Benefits Administration & Operations Coordinator

Location: Hybrid (Local to NYC area)

Position Summary:

The Benefits Administration & Operations Coordinator will provide administrative and logistical support to the Benefits Administration and Operations team, focusing on tracking and coordinating ongoing benefit tasks. The role will involve organizing and monitoring project timelines, assisting with documentation, facilitating communication across teams, and ensuring that all benefit requests and updates are processed in a timely and accurate manner. This role is primarily internal support but does have limited client-facing needs.

Position Responsibilities:

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  Assist with tracking the status of ongoing benefit configuration projects across all lines of Business

  
  

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  Coordinate timelines and ensure that project milestones are met for new implementations, benefit changes and audits

  
  

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  Monitoring the progress of benefit-related requests and updates, escalating issues to senior team members as needed

  
  

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  Serve as a point of contact between Benefit Operations and other internal teams (Product/Dev, Clinical, and Account management) to ensure smooth communication and project updates and that all team members are aligned on deliverables and timelines

  
  

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  Assist in organizing the documentation and tracking of new benefit implementations and updates to existing plans

  
  

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  Assist in preparing reports, status updates for internal stakeholders, audit results and testing outcomes ensuring that information is accurate and up to date

  
  

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  Assist in preparing and sending updates to clients regarding benefit inquiries as directed by senior team members

  
  

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  Assist in organizing training sessions or documentation ensuring that all resources are up to date

  
  

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  Help track training materials and assist in disseminating new information or process updates to relevant stakeholders

  
  

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  Monitor adherence to SLAs and quality standards, alerting team members to potential delays or issues

  
  

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  Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

  
  

Required Qualifications:

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  At least 3 years of PBM / health plan experience in administrative, coordination roles, or other applicable department needs

  
  

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  Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and experience with project tracking tools (e.g., Salesforce, Jira, or similar platforms)

  
  

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  Tremendous attention to detail, ability to shift priorities easily, and ability to work in a high-paced, deadline-driven environment

  
  

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  Strong communication skills and the ability to act as a liaison between different teams to ensure smooth coordination

  
  

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  Ability to work with cross-functional teams and manage multiple responsibilities at once

  
  

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  Exceptional written and verbal communication skills

  
  

Preferred Qualifications:

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  Bachelor's degree

  
  

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  Experience working with product/dev teams and familiarity with Agile

  
  

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  Medicare and government programs experience

  
  

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  Experience in benefits configuration, benefits testing, or claims monitoring

  
  

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  Project management experience

  
  

Base Salary: $60,000 - $70,000

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

About Capital Rx

Capital Rx is a health technology company providing claim administration and technology solutions for carriers, health plans, TPAs, employer groups, and government entities. As a public benefit corporation, Capital Rx is executing its mission to materially reduce healthcare costs as a full-service PBM and through the deployment of Judi, the company's cloud-native enterprise health platform. Judi connects every aspect of the healthcare ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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