Establish relationships with HR Partners, business leaders, and employees to ensure our benefits delivery and operations meets employee needs.
Function as the subject matter expert on benefit programs; resolve benefits issues, escalations and close them in a timely manner – usually within 48 to 72 hours for non-complex and five business days for complex issues.
Effectively manage multiple, complex projects and deadlines, with internal and external parties.
Resolve complex issues including identifying the issues, performing a thorough investigation to identify root cause, conducting impact analysis (financial and members), evaluating resolution options (advantages and disadvantages of each option).
Build effective vendor management activities including, set up ongoing vendor partner meetings on a consistent basis (monthly, quarterly, etc.) to review service improvement opportunities, member satisfaction results on customer service and website efficiencies; monitor service-related performance guarantee results and execute service improvement plans when necessary; monitor monthly invoices to ensure accurate administrative fees and enrollments are applied.
Actively participate in Annual Enrollment preparation and user acceptance testing to ensure a thorough review of the enrollment system and accurate setup of eligibility rules/requirements, employee contribution rates, imputed income rates, COBRA rates, ASO fees, and premiums.
In addition, review interface files set up between the benefits administration system and vendor systems (determine required fields based on minimum necessary rules, frequency, monitor file testing results, etc.).
Ensure the website enrollment process is efficient that provides an excellent member experience.
Document lessons learned and conduct or participate in AE debrief meetings.
Identify process improvement and/or automation opportunities; effectively manage implementations, execution, and documentation of new processes; set and track project success metrics and document lessons learned.
Participate in and/or conduct benefit training for partner teams and external vendors.
Execute audit schedule and type for each major vendor partner.
Manage audit progress, review results, and set priorities on necessary changes or improvement plans.
Partner with technical teams and payroll to ensure the accuracy of employee data and functionality of electronic data interfaces with partner vendors.
Monitor and understand federal and state regulation changes that may impact the benefit administration process and/or program offerings.
When necessary, work with internal teams, external ERISA counsel, and/or vendor partners on benefit administration changes.
Prepare, monitor and/or manage all ERISA, CMS, ACA and/or state-related filings in a timely manner and assure Plan compliance.
Requirements
Bachelor’s degree in Human Resources or related field, or equivalent working experience
Minimum 6 years’ benefits program management experience required.
Excellent project management skills with proven ability to design workable solutions, manage multiple initiatives simultaneously, prioritize workloads, meet deadlines, and drive projects to successful implementation.
Deep analytical skills, comfortable working with and communicating substantial amounts of data findings, experience establishing and tracking program metrics.
Ability to work with a high degree of autonomy through ambiguous circumstances.
Strong business judgment and a practical, common-sense approach to getting things done.
Successful record of building operational processes and procedures with a focus on continuously improving programs.
Excellent written and verbal communications skills - ability to interface with all levels of the organization and influence business leaders.
Proficient in Excel One of the requirements for the job is analytical skills which require slightly advanced Excel skills – pivot table, vlookup, setting formulas, know the shortcuts in Excel, etc.
Previous experience with HRIS/Payroll systems; Workday, ADP Payroll, and Alight experience preferred.
Deep knowledge of ERISA, HIPAA, ADA, COBRA, FMLA, Worker’s Compensation, and other benefits-related legislation.
Also, FSA and HSA accounts.
Strong knowledge of health and welfare benefit programs including healthcare, life, disability, time away, vacation, sick, and well-being benefits
Understanding of the need for confidentiality in maintaining integrity internally and externally with HR data.