University of Michigan Information and Technology Services · 1 day ago
Benefits Administrator Lead
Ann Arbor, MI
Full-time
Onsite
Mid, Senior Level
$75K/yr - $90K/yr
5+ years expThe University of Michigan Information and Technology Services is seeking a Benefits Administrator Lead to serve as a primary resource for complex benefits administration and customer service. This role involves managing Medicare enrollment, overseeing compliance-related audits, and providing guidance on benefit programs and policies across the University.
Information Technology & Services
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 Information and Technology Services
We are 700+ professionals supporting the U-M community of over 47,000 students, 6200 faculty and researchers, 25,000 staff, and a worldwide network of alumni and retirees.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Michelle Durante, PHR
Senior HR Business Partner
Sol Bermann
Chief Information Security Officer & Executive Director, Information Assurance
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