Benefits Manager
Core
Own the administration, compliance, and continuous improvement of a comprehensive employee benefits portfolio, including leading the transition from fully insured to self-funded medical plans.
Role type
Senior IC Benefits Manager
Builds
Comprehensive employee benefits programs (health, retirement, wellbeing) and self-funded medical plan models
Domain
US Healthcare / Employee Benefits Administration
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Benefits program administration, ACA compliance, ERISA/COBRA/HIPAA knowledge, Open enrollment management, Benefits reconciliation, Self-funded plan transition, Stop-loss selection, Vendor management, HRIS integration, Data analysis
Preferred skills
Multi-entity/multi-state program experience, Healthcare industry experience, Benefits certification (CEBS/CBP)
Technologies
ADP Workforce Now, HRIS platforms, Excel
Responsibilities
Own monthly benefits reconciliation and resolve billing discrepancies; Manage full lifecycle of medical, dental, vision, life, disability, and 401(k) programs; Lead transition from level-funded/fully insured to self-funded model; Manage ACA compliance and IRS reporting (1094-C/1095-C); Monitor compliance with ERISA, COBRA, HIPAA, and state requirements; Build funding and claims exposure models; Manage relationships with brokers, TPAs, and stop-loss carriers; Own annual open enrollment process; Analyze utilization and cost trends for program improvements.
Seniority
Senior, hands-on IC