Benefitfocus Operations Business Specialist, Direct Bill

Together we fight for everyone’s opportunity for a better financial future.

We will do this together — with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone’s access to opportunities. The status quo is not good enough … we believe every individual and every community deserves access to financial opportunities. We are determined to support both individuals and communities in reaching a better financial future.  We know that reaching this future depends on our actions today.

Like our Purpose Statement, Voya believes in being bold and committed to action.  We are committed to a work environment where the differences that we are born with — and those we acquire throughout our lives — are understood, valued and intentionally pursued. We believe that our employees own our culture and have a responsibility to foster an environment where we all feel comfortable bringing our whole selves to work. Purposefully bringing our differences together to positively influence our culture, serve our clients and enrich our communities is essential to our vision.

Are you ready to join a company with a strong purpose and a winning culture? Start your Voyage – Apply Now

About Benefitfocus:

Benefitfocus, Inc., a Voya company, is a leading provider of cloud-based benefits software solutions for consumers, employers, insurance carriers and brokers. Benefitfocus has served numerous consumers on its platform that consists of an integrated portfolio of products and services enabling clients to shop, enroll, manage and exchange benefits information more efficiently. With a user-friendly interface and consumer-centric design, the Benefitfocus Platform provides one place for consumers to access all their benefits. Benefitfocus solutions support the administration of all types of benefits including core medical, dental, and other voluntary benefits plans as well as wellness programs. 

Get to Know the Opportunity:
The Benefitfocus Administrative Services solution removes administrative work from Employer customers by providing solutions and management of ACA Compliance, COBRA Administration, QMCSO Administration, Consolidated Billing, Eligibility Verification, and Fulfillment Services.  

The Operations Business Specialist is responsible for the centralized management of analysis and auditing activity in support of key Administrative Services customer goals and objectives. This role involves extensive interaction with key clients, intra- and inter-department peers, and leadership as it relates to systems engineering, product development, and process improvement. Analytical and consultative skills are critical to the success of this role.

Please Note:  Work location for this role is FLEXIBLE! This position allows 100% remote work from home or allows work to be performed in any of our major office locations with a hybrid schedule. 

The Contributions You’ll Make:

• Responsible for having a general understanding of all incoming client, member or vendor cases and/or inquiries on a daily basis. 
• Provide regular status updates for issues that cannot be resolved immediately via cases, phone and/or emails.  
• Compile & maintain client-specific requirements, processes and procedures. 
• Triage escalations from internal teams and/or clients directly. Responsible for root cause analysis as well as participation in resolution activities.   
• Responsible for the overall project as it relates to the Admin Services Products, which includes the timeliness of the execution of the OE project.
• Responsible for offboarding tasks for clients who terminate Admin Services Products with Benefitfocus. 
• Coordinate with internal teams as appropriate with regard to tasks related to terminating products.  
• Communicate with vendor(s) and follow procedures for terminating client in vendor system. 
• Supporting client with new TPA conversations. 
• Providing all required offboarding timeline and documentation.

GENERAL: Additional responsibilities include:

• Staying up to date on regulatory changes that impact our clients.
• Product and release testing as it relates to clients within assigned market.
• Process improvement – participate