Senior Benefits Administrator jobs in United States
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RVO Health · 1 week ago

Senior Benefits Administrator

RVO Health is a new healthcare platform focused on building relationships with people throughout their health and wellness journey. They are seeking a Senior Benefits Administrator to manage employee benefits and leave of absence programs, ensuring compliance and an excellent employee experience.

Health CareInformation ServicesInformation TechnologyMedicalWellness
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Responsibilities

Administer the company’s health, welfare, retirement, and all ancillary benefit programs, including medical, dental, vision, pharmacy, life insurance, disability, voluntary benefits, wellness programs, and any additional benefit offerings
Support day-to-day operations of self-insured medical plans, including coordination with TPAs, PBMs, stop-loss carriers, and other vendors
Ensure accurate eligibility, enrollments, changes, and ongoing plan administration across all benefit offerings
Support the annual Open Enrollment process, including system configuration, testing, vendor coordination, employee communications, and issue resolution
Maintain benefits documentation, policies, procedures, and employee-facing resources
Support employee education and understanding of benefit offerings through communications, presentations, and individual support
Assist with benefits benchmarking and participation in benefit surveys to support market competitiveness
Own benefits billing and reconciliation processes across all benefit and ancillary programs, including medical, dental, vision, life, disability, voluntary benefits, COBRA, and leave vendors
Review monthly vendor invoices for accuracy, eligibility alignment, and contractual compliance
Partner with Payroll and Finance to resolve discrepancies and ensure timely and accurate payments
Track billing issues and trends and proactively escalate systemic concerns
Maintain organized billing documentation to support audits and internal reviews
Own the administration of all leave of absence programs, including FMLA, state leaves, company leaves, military leave, and other statutory or policy-based leaves
Serve as the primary point of contact for employees and managers regarding leave eligibility, timelines, and return-to-work coordination
Partner closely with third-party leave administrators to ensure accurate case setup, documentation, tracking, and resolution
Ensure leave administration aligns with company policy, payroll processes, and applicable federal and state laws
Monitor leave cases for accuracy, timeliness, and compliance, escalating complex matters as appropriate
Ensure compliance with federal, state, and local laws governing benefits and leaves, including ACA, ERISA, HIPAA, FMLA, and applicable state leave laws
Support preparation and filing of regulatory reports and filings, including Forms 1094/1095-C, 5500s, and other required documentation
Coordinate preparation and distribution of required notices and disclosures such as SPDs and SMMs
Support HR Business Partners with escalated or sensitive benefits and leave inquiries
Partner with Legal, Finance, Payroll, and vendors to mitigate risk and resolve complex issues
Escalate complex compliance, policy interpretation, employee relations, or regulatory matters to the Compliance & Benefits Manager or Legal as appropriate
Participate in audits, internal reviews, and special projects as assigned

Qualification

Benefits AdministrationSelf-Insured PlansCompliance KnowledgeBenefits BillingLeave of Absence ManagementAnalytical SkillsADP Workforce NowOrganizational SkillsCommunication Skills

Required

5+ years of progressive benefits administration experience, including hands-on support of self-insured health plans
Demonstrated experience administering health, welfare, retirement, and ancillary benefit programs
Proven experience managing benefits billing and reconciliation
Strong working knowledge of ACA, ERISA, HIPAA, FMLA, and applicable state leave laws
Experience working with TPAs, PBMs, stop-loss carriers, and third-party leave administrators
High attention to detail with strong analytical, organizational, and documentation skills
Ability to manage multiple priorities while maintaining accuracy and compliance
Clear, professional communication skills with the ability to explain complex topics to employees and managers

Preferred

Experience with ADP Workforce Now or similar HRIS platforms
Experience supporting international benefits programs

Benefits

Health Insurance Coverage (medical, dental, and vision)
Life Insurance
Short and Long-Term Disability Insurance
Flexible Spending Accounts
Paid Time Off
Holiday Pay
401(k) with match
Employee Assistance Program
Paid Parental Bonding Benefit Program
Pharmacy Benefits
Income Protection Plans
Pet Services Plans
Mental Health Support
Wellness Coaching
HSA- Health Savings Account
Commuter Benefits
Gym & Fitness Center Discount Program

Company

RVO Health

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RVO Health develops, operates and manages various health care focused brands and companies.

Funding

Current Stage
Late Stage

Leadership Team

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Mike Oakman
Chief Technology Officer & EVP RVO Health
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David Purcell
Senior Vice President + Chief Marketing Officer, Direct-to-Consumer
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Company data provided by crunchbase