We are seeking an experienced Benefits Consultant with deep expertise in Workday Benefits Administration, EDI file integrations, carrier implementations, and automated Open Enrollment processes. This consultant will serve as the subject matter expert responsible for assessing current benefits administration processes, configuring Workday Benefits, implementing carrier file feeds, improving automation, and ensuring seamless enrollment and eligibility data transmission between Workday and insurance carriers.

The ideal candidate has successfully led multiple Workday Benefits implementations or optimizations and possesses extensive knowledge of benefit plan configuration, eligibility rules, event processing, ACA requirements, COBRA integrations, carrier connectivity, and benefits administration best practices.

This role works closely with HR, Payroll, IT, Benefits vendors, insurance carriers, and third-party administrators to deliver scalable and compliant benefits operations.

Primary Responsibilities

Workday Benefits Administration

Configure and optimize Workday Benefits module
Build and maintain benefit plans, plan options, eligibility rules, and enrollment events
Configure life event processing and benefit event workflows
Design benefit security roles and business processes
Maintain benefit rates and employer contribution structures
Configure dependent verification requirements
Support annual plan renewals and benefit updates
Validate employee self-service functionality
Configure passive and active enrollment strategies
Ensure compliance with Workday best practices

Open Enrollment Management

Lead the end-to-end Open Enrollment process including:

Open Enrollment project planning
Annual configuration updates
Benefit plan changes
Carrier coordination
Testing enrollment scenarios
Communication support
Enrollment validation
Production deployment
Post-enrollment audits
Exception management

Develop automated enrollment workflows that reduce manual intervention while improving employee experience.

EDI Implementation & Carrier Integrations

Serve as the technical lead for benefits data integrations including:

Requirements gathering
Carrier implementation meetings
Mapping benefit eligibility data
Developing EDI specifications
Building inbound/outbound integrations
Testing carrier connectivity
Production migration
Ongoing monitoring

EDI File Management

Design, implement, and support:

ANSI 834 files
Custom carrier file formats
XML integrations
CSV file feeds
API integrations (where applicable)
SFTP connectivity
Secure file transmission
File encryption
Scheduled integrations
Error handling
Exception reporting
File reconciliation

Carrier Feed Testing

Lead all phases of testing including:

Unit testing
System Integration Testing
User Acceptance Testing
Parallel testing
Carrier validation
Eligibility testing
Life event testing
Open Enrollment testing
Payroll deduction validation
File reconciliation

Payroll Integration

Partner with Payroll to ensure:

Benefit deductions calculate correctly
Payroll interfaces function properly
Benefit elections transfer accurately
Retroactive adjustments process correctly
Deduction codes align with benefit plans
Payroll reconciliation processes are established

Compliance

Ensure compliance with:

ACA
HIPAA
ERISA
COBRA
IRS Section 125
Affordable Care Act reporting
Benefit eligibility regulations
Privacy and security standards

Project Management

Lead benefits technology projects including:

Project planning
Timeline management
Risk identification
Vendor coordination
Stakeholder communication
Status reporting
Issue resolution
Go-live support
Hypercare support
Documentation

Process Improvement

Evaluate current processes and recommend improvements including:

Workflow automation
Manual process elimination
Data accuracy improvements
Employee experience enhancements
Reporting automation
Operational efficiencies
Standard Operating Procedures (SOPs)
Governance documentation

Documentation

Develop and maintain:

Configuration documentation
Process maps
SOPs
EDI specifications
Testing scripts
Training documentation
User guides
Carrier implementation documentation
Benefit administration procedures

Qualifications

Required Experience

Bachelor's degree in Human Resources, Business, Information Systems, or related field
5+ years of Benefits Administration experience
3+ years configuring Workday Benefits
Multiple Workday Benefits implementations or optimization projects
Extensive experience implementing EDI carrier feeds
Experience leading Open Enrollment implementations
Strong understanding of benefits administration operations
Experience working directly with insurance carriers
Payroll integration experience
Project management experience

PEPL

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