St. Charles Health System · 4 days ago
Manager, Benefits
St. Charles Health System is seeking a Benefits Manager responsible for the strategic design, administration, and management of employee benefits programs. The role includes overseeing the self-funded health plan, ensuring compliance with regulations, and managing a team to deliver exceptional service to caregivers.
Responsibilities
Oversees the administration of all employee benefit programs, including the self-funded medical plan, dental, vision, life, retirement, and wellness programs
Partners with the third-party administrator (TPA) and stop-loss carrier to monitor plan performance, manage claims costs, and ensure accuracy in plan administration
Leads the annual benefits renewal, plan design evaluation, and open enrollment process, ensuring timely and effective implementation
Analyzes claims trends, utilization data, and benchmarking results to recommend strategic changes and cost-containment strategies
Maintains oversight of vendor contracts and performance to ensure optimal service delivery and alignment with organizational goals
Ensures compliance with federal and state regulations including ERISA, ACA, HIPAA, COBRA, and IRS requirements
Manages required filings such as Form 5500, ACA reporting, and other benefit-related disclosures
Partners with internal and external auditors to ensure accuracy and adherence to regulatory and policy standards
Develops and delivers communication strategies that promote caregiver understanding and appreciation of benefits offerings
Use data analytics to evaluate the effectiveness of current benefits packages and identify opportunities for improvement
Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control
Hires, directs, coaches and monitors the performance of all direct reports, to develop and maintain a high-performance team that meets organizational and department goals
Monitors and ensures all direct reports are current with compliance and safety requirements
Implements and manages all organizational safety directives and goals
Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate
Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Lean principles, concepts and tools
Supports the vision, mission, and values of the organization in all respects
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change
Provides and maintains a safe environment for caregivers, patients, and guests
Conducts all activities with the highest standards of professionalism and confidentiality
Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings
May perform additional duties of similar complexity within the organization, as required or assigned
Qualification
Required
Bachelor's degree in a related field Human Resources, Business Administration, Finance or related field
Minimum of five (5) years of progressive experience in benefits administration
Minimum one (1) year leadership experience
Experience managing a self-funded health plan required, including oversight of TPAs, stop-loss, and PBM vendors
Experience in a large, complex organization, preferably within healthcare or a multi-site environment
Strong understanding of benefits compliance and financial reporting requirements
Preferred
SHRM-CP or SHRM-SCP
Certified Benefits Professional (CBP)
Benefits
Self-funded medical plan
Dental
Vision
Life
Retirement
Wellness programs
Company
St. Charles Health System
St. Charles Health System, and its associated hospitals, has provided quality health care to all those in need.
Funding
Current Stage
Late StageLeadership Team
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