Employee Benefits Specialist

We are hiring for:

Employee Benefits Specialist

Type:

Regular

If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!  

Provides proactive support to the HR functions for the units assigned to promote our culture of caring and leadership. Participates on a variety of HR projects and initiatives including Employee Relations, HR Audits and Compliance, and obtaining and analyzing HR data to provide the support needed to help Operations meet goals and objectives. Talent Management activities including recruiting, onboarding, and Training. Total Rewards activities including Benefits Management, Work-Live Balance programs, Compensation administration, and Reward Program implementation. Provides backup for HR Department members as needed.

Education, Licensure, and Experience required for the position include:
Four-year college degree in Human Resources.

Physical requirements to perform essential functions of the job included:
Regularly required to lift 10 lbs. Must be able to lift a minimum of 15 lbs. Must be able to pull a minimum of 10 lbs. Must be able to squat, kneel, crawl, crouch, climb, and stoop. Must be able to regularly use hands to finger, handle, or feel objects, tools, or controls. Required to regularly stand and walk. Must be able to demonstrate proficiency in CPR from the floor level requiring to work on hands, knees, bending, standing and lifting. Vision requirements include close vision, distance vision, and peripheral vision. Must be able to talk and hear.

DUTIES AND RESPONSIBILITIES:

Employee Support and Case Resolution

• Serve as tier-2/tier-3 escalation for complex benefits inquiries (eligibility, coverage, claims guidance, life events, QMCSO, EOI, coordination of benefits), ensuring timely, accurate resolution and excellent service.
• Educate employees and leaders on plan features, eligibility rules, waiting periods, cost, and HCM self-service navigation; create and maintain FAQs and quick-reference guides.
• Track cases to closure, monitor SLAs/CSAT, identify themes, and recommend fixes (training, comms, configuration).

Plan Administration and Data Integrity

• Process and audit new hire enrollments, life events, returns from leave, and terminations; validate effective dates and documentation.
• Run routine eligibility and dependent verification audits; correct errors and coach end-users to prevent recurrences.
• Own routine HCM/benefits data audits (sampling, reconciliation to carrier files, arrears review); partner with Payroll on deduction accuracy and retroactivity.

Open Enrollment (OE) and Year-Round Communications

• Lead OE workstreams: rate/table audits, event configuration testing, QA checklist execution, data validation, blackout coordination, and post-OE reconciliation.
• Produce OE guides, plan comparisons, and comms cadence; facilitate employee info sessions (live/virtual) and support leaders with toolkits.
• Track OE completion and intervene with targeted outreach to non-responders.

Vendor, Carrier, Billing, and File Feeds

• Serve as daily liaison to carriers/TPAs for eligibility, escalated claims, and service issues; log and drive resolutions.
• Reconcile monthly carrier invoices to payroll deductions/eligibility; research variances, prepare corrections, and submit adjustments for approval.
• Monitor scheduled EDI/file feeds; resolve rejects and timing mismatches with HRIS and vendors; document root causes and preventive actions.

Compliance and Reporting

• Support ERISA/Section 125 administration, SBCs/SMMs/SPDs distribution, HIPAA privacy practices, and ACA reporting data quality (1094/1095).
• Coordinate COBRA events via vendor and audit files for accuracy; ensure timely notices through the vendor.
• Maintain SOPs, desk guides, and audit trails; assist with internal audits, external audits, and broker/carrier stewardship reviews.
• Produce recurring and ad hoc reports (enrollment, participation, arrears, OE metrics, appeals/escalations) for Total Rewards and Finance.

Cross-Functional Collaboration and Continuous Improvement

• Partner with HRIS on configuration/testing and with Payroll on complex deduction issues, arrears, and refunds.
• Support acquisitions by coordinating Day-1 readiness, employee communications, enrollment timelines, data onboarding, and blackout plans.
• Identify and implement process improvements to enhance accuracy, efficiency, and employee experience (forms, automation, self-service content).
• Perform other duties as assigned.

SUPERVISORY RESPONSIBILITIES: 

This position has no supervisor responsibilities.

MINIMUM QUALIFICATIONS :

• Bachelor’s degree in Human Resources, Business, or related field; equivalent experience considered.
• 3+ years of hands-on benefits administration in a multi-state environment (health & welfare and basic retirement operations).
• Working knowledge of medical/dental/vision, FSA/HSA, life/AD&D, disability, EAP, and COBRA (via vendor); familiarity with ACA and HIPAA privacy.
• Proficiency with an HCM/benefits platform (Workday strongly preferred) and Microsoft Excel/Office 365.
• Excellent customer service, communication, and problem-solving skills; high attention to detail and confidentiality.
• Demonstrated ability to manage competing priorities, meet deadlines, and maintain accurate records.
• Experience leading OE workstreams and benefits billing/reconciliation.
• Prior vendor/carrier relationship experience and EDI/file-feed troubleshooting with HRIS/TPA partners.
• Case-management/ticketing system experience.
• CEBS, CBP, or PHR/SPHR coursework/certification a plus.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

• This position operates in both office and field settings.
• Regular use of computers and office equipment.
• Ability to sit or stand for extended periods.
• Occasional lifting or transporting of materials as needed.
• Some overnight travel may be necessary depending on organizational needs.

RHA is an Equal Employment Opportunity Employer, prohibits discrimination based on the following protected categories: race, creed, color, national origin, nationality, ancestry, age, sex/gender, marital status, civil status, domestic partnership status, familial status, religion, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, genetic information, liability for service in the Armed Forces of the United States, or disability.

Pre-employment screening:

• Complete criminal background
• Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities)
• Drug testing
• Education verification and other credentialing based on position requirements.
• Proof of employment history or references (if required)
• Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals.

We offer the following benefits to employees:

• Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday!
• Employee perks and discount program: to help you save money!
• Paid Time Off (full-time employees only)
• Health/Insurance (full-time employees only)
• 401(k) retirement savings program
• Wellbeing Programs: Physical, Emotional and Financial
• Chronic Disease management programs for hypertension and diabetes (for qualifying employees)
• Training: Free CPR, first aid, and job-specific training opportunities

*contract/contingent workers and interns do not qualify for any of the above benefits

EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center.

About RHA:

At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes.

For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey.

If you are ready to make a difference in the lives of people we serve and support apply to join the team today.