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Benefits consultant Jobs in Alexandria, VA

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Benefits consultant • alexandria va

Last updated: 1 day ago

Senior HRP Benefits Configuration Consultant

Educology SolutionsWashington, DC, United States
Full-time

Senior HealthRules Payor Benefits Configuration Consultant.Job description Senior HealthRules Payor (HRP) Benefits Configuration Consultant to support multiple healthcare payer implementation and o... Show more

Senior Lead Health & Benefits Large Market Consultant

Oliver Wyman, LLCWashington, DC, United States
$212,000.00 yearly
Full-time

Senior Lead Health & Benefits Large Market Consultant.We are seeking a talented individual to join our Health & Benefits team at Mercer.This role will be based in Washington DC or one of our Southe... Show more

Principal Benefits Specialist

KBRArlington, VA, United States
Full-time

When you become part of our KBR team, your opportunities are endless.Through internal collaboration, and with our partners and customers, we're defining tomorrow's challenges, then providing the in... Show more

Benefits Specialist II

QlarantWashington, DC, United States
Full-time

Employee Benefits Administrator.Administers and supports employee benefits programs, including leave management, new hire benefits enrollment, and employee inquiries.Serves as a key resource for st... Show more

Senior Lead Health & Benefits Large Market Consultant

Mercer FranceWashington, DC, United States
$212,000.00 yearly
Full-time

Senior Lead Health & Benefits Large Market Consultant.We are seeking a talented individual to join our Health & Benefits team at Mercer.This role will be based in Washington DC or one of our Southe... Show more

Benefits Advisor

ArtemisWashington, DC, United States
Full-time

Artemis/Aptive is seeking a full-time Benefits Advisor with a strong background in training, customer service, and project management best practices to support and execute efforts for a federal cli... Show more

Senior Director, Benefits

CAVA - Support CenterWashington, District of Columbia, United States
Full-time

At CAVA we make it deliciously simple to eat well and feel good every.We are guided by a Mediterranean heritage that’s been perfecting how.We prioritize authenticity, curiosity.We foster a culture ... Show more

Benefits & Retirement Administrator

KMRG, LLCWashington, DC, US
$71,000.00 yearly
Full-time
Quick Apply

Benefits & Retirement Administrator Location: Washington, DC Schedule: Full-time, onsite Monday–Friday Salary: $71,000 – $80,000 per year KMRG, LLC (KMRG) is a federal services comp... Show more

Remote Benefits Sales Representative

HMG CareersHybla Valley, Virginia
$69,000.00 yearly
Remote
Full-time
Quick Apply

This full-time position offers flexible work hours and ample opportunities for advancement into management roles.You will work remotely to serve clients and offer valuable advice and protection to ... Show more

Human Resources Specialist (Benefits)

Legislative BranchWashington, DC, United States
Full-time

Human Resources Specialist (Benefits), PT- 0201-II.Your typical work assignments may include the following:.Provides advice and guidance to employees, management and other HR Specialists on the ful... Show more

Human Resources Specialist (Benefits)

US Government JobsWashington, DC, United States
Full-time

Human Resources Specialist (Benefits).This position is located in the Government Accountability Office, Human Capital Office.As a Human Resources Specialist (Benefits) you will be responsible for p... Show more

Benefits Advisor

Aptive ResourcesWashington, DC, United States
Full-time

Artemis/Aptive is seeking a full-time Benefits Advisor with a strong background in training, customer service, and project management best practices to support and execute efforts for a federal cli... Show more

Benefits Specialist I

Gibson DunnWashington, DC, United States
$70.00 hourly
Part-time

Gibson Dunn is a leading global law firm, advising clients on significant transactions and disputes.Our exceptional teams craft and deploy creative legal strategies meticulously tailored to every m... Show more

Health & Benefits Sales Professional

Premier Global LinksWashington D.C., District of Columbia, United States
$150,000.00 yearly
Remote
Full-time
Quick Apply

About Premier Global Links LLC.Premier Global Links LLC is a business services and consulting company supporting client projects and business operations across multiple locations in the United Stat... Show more

Senior Director, Benefits

CavaWashington, DC, United States
Full-time

The Senior Director, Benefits is responsible for shaping and leading CAVA's total wellbeing and benefits strategy to support our team members' health, financial security, and overall quality of lif... Show more

Oracle Cloud HCM Benefits and Absence Management Principal Consultant - Client Services

ArganoWashington, DC, United States
Full-time

Principal Consultant Client Services.A Principal Consultant Client Services at Argano plays a crucial role in shaping the direction of the Client Services family.They are responsible for managing a... Show more

