Description

Key Responsibilities

Program Administration & Support

• Manage daily administration of medical, dental, vision, HSA/FSA, life, disability, EAP, and voluntary benefits.
• Support and assist the Director with annual plan renewals, data requests, rate analysis, carrier deliverables, and strategic planning.
• Coordinate retirement program administration (401(k)) including documentation, audits, and operational accuracy.
• Oversee leave of absence processes (FMLA, ADA, state programs), ensuring accurate and compliant workflows.
• Maintain the annual benefits calendar, including key deadlines, notices, compliance filings, and audits.

Vendor Management & Compliance

• Serve as a day-to-day contact for carriers, brokers, TPAs, and technology partners.
• Assist the Director with vendor performance reviews, escalations, and SLA monitoring.
• Ensure compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and applicable state/federal regulations.
• Support required annual filings (5500s, ACA reporting, RxDC, CMS Creditable Coverage).

Employee Support & Communication

• Provide guidance on complex employee escalations, claim issues, and eligibility questions.
• Develop and deliver benefits communications, guides, training, and FAQs.
• Lead Open Enrollment execution, including system testing, vendor coordination, communications, and reporting.
• Gather and analyze employee feedback and claims data to recommend operational improvements.

Systems, Data Integrity & Process Improvement

• Oversee benefits configuration and accuracy in the HRIS, ensuring eligibility, deductions, and life event workflows.
• Partner with Payroll and Finance on reconciliation, invoicing, cost modeling, and corrections.
• Maintain and enhance benefits dashboards, reporting, audits, and templates.
• Identify process gaps and implement solutions to streamline benefits operations.

Leadership & Collaboration

• Provide guidance and task direction to Benefits Specialists/Coordinators.
• Partner with HRBPs, Recruiting, Legal, Finance, and Operations on cross-functional needs.
• Contribute to M&A due diligence and integration activities under the direction of the Director.

Qualifications

Required

• Bachelor's degree in HR, Business, or related field OR equivalent experience.
• 5+ years of progressive benefits administration experience.
• Experience working with self-funded medical plans (operational, administrative, or vendor-side).
• Strong working knowledge of ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and plan compliance requirements.
• Experience managing vendors and handling employee escalations.
• Strong analytical and communication skills.
• Proficiency with HRIS or benefits enrollment systems.

Preferred

• CEBS, SHRM-CP/SCP, PHR/SPHR, or similar certification.
• Strong experience with multi-state benefits, LOA programs, or high-volume environments.
• Experience with UKG (Benefits, HR, and system configuration preferred).
• Experience supporting plan renewals or working with brokers/carriers.
• Project management or process improvement background.

Competencies

• Regulatory & technical expertise
• Problem-solving & analytical skills
• Vendor partnership management
• Clear, employee-friendly communication
• Project management & organization
• Confidentiality and integrity
• Continuous improvement mindset

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