and claims performance to ensure optimal risk transfer outcomes and maintain structure. This role serves as the liaison with third‑party vendors – including brokers, captive managers, and claim administrators – and company leadership, providing oversight of reporting, program structure, and performance. This positions partners closely with Legal, Finance, Accounting, Operations – supporting enterprise-wide risk management, compliance, financial reporting, and forecasting.
 
KEY RESPONSIBILITIES: 
1. Analyzes the insurance needs of an organization to provide optimum coverage, costs, and claim settlements.
 2. Collects, classifies, and analyzes data from multiple sources such as audits, claims, renewals, and financial reporting.
 3. Collaborates with cross-functional teams to ensure reporting and processing of all policy audits, payments, claims, and renewals.
 4. Act as organization liaison for captive insurance and vendor relationship.
 5. Additionally, Insurance Risk Analyst supports loss prevention and safety initiatives.
 
KNOWLEDGE, SKILLS, ABILITIES: 
<ul>
<li>Basic knowledge of the operations of the business – terms, processes, and the effects on finance.</li>
<li>Basic knowledge of flow of financial data from operations to subsystems, to PeopleSoft GL and reports.</li>
<li>Demonstrate honesty and integrity at all times.</li>
<li>Able to respond to change productively and handle additional projects as assigned.</li>
<li>Maintain confidentiality of company information; follow proper guidelines for distribution of data.</li>
<li>Employ basic analytical skills – visualize, articulate, and solve complex problems and concepts, and make decisions that make sense based on available information.</li>
<li>Utilize applications appropriately for all projects; proficient in Excel (macros, functions/formulas).</li>
<li>Maintain effective relationships with all levels of the organization.</li>
</ul>
MINIMUM EDUCATION REQUIRED: 
Bachelor’s Degree from an accredited university in business administration, economics, finance, public administration, or closely related field.
 
MINIMUM EXPERIENCE REQUIRED: 
The position requires three years of increasingly responsible experience in in business, insurance, or related finance field, including two years of administrative and supervisory responsibility.
 ADDITIONAL QUALIFICATIONS: (Preferred qualifications)
 <ul>
<li>Requires a bachelor's degree.</li>
<li>Works on projects/matters of limited complexity in a support role.</li>
<li>Insurance Risk Analyst typically requires 2 + years of related experience.</li>
<li>Knowledge of risk finance structures including captive insurance structures and other alternative risk programs with the ability to develop pros and cons of solutions and outline the related financial and accounting implications</li>
</ul>
Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
 We are eager to connect with you! Apply Now to get started at PruittHealth!
 As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
 
For Florida Job Postings Only: 
For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

Senior Insurance Risk Analyst

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