Corporate Wellness Specialist

OverviewThe Corporate Wellness Specialist (CWS) will be responsible for implementing and evaluating wellness/health promotion programs and initiatives. Wellness programs will be outcome-based, focused upon member/participant engagement and consistently re-evaluated for measures of success. The (CWS) will provide company-specific analysis to identify health care opportunities and/or service gaps. The incumbent will operate cross-functionally to provide superior internal and external customer service. The role of the Corporate Wellness Specialist is intended to be the content expert while fostering enhanced relationships with employer groups, brokers, internal sales, and several other related internal departments. In addition, the (CWS) will execute payments to wellness vendors, merchants and members in accordance with ancillary wellness benefit contract language. In addition, the (CWS) will design, configure, and refresh wellness web content for all lines of business.Qualifications

High School diploma or GED required, Associate’s degree preferred.

Three (3) years of hands-on experience in wellness, health/group education, and/or health and wellness program design to include one (1) year of experience in data analytics, quality health data analytics & measurements required.

Health & Fitness/Wellness Certification such as Personal Training or Group Exercise preferred.

Experience in healthcare or health insurance servicing preferred.

Strong group presentation skills in a business setting, with experience in both large and small group settings. Presentation development (PowerPoint) and prior public speaking experience preferred.

MS Office proficient. Computer skills that include, but not limited to: Word, Excel, PowerPoint and ACT.

Thorough knowledge of Microsoft Office Word and Excel with the ability to create documents and compile data as well as a demonstrated use of Siebel, Macess, SharePoint.

Able to design and interpret performance measures, quality indicators and analyze program outcomes.

Demonstrated ability to work autonomously. Must be adaptable and thrive in a high energy, creative and ever-changing work environment.

Excellent communication skills (verbal /written), organizational and time management skills.

Ability to work independently and as a team member.

Must maintain a flexible work schedule, to include occasional evening and weekend program coverage.

Ability to handle multiple duties with minimal direction. Apply critical thinking skills and make decisions based upon individual needs.

Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Key Accountabilities

Implement and evaluate wellness programs to ensure that they are educational, outcome-based and focused upon engaging the member/participant using employer-based, medical claims and self-reported data to continuously adjust the plan to achieve targets.

Work with Wellness staff on the development of new programs.

Coordinate programs and services with sales staff and brokers to meet the needs of targeted employer groups.

Align with Clinical Management, Quality Management, MTM, Foundation, Sales/Marketing and other departments as needed to promote wellness and preventive care with employer groups and the community.

Must demonstrate exemplary levels of customer service in accordance with IH Mission, Vision and Values.

Present wellness services in an engaging and professional manner. Evaluate presentation outcomes and make recommendations to senior staff/management.

Develop strong relationships with internal and external representatives and link with community resources.

Service the needs of the wellness department’s customers by being a resource for members and employer groups.

Coordinate all customer-specific details associated with wellness initiatives and programs.

Analyze data to design, implement and evaluate customer-specific wellness programs.

Support marketing and promotion of wellness programs to employer groups and the community.

Oversee the Health & Wellness Network programs including: correspondence with potential vendors regarding program requirements, denials, approvals, tests of MasterCard terminals, updates to the RIO (Registered Individual Organization) tracking grid and quarterly updates to IH Marketing for pdf update purposes.

Oversee and manage the Healthy Benefits Debit Card program. This includes communication with eligible gyms regarding contract requirements. Track and update internal sites to establish the gym as a medical provider.

Oversee and manage the Health Extras Card network. Process and track updates for Licensed Massage Therapists and Licensed Acupuncture providers. Prepare and send IH Marketing updates. Assist approved practitioners with credit card resources and associated testing. Actively recruit new providers.

Manage the New York Standard Gym Benefit (NYSGB). Track, review and assist both Independent Health members and Member Services by providing information regarding in-progress NYSGB claims. Review new claims, obtain approval from the Manager of Wellness and prepare documentation for accounts payable. Communicate with IH members and Member Services regarding ineligible claims, compile correspondence letters and request additional member documentation when necessary.

Manage the Wellness Discount Program contracts in the areas of: Audiology, Dentistry, Health Education, Childbirth Education as well as Wellness and Fitness. Acts on vendor requests for participation, processes denials and approvals, creates and terminates contracts, reviews contract accuracy, maintains hard copy files, consults with Legal and directs final copies for electronic filing. The Ancillary Wellness Supervisor handles administration of roster billings including tracking of documents and preparing documents for accounts payable in accordance with contract guidelines. The Ancillary Wellness Supervisor acts as liaison to vendors under contract. Actively recruits new vendors to keep up with market trends.

Manage all administrative aspects for each program’s projects or processes and make recommendations on process changes or additions to the program to create efficiencies and/or cost savings.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here at https://www.independenthealth.com/AboutIndependentHealth/Careers/AdditionalEEO-AAPInformation for additional EEO/AAP or Reasonable Accommodation information.Current Associates must apply internally via their Career Worklet.Independent Health, a not-for-profit health plan headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio of progressive products include HMO, POS and EPO products, Medicare and Medicaid plans, traditional indemnity insurance, individual and small group Exchange products, consumer-directed plans and health savings accounts, plus coverage for self-funded employers.Independent Health has augmented its highly successful insured product portfolio with services employers and employees need to better manage their health care expenses through its affiliate companies, including the Independent Health Foundation, Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, and DxID.Our award-winning customer service, dedication to quality health care and unmatched relationships with physicians and providers has allowed us to be consistently recognized as one of the highest-ranked health insurance plans in the nation.We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.