HR Director – Health & Dental Benefits

Carle Health

Director managing health, pharmacy, and dental benefits programs at Carle Health. Overseeing strategic leadership and operational oversight while ensuring compliance and member satisfaction.

Posted 5/21/2026full-timeRemote • Illinois • 🇺🇸 United StatesLead💰 $59 - $102 per hourWebsite

About the role

Key responsibilities & impact

Provide comprehensive oversight of all activities related to health, pharmacy, and dental benefit programs, including plan performance, vendor management, compliance, and operational efficiency.
Partner with internal stakeholders and external vendors
Ensure benefit programs are administered accurately, efficiently, and in compliance with applicable regulations.
Facilitate timely resolution of benefit‑related issues
Oversee appeals processes to ensure fair, consistent, and prompt outcomes for team members.
Analyze trends in health, pharmacy, and dental utilization, costs, and outcomes
Identify opportunities for improvement.
Assess team member satisfaction with benefit programs.
Evaluate network adequacy, access to care, and cost efficiency across all benefit offerings.
Monitor pharmacy utilization and cost trends
Identify emerging issues and recommend appropriate plan or programmatic changes.
Research, assess, and recommend plan design enhancements based on utilization trends, market benchmarks, organizational priorities, and financial sustainability.
Collaborate with partners, vendors, and consultants to evaluate benefit design alternatives.
Develop actionable recommendations to support team member well‑being based on health and dental usage patterns.
Annual, or as needed, review of summary plan description
Prepare for and lead monthly and quarterly Health and Welfare Committee meetings, including agenda development, data presentations, recommendations, and follow‑up actions.
Partner with key stakeholders to align benefit strategies with organizational objectives.
Maintain strong vendor relationships
Ensure accountability, performance standards, and continuous improvement.
Assure plans are and remain compliant with all applicable laws.
Oversee the development and execution of all communication plans related to health, pharmacy, and dental benefits.
Ensure benefit communications are clear, accurate, timely, and supportive of informed decision‑making by team members.
Coordinate and lead the annual open enrollment process, including timelines, materials, vendor coordination, system readiness, and post‑enrollment follow‑up.
Develop and implement targeted actions, programs, or initiatives to support team member well‑being, informed by health and dental utilization trends.
Coordinate on‑site dental clinics and oversee development of related promotional and educational materials.

Requirements

What you’ll need

Bachelor's Degree: Healthcare Administration or Business Administration or Human Resources
Leading health, pharmacy, and dental benefit programs in a complex organization - 10 years
Strong expertise in benefit plan design, vendor management, regulatory compliance, and data analysis.
Demonstrated ability to translate analytics into actionable strategy and recommendations.
Proven experience leading cross functional stakeholders and governance committees.
Exceptional communication, presentation, and relationship management skills.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

benefit plan designvendor managementregulatory compliancedata analysishealth utilization analysispharmacy utilization analysiscost analysisprogram design enhancementscommunication plan developmentopen enrollment coordination

Soft Skills

communication skillspresentation skillsrelationship managementcross-functional leadershipproblem-solvinganalytical thinkingstakeholder engagementteam member satisfaction assessmentstrategic thinkingcontinuous improvement

Certifications

Bachelor's Degree in Healthcare AdministrationBachelor's Degree in Business AdministrationBachelor's Degree in Human Resources