Benefits Representative

AMBAWashington, DC, United States
$90,000.00 yearly
Full-time

Insurance Benefits Representative (1099 Independent Contractor).Location: West Virginia (statewide, any city).Compensation: Commission plus bonuses.Schedule: Self-managed with full-time effort requ... Show more

Benefits Senior Associate

Grant Thornton LLPArlington, VA, United States
Full-time

Grant Thornton Benefits Senior Associate.At Grant Thornton, we believe in making business more personal and building trust into every result for our clients and you.Here, we go beyond your expecta... Show more

Health & Benefits Sales Professional

Marsh & McLennanWashington, DC, United States
Full-time

Health & Benefits Sales Professional.We are seeking a talented individual to join our Health and Benefits Sales team at Mercer.This role can be based in New York City, Atlanta, Charlotte and DC whe... Show more

Health & Benefits Producer

Willis Towers WatsonArlington, VA, United States
$175,000.00 yearly
Full-time

WTW Producers make a valuable difference every day to our high-profile clients and prospects by developing leading edge solutions to address their health and benefits and broader benefits issues.Th... Show more

People also ask
The cities near Alexandria, VA that boast the highest number of benefits consultant jobs are:
Senior HRP Benefits Configuration Consultant

Senior HRP Benefits Configuration Consultant

Educology SolutionsWashington, DC, United States
10 days ago
Job type
  • Full-time
Job description

Senior HealthRules Payor Benefits Configuration Consultant

Job description Senior HealthRules Payor (HRP) Benefits Configuration Consultant to support multiple healthcare payer implementation and optimization initiatives. The ideal candidate will possess deep expertise in HealthRules Payor Benefits Configuration, Medicare and Medicaid benefit design, claims adjudication, pricing, testing, and production support. This individual will work closely with Business Operations, Product, Claims, Configuration, IT, QA, and HealthEdge to configure and implement complex healthcare benefit plans while ensuring regulatory compliance and high auto-adjudication performance. The successful candidate is a self-driven consultant capable of translating business requirements into HealthRules Payor configuration while supporting implementation, testing, and production stabilization. The start date will be ASAP and end Jan 30th 2027 with potential extensions. All work will be remote, with the possibility of being on site during Go Live (2 weeks).

DUTIES & RESPONSIBILITIES

  • HealthRules Payor Benefits Configuration
    • Configure and maintain medical benefit plans within HealthRules Payor (HRP)
    • Configure: Benefit Packages, Products, Plan Designs, Cost Shares, Deductibles, Copays, Coinsurance, Accumulators, Limits, Exclusions
    • Configure pricing and benefit logic to support accurate claims adjudication.
    • Support benefit changes resulting from CMS and State regulatory updates.
  • Business Analysis
    • Collaborate with Business and IT stakeholders to understand benefit requirements.
    • Translate business requirements into technical configuration specifications.
    • Identify configuration gaps and recommend solutions.
    • Participate in requirements gathering sessions and design reviews.
  • Testing
    • Develop test scenarios.
    • Execute configuration validation.
    • Support SIT, UAT, End-to-End, and Production Validation.
    • Validate benefit configuration before deployment.
    • Support defect triage and issue resolution.
  • Production Support
    • Investigate production incidents.
    • Perform root cause analysis.
    • Coordinate configuration fixes.
    • Support implementation weekends and Go-Live activities.
    • Participate in Command Center activities during stabilization.

QUALIFICATIONS

  • 7+ years Healthcare Payer experience.
  • 5+ years HealthRules Payor (HRP) Configuration experience.
  • Strong expertise configuring: Medical Benefits, Products, Plans, Pricing, Cost Sharing.
  • Experience with: Medicare Advantage, Medicaid, Dual Eligible (D-SNP), Commercial Health Plans.
  • Strong understanding of: Claims adjudication, Benefit administration, CMS regulations, Benefit interpretation.
  • Experience supporting HRP implementations or migrations.
  • Strong analytical and troubleshooting skills.
  • Excellent communication skills.
  • Ability to work directly with executive leadership, business users, and technical teams.

PREFERRED QUALIFICATIONS

  • Candidates with experience in: Medicare Advantage implementation, Medicaid implementation, D-SNP configuration, Benefit migrations, Health plan system conversions, Claims optimization, Production stabilization, Go-Live Command Centers, CMS Annual Benefit Updates.

Soft Skills

  • Strong client-facing communication
  • Ability to translate business needs into technical solutions
  • Excellent documentation skills
  • Strong problem-solving ability
  • Organized and detail-oriented
  • Ability to manage multiple priorities
  • Collaborative leadership and Peer review

Washington, DC Remote Full Time