Senior Advisor, HR Health and Wellness

About the role

This position is eligible for remote work anywhere within the United States. However, candidates who reside within a commutable distance to our corporate headquarters in Saint Petersburg, FL (including the Tampa Bay area) will follow a hybrid work schedule, typically requiring 3 days per week in the office.

Responsibilities

• Analyzes aggregate health and welfare plan data to inform recommendations related to trends and plan design changes
• Serves as central point of contact for escalations related to associate issues on insurance-related matters with carriers
• Is the primary subject matter expert on benefit compliance issues including HIPAA, ACA reporting, and 5500s
• Serves as a contact for internal customers, insurance vendors, and third-party administrators
• Reviews documents and benefit changes to ensure they are in line with IRS compliance guidelines
• Investigates and resolves moderate to complex associate complaints, issues, and concerns regarding benefit programs and leave of absence by using various systems and sources
• Communicates and ensures understanding of IRS regulations, Family Medical Leave, Health Savings Account regulations, and Health Care Reform questions by managers, associates, and potential candidates as needed
• Properly manages the communication and resolution between associates and benefit plan vendors on unique issues (e.g., eligibility, claims, and general adherence to plan provisions)
• Liaison between vendor, associates, managers, HR COE’s to ensure compliance and resolve unique issues
• Manages the associate transition from leave of absence to potential job accommodation or long-term disability status
• Investigates, audits, and resolves differences with associate vacation and sick accrual accounts
• HRMS system processing for vacation/sick entitlements, enrollment changes, leave of absences, payroll deductions, and audits
• Participates in the RFP process and assists with managing vendor benefit plan implementations
• Responsible for managing all compliance issues, audits, and payments to applicable state programs
• Manages the open enrollment process for associates on a leave of absence
• Audits open enrollment data files and carrier file exception reports to determine action needed to correct data errors reported that impact enrollment records
• Maintains current knowledge of legal requirements as well as state and federal regulations which impact benefit administration functions and ensures compliance
• RJNet content reviewer/editor
• Liaison between Corporate Communications and Health and Wellness Services to promote ongoing initiatives
• Responsible for reviewing all documents for family status changes to ensure compliance with IRS regulations
• Prepares and delivers written and oral presentations to internal customers
• Manage and increase utilization of onsite health clinic
• Coordinate New Hire benefit enrollment process
• Other duties as assigned

Requirements

• Proven ability to organize, analyze, and utilize complex data related to health care/vendors related data to inform recommendations
• Advanced knowledge of benefit related laws including ERISA, ACA, COBRA, and IRS requirements
• Proven record of taking on new/additional responsibilities and assisting the team in completing whatever work is available
• Company’s working structure, policies, mission, and strategies
• Federal and state legislation, including Family Medical Leave, State specific paid leaves, San Francisco City Option, San Francisco Commuter, and Health Care Reform
• Advanced HRMS System processing and report analysis
• Principles, practices, and procedures required for managing the administration of assigned insurance plans or programs
• Expertise with various health and wellness plan designs and annual enrollment
• Skilled in investigating discrepancies, gathering data, processing billings, and preparing payment for approval
• Preparing and delivering presentations to internal customers
• Operating standard office equipment and using required software applications to produce correspondence, reports, electronic communication, spreadsheets, and databases
• HRMS processing, audits, and queries, strongly preferred
• Knowledge of ERISA plans preferred
• Proficient in Microsoft Excel - ability to perform and create various functions and reporting
• Intermediate Excel skills preferred
• Report writing skills, including PeopleSoft Query, PeopleTools, and SQL strongly preferred
• HIPPA certified / compliance training completed
• Ability to partner with other functional areas and senior leaders to accomplish objectives
• Interpret and apply state and federal regulations and applicable rules to complex benefit and leave of absence issues and problems
• Organize, manage, and track multiple detailed tasks and assignments with frequently changing priorities and deadlines in a fast-paced work environment
• Communicate effectively, both orally and in writing
• Work independently as well as collaboratively within a team environment
• Articulate reasons behind decisions
• Provide a high level of customer service
• Maintain strict confidentiality
• Maintain currency in all aspects of assigned insurance area
• Establish and maintain effective working relationships at all levels of the organization
• Proven ability to listen to clients, identify their specific concerns, and resolve them
• Proven ability to respond with courtesy and professionalism to difficult clients
• Ability to resolve client calls with a minimum of escalation

Qualifications

• College Degree equivalent and a minimum of five (5) years of related experience
• Call center experience requiring problem resolution a plus
• Five years’ experience in health and welfare group insurance and leave of absence strongly preferred

Skills

• Knowledge of Proven ability to organize, analyze, and utilize complex data related health care/vendors related data to inform recommendations
• Advanced knowledge of benefit related laws including ERISA, ACA, COBRA, and IRS requirements
• Proven record of taking on new/additional responsibilities and assisting the team in completing whatever work is available
• Company’s working structure, policies, mission and strategies
• Federal and state legislation, including Family Medical Leave, State specific paid leaves, San Francisco City Option, San Francisco Commuter and Health Care Reform
• Advanced HRMS System processing and report analysis
• Principles, practices and procedures required for managing the administration of assigned insurance plans or programs
• Expertise with various health and wellness plan designs and annual enrollment
• Skilled in Investigating discrepancies
• Gathering data, processing billings and preparing payment for approval
• Preparing and delivering presentations to internal customers
• Operating standard office equipment and using required software applications to produce correspondence, reports, electronic communication, spreadsheets and databases
• HRMS processing, audits and queries, strongly preferred
• Knowledge of ERISA plans preferred
• Proficient in Microsoft Excel - ability to perform and create various functions and reporting
• Intermediate Excel skills preferred
• Report writing skills, including PeopleSoft Query, PeopleTools, and SQL strongly preferred
• HIPPA certified / compliance training completed
• Ability to Partner with other functional areas and senior leaders to accomplish objectives
• Interpret and apply state and federal regulations and applicable rules to complex benefit and leave of absence issues and problems
• Organize, manage, and track multiple detailed tasks and assignments with frequently changing priorities and deadlines in a fast-paced work environment
• Communicate effectively, both orally and in writing
• Work independently as well as collaboratively within a team environment
• Articulate reasons behind decisions
• Provide a high level of customer service
• Maintain strict confidentiality
• Maintain currency in all aspects of assigned insurance area
• Establish and maintain effective working relationships at all levels of the organization
• Proven ability to listen to clients, identify their specific concerns, and resolve them
• Proven ability to respond with courtesy and professionalism to difficult clients
• Ability to resolve client calls with a minimum of escalation

Benefits

The total compensation for this position includes base salary or wages, and may include components such as additional compensation (cash or equity), discretionary bonuses, or commissions. This position is eligible for a benefits package that may include medical, dental, and vision; life insurance; critical illness insurance and accident insurance; disability benefits; retirement savings; paid time off (including vacation, holidays, and sick leave); and parental leave. Eligibility for benefits and specific offerings may vary based on position and employment status. To view more details of the benefits offered, visit Myrjbenefits.com.

Pay

$75,000.00-$95,000.00

Schedule

Remote Work