Job description
Remote Position
PRIMARY FUNCTION
Leads, plans, organizes and manages enterprise benefits program(s) (i.e. group health, dental, vision, disability, life insurance, 401(k) plan, supplemental/voluntary benefit plans, and PTO) to include the Employee Occupational and Health function. Ensures benefit programs are market competitive and cost-effective. Administers and plans the day-to-day benefits, including development, interpretation and administration of policies and procedures. Investigates new benefit programs / plans, improve existing programs, and monitors benefit administration. Provide analytical and technical support in the delivery of the benefit programs. Incumbent will align our Benefit programs and Employee Occupational & Health initiatives, strategies, and vision to support the company’s overall mission, goals and objectives. Adhere to corporate policies, including local, state, and federal laws and regulations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
This list may not include all the duties that may be assigned.
- Must possess an in-depth knowledge and expertise in employee benefits services, makes recommendations on pending legislative actions regarding benefits, and conducts benefits research as it relates to a national and enterprise benefits strategy.
- Manage ongoing relationships with external consultants and suppliers (for example, benefit brokers); Works closely with broker to conduct benchmark analysis to identify trends in industry and competitors to provide competitive and cutting-edge benefits on a national basis.
- Establish and implement a quantitative scorecard process for selecting new benefits and evaluating the effectiveness and impact of current benefits programs.
- Manages and collaborates with the HRIS Manager to ensure ADP benefits section configuration and data set-up is accurate. Ensures employee benefits transactions are accurately processed throughout the system.
- Monitors and analyzes the flow of employee benefits data within the system and develops internal procedures, guidance, and training for staff to facilitate the timely and accurate update of employee information and benefits records.
- Collaborates with HR team members to identify necessary changes in processes to ensure efficient and accurate workflow and the best utilization of system capabilities in order to facilitate the transformation of our benefits and employee occupational & health programs to an HR Shared Services model.
- Conducts due diligence of Merger and Acquisition benefit programs and ensure successful planning, integration and/or transition of benefit programs for PC and MSO companies.
- Design and implement communication programs to enhance the value of benefit programs and increase employee understanding and engagement.
- Conducts new hire orientation to educate new hires on benefits opportunities and conducts annual open enrollment. Reviews enrollment forms for accuracy.
- Recommends benefits programs to management by analyzing employee requirements, trends and developments in benefits offered by other competing organizations.
- Prepares special reports and presentations by collecting, analyzing, and summarizing benefit information and trends.
- Performs benefits supervision and administration to include reviewing deductions for accuracy, claims resolution and resolves employee questions and problems by interpreting benefit policies and procedures.
- Maintains employee benefit records within legally compliant recordkeeping policies and processes.
- Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans.
- Ensure compliance with all federal and international legal and disclosure requirements such as COBRA, HIPAA, and IRS and file required legal reports. Maintain benefit plan documentation including plan documents and policies.
- Partner and lead meetings with key internal stakeholders to ensure efficient plan design, administration, and excellent customer service to employees. Partner with the Finance team to manage and evaluate the cost of all benefits programs to optimize our national benefit plans cost and performance.
- Oversee the administration of an Employee Occupational Health Program to ensure a safe & healthy work environment for our employees. Partner and collaborate across the enterprise on initiatives with Clinical & Risk partners.
- Ensure employee heath surveillance is conducted, facilitate worker’s compensation program, return to work program, FMLA, ADA and work accommodation programs, protect employees with disabilities, and support the general health and well-being of our employees in the workplace by establishing wellness initiatives.
- Develop tracking / reporting tools for employee immunizations, exposures, and notifications aligned with the maintenance or development of policies and procedures.
- Evaluate workplace practices to ensure that workplace policies, safety standards and government regulations are being followed; example: Conducts Personal Protective Equipment (PPE) - N95 Fit Testing Management for Clinicians and Medical Assistants.
- Provides training initiatives for promoting a safe and healthy work environment (examples: Ergonomics, Sharps Prevention program and Respiratory protection program). Recommend measures to help protect workers from potentially hazardous work conditions.
- Promotes Life Assistance program and other wellness initiatives.
- Responsible for required OSHA Reporting.
- Successfully completes operational requirements by scheduling and assigning benefits and Occupational & Health employees; following up on work results.
- Maintains benefits and occupational & health staff by recruiting, selecting, orienting, and training employees.
- Maintains staff job results by developing, coaching, counseling, and disciplining employees, planning, monitoring, and appraising job results, and metrics.
- Establishes strategic Benefits and Occupational & Health KPIs / metrics; monitors and measures the success and quality management of the Occupational & Health program and Benefits.
- Achieves financial objectives by assisting in the preparation the Benefits and Occupational and Health operational budget; expenditures; analyzing variances; initiating corrective actions.
SUPERVISORY RESPONSIBILITIES
Manages and supervises the benefits team including selecting, supervising, and evaluating staff performance.
QUALIFICATIONS
EDUCATION:
- Minimum bachelor’s degree in human resources, Business Administration / Management or related field required.
EXPERIENCE:
- Minimum 7 years of related experience required.
- Leadership and corporate experience in human resources, employee benefit administration, occupational and health administration and healthcare environment preferred.
KNOWLEDGE, SKILLS, AND ABILITIES
- Experience with developing and implementing employee benefit programs and design.
- Experience with or working knowledge of computer-based system (HRIS), preferably in ADP.
- Advanced knowledge of spreadsheet and database applications, data query tools, word processing software, electronic mail, and internet search tools.
- Reporting skills, analyzing information, presentation skills, verbal, and written communication, results oriented and strong interpersonal skills.
- Experience with Federal and State employee benefit and occupational & health laws (Such as COBRA, HIPAA, FMLA, ADA, OSHA).
- Visionary leader with proven ability to create and implement HR strategies while simultaneously executing HR activities.
- Exhibit strong integrity and loyalty to corporate vision & mission.
- Exceptional interpersonal skills and business savvy.
- Proven experience in change management within a highly complex, matrix environment spanning multiple, geographically disbursed locations.
- Experience leading a team in a complex and growing organization – specifically benefits administration and Occupational Health.
- Strong managerial, interpersonal, organizational, analytical, decision-making, problem solving, negotiation and verbal and written communication skills.
- Experience in workforce planning (head count, budget, systems, etc.).
- Ability to manage expectations, processes, and multiple projects simultaneously.
- Must be able to communicate effectively and constructively in writing and verbally with all levels of employees.
- Must be able to use judgment and diplomacy in interfacing with all levels of employees.
- Ability to travel up to 10% of the time to various offices – post pandemic.
TYPICAL WORKING CONDITIONS
- Non-patient facing
- May be either full time remote/telework or rotate working in the office and remote/telework.
- Must be U.S. based.
- May require sitting or standing for long periods; also stooping, bending, and stretching for files and supplies.
- Requires manual dexterity sufficient to operate a keyboard.
- Must be able to communicate clearly and present to small – large groups.
- View and type on computer screens for long periods.
- Work in a high-volume environment
OTHER PHYSICAL REQUIREMENTS
- Vision
- Sense of sound
- Sense of touch
Location: Pediatric Associates · Human Resources
Schedule: Full Time, Days
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