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Benefits Specialist II

Role overview

Qualifications

  • Minimum Bachelor's Degree required
  • 2 - 4 years of experience required; 5 - 7 years preferred

Responsibilities

  • Administers and supports employee benefits programs, including leave management, new hire benefits enrollment, and employee inquiries.
  • Manages leave of absence programs, ensuring compliance with regulations and internal policies.
  • Pulls reports from HRIS and benefits systems to track employee benefits enrollment and compliance metrics.
  • Answers questions from employees regarding benefits eligibility, claims, and coverage.

Key facts

  • Remote from: United States
  • Full time
  • Mid-level (2-5 years)
  • Benefits Specialist
  • English

Hard skills

Other skills

  • Management
  • Communication
  • Collaboration
  • Problem Solving

About the company

Qlarant logo

Qlarant

IT Services & IT Consulting

For 49 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.

Company details

Company typeLarge
IndustryIT Services & IT Consulting
Company size501 - 1000

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Job description

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.

Best People, Best Solutions, Best Results

Job Summary:

Administers and supports employee benefits programs, including leave management, new hire benefits enrollment, and employee inquiries. Serves as a key resource for staff, ensuring smooth benefits processes and compliance with company policies. Pulls reports, provides guidance to employees, and collaborates with HR teams to support operational needs. 

Essential Functions:

  • Manages leave of absence programs, including FMLA, short-term and long-term disability, and company-sponsored leave policies, ensuring compliance with regulations and internal policies.
  • Assists new employees in understanding and selecting benefits options during the onboarding process, providing guidance and answering questions.
  • Pulls reports from HRIS and benefits systems to track employee benefits enrollment, leave usage, and compliance metrics.
  • Answers questions from employees regarding benefits eligibility, claims, and coverage, escalating complex issues as needed.
  • Ensures compliance with federal, state, and local regulations related to employee benefits, including ACA, COBRA, and HIPAA.
  • Coordinates with benefits vendors, payroll, and HR teams to resolve benefits-related issues and ensure timely processing of enrollments and claims.
  • Supports HR operational duties by assisting in benefits audits, open enrollment planning, and cross-functional HR projects.
  • Educates employees on wellness programs, retirement plans, and available resources to maximize benefits utilization.
  • Assists with broader HR initiatives, such as employee engagement, process improvements, or data integrity projects as needed.

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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