3 дня назад
Senior Benefits Administrator (Healthcare)
90 000 - 103 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Benefits Administrator (Healthcare): Overseeing self-insured medical and health and welfare plans, including claims analysis, vendor governance, enrollment administration, and regulatory compliance with an accent on ERISA, HIPAA, ACA, COBRA, and FMLA requirements. Focus on analyzing claims data, coordinating stop-loss reimbursements and audits, managing complex employee claims, and maintaining accurate plan documentation.
Location: United States — Remote
Salary: $90,000–$103,000 USD annually for Zone 1; compensation varies by geo zone, experience, qualifications, and role requirements.
Company
provides an all-in-one EHR platform for independent healthcare practices, combining EHR software, billing, automation, telehealth, and marketing tools.
What you will do
- Oversee self-insured medical plan administration, claims performance, stop-loss activity, funding requests, reserves, and reconciliations.
- Manage relationships with third-party administrators, pharmacy benefit managers, brokers, carriers, and other benefits vendors.
- Lead annual open enrollment, enrollment changes, qualifying life events, dependent eligibility verification, and COBRA processing.
- Coordinate disability and leave-related benefits, including premium administration during FMLA and leave periods.
- Maintain compliance with ERISA, ACA, HIPAA, COBRA, FMLA, Section 125, and related reporting and documentation requirements.
- Support escalated employee claims, benefits communications, annual audits, nondiscrimination testing, and plan governance.
Requirements
- Bachelor’s degree in human resources, business administration, finance, or a related field, or equivalent practical experience.
- At least 5 years of direct experience in health and welfare plan administration.
- Experience administering self-insured or self-funded medical plans, including stop-loss insurance, TPAs, and PBMs.
- Experience administering benefits in Workday.
- Advanced Microsoft Excel skills, including PivotTables, VLOOKUP/XLOOKUP, and data modeling.
- Deep functional knowledge of ERISA, ACA, HIPAA, COBRA, and IRS Section 125 rules.
Nice to have
- CEBS, SHRM-CP, SHRM-SCP, PHR, or SPHR certification.
Culture & Benefits
- Remote work arrangement for the United States.
- Eligible employees may receive variable pay and a benefits package.
- Healthcare benefits and wellness resources, including Gympass and the Telus Employee Assistance Program.
- Discount on Dell work-from-home equipment.
- Interviews may be recorded and transcribed through BrightHire for hiring consistency and evaluation.
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