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Health Plans, Inc. Funding Specialist (On-Site) in Westborough, Massachusetts

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real impact motivate and energize you? If so, Health Plans, Inc. (HPI) is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you.

What we do

HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission.

What you’ll do

The Funding Specialist is responsible for coordinating daily account activity for employer groups who self-fund their health, dental and short-term disability benefit programs. As such, the specialist manages information for clients in the areas of funding, billing and reporting. Please note, this is a full-time, on-site role located at our headquarters in Westborough. MA. The schedule for this position is M-F, 8:30 am to 5:00 pm.

In this role, you’ll also:

  • Communicate with clients regarding funding requirements based on approved expenses of the plan

  • Communicate with claim examiners, account managers and various other departments according to client needs

  • Compile and audit various monthly activity reports

  • Calculate and prepare reports for agent commission payments, network access and utilization review fee payments, and responds to inquiries regarding these reports

  • Assists plan participants and clients with administrative matters relative to prescription benefit, network access and enrollment information

  • Completes departmental projects as assigned

  • Performs other various duties deemed necessary to provide client administrative services

What you bring:

  • High School Diploma or equivalent education and two years’ of related experience, preferably in the banking and/or healthcare industry

  • Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint

  • Communicates effectively, both verbally and in writing

  • Ability to work both independently and as a team member

  • Ability to multitask efficiently and accurately

  • Must be detailed, analytical and accurate

  • Recognize the need for follow-thru and follow-up

  • Ability to work within specified timeframe and meet deadlines

  • Recognize and maintain confidentiality of work materials as appropriate

  • Comprehend and communicate plan document guidelines

Why choose us?

  • Our space is a reflection of who we are—innovative, open and collaborative.

  • Love to get creative? We do too. Brainstorm in one of our team break-out rooms.

  • We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks.

  • Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms

  • We’re a people-first company and value giving back to our community. Ask us about our RISE Committee and volunteer opportunities.

  • We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life.

    Our benefits package includes:

  • Medical, Dental and Vision Coverage

  • Prescription Drug Coverage

  • Fitness Reimbursement Benefit

  • Tobacco Cessation Program

  • Employee Assistance Program

  • Flexible Spending Account & Health Savings Account

  • 401(k) and Profit Sharing Plan

  • Generous Paid-Time Off

  • Volunteer Days

  • Education Assistance

  • Professional Development Opportunities….and much much more!

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at hpitpa.com/about-us/careers/

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