Vice President, Contribution Accounting & Enrollment Eligibility

Primary Responsibilities

• Lead and develop the Contribution Accounting & Eligibility department, including managers, supervisors, and operational staff.
• Establish department goals, service standards, KPIs, and operational priorities aligned with organizational objectives.
• Build a culture focused on accountability, accuracy, responsiveness, and continuous improvement.
• Provide leadership visibility into operational performance, risks, trends, and opportunities.
• Drive strategic enhancements to workflows, automation, reporting, and employer contribution processes.
• Oversee the accurate and timely processing, reconciliation, and posting of employer hours files, eligibility lists and the related contributions across multiple union and multi-employer benefit funds.
• Ensure hours files, eligibility files, and contributions are processed in accordance with collective bargaining agreements, participation agreements, eligibility rules, and fund policies.
• Manage client specific Collections Policies, including delinquency identification, discrepancy resolution, employer follow-up, escalations and reporting.
• Partner with Payroll Audit and Client teams on contribution disputes, audits, shortages, and compliance concerns.
• Ensure operational readiness during peak contribution cycles and renewal periods.
• Serve as a senior operational point of contact for fund offices, trustees, labor representatives, employers, and internal stakeholders.
• Build strong relationships with clients by providing operational transparency, responsiveness, and proactive issue resolution.
• Participate in client meetings, operational reviews, and implementation discussions.
• Communicate complex operational and contribution and eligibility issues clearly to both technical and non-technical audiences.
• Maintain strong audit readiness and support internal, external, and client audits.
• Monitor contribution and eligibility processes to identify operational risk, data integrity concerns, and compliance gaps.
• Develop and maintain departmental procedures, controls, and documentation.
• Oversee operational reporting related to contribution activity, delinquency trends, reconciliation status, employer activity, and fund performance.
• Utilize data and metrics to identify trends, improve efficiency, and support business decisions.
• Partner with Finance teams to ensure alignment between contribution activity and member eligibility.
• Identify and implement opportunities to improve operational efficiency, automation, reporting, and employer experience.
• Partner with IT and system teams on enhancements, integrations, and issue resolution.
• Support system conversions, client implementations, and operational transformation initiatives.
• Drive standardization and scalability across contribution accounting and eligibility operations.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare™.