Senior Benefits Administrator
Core
Oversee day-to-day administration and strategic alignment of self-insured health and welfare plans, including medical, dental, vision, life, disability, and 401K.
Role type
Senior Benefits Administrator (Self-Insured Plans)
Builds
Self-insured medical plans, stop-loss policies, and employee benefit programs
Domain
Healthcare technology / Health & Welfare Benefits
Required skills
ERISA compliance, HIPAA compliance, ACA compliance, COBRA administration, FMLA administration, claims analysis, stop-loss management, TPA/PBM vendor governance, Open Enrollment management, nondiscrimination testing, HRIS administration (Workday), advanced Excel (Pivot Tables, VLOOKUP/XLOOKUP)
Preferred skills
CEBS certification, SHRM-CP/SHRM-SCP, PHR/SPHR certification
Technologies
Workday, MS Excel
Responsibilities
Monitor ongoing medical and prescription drug claims performance; coordinate stop-loss policy renewals and reimbursement filings; oversee relationships with TPAs, PBMs, and carriers; lead annual Open Enrollment process; manage day-to-day enrollment changes and COBRA processing; ensure strict compliance with federal and state regulations (ERISA, ACA, HIPAA, COBRA, FMLA); draft employee communications explaining plan features and cost-saving tools.
Seniority
Senior, hands-on IC
