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AHMC HealthCare · 1 day ago

Corporate Senior Benefits Specialist (on-site)

Alhambra, CA

Full-time

Onsite

Senior Level

5+ years exp

AHMC HealthCare is a healthcare management organization providing services across multiple hospitals. They are seeking a Corporate Senior Benefits Specialist to manage benefit administration and provide support to facility HR departments while ensuring compliance with various regulations.

Health CareHospitalityWellness

Responsibilities

In collaboration with the Corporate Benefits Supervisor, incumbent is responsible for the planning and administration of the various employee benefits plans including enrollment, qualified status changes, open enrollment, and terminations

Responsible for data entry based on employee’s elections, qualified status changes, and open enrollment

Advises and counsels management and employees on existing benefit plans

Researches and corrects benefit enrollment issues and/or benefit carrier file discrepancies in a timely basis

Reviews billing statements for accuracy and investigates any discrepancies for assigned benefit plans

Provides vendors with appropriate documentation for enrollment and billing purposes, as applicable

Produces various reports for enrollment including; deductions and plan participation as needed

Maintains accurate records and interfaces with accounting and auditors effectively and efficiently

Responsible for 401(k) Plan interface with Fidelity related to timely processing of accurate uploading

Collaborates with auditors in the annual audit of the plan. Ensures all required documents for a 401(k) Plan audit are readily available

Ensures all facilities are aware of proper procedures related to 401(k) Plan administration

Collaborates with appropriate members of the Corporate HR team and vendors to ensure that nondiscrimination testing is performed timely and in accordance with regulations and plan document

Leads open enrollment projects, 1095-C filings, 5500 filings, and other benefit projects as needed

Analyzes employee utilization of benefits on an ongoing basis and assists with planning and implementation of the annual open enrollment process, new benefit plans, and other employee information sessions and events as required

Assists in the management of the benefit plan renewal process. Works with health insurance carriers and management to develop benefit implementation strategies and plans

Coordinates the implementation of new carriers and products as related to setup, system input and implementation of benefit business processes and rules

In collaboration with vendors ensures that enrollment/transfers/election issues related to benefits are addressed and resolved in a timely basis. Addresses concerns in a timely and efficient manner

Monitors and coordinates the processing of death claims to ensure compliance with policy, contractual provisions and relevant laws and regulations

Creates communication for participants concerning changes to plans and updates website

Maintains informed on any legal or regulatory changes affecting the administration of benefits and ensures that other HR professionals receive the appropriate updates timely

Facilitate weekly meetings with UKG benefits team to resolve outstanding issues

Keeps immediate supervisor informed of any benefit related concerns/issues and collaborates to address issues on a timely basis

Analyze results of surveys and develops specific recommendations for review by management

Processes medical support orders, evidence of insurability reports, COBRA billing administration, and/or LOA plan administration based on report output

Works collaboratively with AHMC colleagues to deliver exceptional customer service and build cohesive interdepartmental relationships

Assists HR offices at the facilities in addressing complex benefit issues

Ensure employee coverage changes are updated with benefit vendors in a timely manner

Supervises maintenance of enrollment, application, and claims records for all benefit plans

Develop and implement benefit training program

Works with a high level of integrity and maintains confidentiality

Qualification

Benefits administrationCompliance knowledgeMicrosoft ExcelProject managementData entryAnalytical skillsCommunication skillsProblem solvingBachelor's degreeCEBS certificationPHR certificationSPHR certificationCBP certification

Required

Five+ year's professional experience in benefits administration for a medium to large organization

Detailed knowledge of employee benefits and the regulations, which govern, self-funded programs

Knowledge of all pertinent federal and state regulation, filing and compliance requirements affecting benefit programs, including ERISA, HIPAA, ADA, ACA, worker's compensation, COBRA, FMLA, IRS plan restrictions and other related regulations

Project And Team Management/leadership Skills Experience

Advanced Microsoft (Excel, Access, Word, Outlook, PowerPoint, Publisher, etc.) and database (UKG, ADP Reports, People Soft, etc.) experience

Must be proficient with Microsoft Excel

Ability to create and comprehend reports and spreadsheets

Strong written, verbal, and presentation skills

Strong analytical, problem solving and research skills

Must be detail oriented and able to work effectively with all levels of personnel

Ability to work and communicate with both internal and external employees and vendors in a professional and effective manner

Ability to organize, prioritize, and follow through to completion on multiple tasks

Adapts to meet changing business needs