University of Michigan · 4 hours ago
Benefits Administrator Lead
Ann Arbor, MI
Full-time
Hybrid
Senior Level
5+ years expThe University of Michigan is seeking a Benefits Administrator Lead to serve as a key resource for complex benefits administration and customer service. This role involves working directly with members and vendors to resolve eligibility and claims issues, while also providing guidance on benefit programs and supporting staff training.
E-LearningEducationHigher EducationUniversities
Responsibilities
Serve as the primary subject matter expert and liaison for Medicare enrollment, eligibility, and compliance, interpreting federal regulations and University policy and coordinating enrollment transitions, including Medicare Advantage plans
Oversee Medicare Part B reimbursement administration, including audits, eligibility validation, reconciliation of enrollment data, and authorization of payment corrections to ensure accuracy and compliance
Monitor and audit enrollment and eligibility data across commercial and Medicare plans; identify trends or discrepancies and collaborate with vendors and internal partners to resolve issues
Manage compliance-related audits, subpoenas, and regulatory inquiries by researching benefit records, determining coverage and payer status, and providing documentation in collaboration with legal and compliance partners
Administer Medicare Secondary Payer (MSP) compliance activities to ensure correct coordination of benefits and proper billing between Medicare and University medical plan vendors
Respond to CMS, vendor, and member inquiries involving complex benefit eligibility, enrollment history, billing, and claims issues
Partner with benefit plan vendors to ensure accurate enrollment, billing, and service delivery, proactively identifying and addressing recurring issues
Provide guidance and support to members and Benefit Office leadership on complex benefit administration, customer service, and compliance matters
Qualification
Required
Bachelor's degree or equivalent combination of education, certification, and experience
Minimum (5) years experience in employee benefits administration, benefits operations, or benefits-related customer service
Knowledge of organizational medical plan policies and procedures and related state and federal regulations
Ability to resolve complex problems quickly and efficiently
Proficient in computer applications such as Google Suite, Microsoft, Power Point, and Excel
Proficient utilizing an ERP system (ex. PeopleSoft) for confirming benefit eligibility and enrollment and ticketing system (ex. TDX) to manage member inquiries
Benefits
Generous time off, including family leave
A retirement plan that provides two-for-one matching contributions with immediate vesting
Many choices for comprehensive health insurance
Life insurance
Long-term disability coverage
Flexible spending accounts for healthcare and dependent care expenses
Company
University of Michigan
The mission of the University of Michigan is to serve the people of Michigan and the world through preeminence in creating, communicating, preserving, and applying knowledge, art, and academic values, and in developing leaders and citizens who will challenge the present and enrich the future.
10001+ employees
H1B Sponsorship
University of Michigan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (662)
2024 (594)
2023 (787)
2022 (473)
2021 (411)
2020 (324)
Funding
Current Stage
Late StageTotal Funding
$359.75MKey Investors
Michigan Economic Development CorporationNational Institutes of HealthBreakthrough T1D
2025-07-17Grant· $1M
2025-06-07Grant· $1.17M
2025-04-23Grant
Leadership Team
Greg McGuire
Managing Director, Mcity
Robert Goodspeed
Chair, Urban and Regional Planning Program
Recent News
2025-12-19
IEEE Spectrum
2025-12-18
2025-12-17
Company data provided by crunchbase