The Benefits Specialist is an integral member of OrthoVirginia’s Total Rewards and Human Resources team, dedicated to delivering a high-quality, compliant, and employee-centered benefits experience. This role is responsible for the day-to-day administration of health and welfare programs, ensuring accuracy, timeliness, and alignment with organizational policies and regulations.

The Benefits Specialist serves as a key resource for employees, resolving complex benefit-related inquiries and providing clear, supportive guidance. In collaboration with internal stakeholders and external vendors, this role helps drive efficient program delivery and continuous improvement in benefits processes.

Additionally, the Benefits Specialist plays a vital role in enhancing employee understanding of available benefits and contributes to the ongoing evolution of OrthoVirginia’s total rewards strategy, supporting a positive and engaging employee experience.

Key Responsibilities

Benefits Administration & Compliance

Administer employee health and welfare benefit plans in accordance with federal and state regulations (e.g., ACA, ERISA, COBRA)
Partner with ACA vendor to ensure ongoing compliance and accurate reporting
Oversee required filings, compliance documentation, and employee disclosures
Conduct regular audits of benefits data, enrollment records, and system integrity

Vendor Management & Operations

Coordinate with carriers, brokers, and third-party administrators to manage benefit programs
Support benefit-related system configuration, testing, and transactions within Workday
Manage vendor invoicing and reconcile benefit-related billing
Maintain strong vendor relationships to ensure service quality, compliance, issue resolution and a positive employee experience

Employee Support & Issue Resolution

Serve as a primary point of contact for employee benefit inquiries and escalations
Educate employees on benefit options, eligibility, and plan features
Partner with HR Business Partners to resolve employee relations issues related to benefits
Ensure timely and effective resolution of complex benefit issues

Open Enrollment & Communications

Support planning and execution of annual open enrollment
Develop clear, engaging employee communications and educational materials
Contribute content for internal platforms (e.g., intranet) to improve benefits awareness and utilization

Program Development & Analysis

Assist in evaluating and enhancing benefits offerings based on employee needs, utilization trends, and market data
Analyze cost trends and provide insights to support decision-making
Support the development and maintenance of plan documents, policies, and procedures

Wellness Program Management

Administer employee wellness program and initiatives designed to promote health and wellbeing
Recommend enhancements based on employee feedback and participation trends
Develop communications that drive engagement in wellness activities and health screenings

Leave & Compliance Programs

Serve in a back-up capacity for employee leave programs, including FMLA, short-term disability, and long-term disability
Additional Job Description
Additional Job Description

Core Competencies

Attention to detail and accuracy
Strong stakeholder collaboration and relationship management
Analytical thinking and continuous improvement mindset
Ability to manage sensitive and confidential information
Effective communication and employee advocacy

OrthoVirginia

Latest Jobs

Benefits Specialist