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Company: AHMC Healthcare
Location: Alhambra
Posted on: September 17, 2022

Job Description:

POSITION SUMMARY The Corporate Benefits Manager administers and monitors employee benefit plans and ensures the provision of excellent customer service to employees, provides support and education to the facility Human Resource Departments related to active employee benefit plans (medical, dental, vision, life insurance, short term and long term disability, 401k, flexible spending accounts, COBRA, employee assistance program, etc.) and other ancillary benefit programs. The Corporate Benefits Manager will interface with senior management and HR team members by leading projects and providing consultation on industry best practices. -The Corporate Benefits Manager administers and interprets plan provisions for employees and keeps abreast of healthcare best practices. Researches and updates government implemented changes to healthcare plans and serves as a liaison with COBRA and various TPAs. The Corporate Benefits Manager audits enrollment elections, resolves claims, enrollment, eligibility, and related issues for active employees on health and welfare plans. Ensures accurate reporting to all benefits vendors and verifies accurate entries in HRIS, and various other programs ensuring compliance with ERISA, HIPAA and all applicable state and federal regulations.

ESSENTIAL JOB FUNCTIONS A. Administers and monitors compliance of all employee benefits programs such as 401(k) Plan, medical, dental, vision, life insurance plans, disability programs, FSA's, voluntary plans and wellness programs including the enrollment, qualified status changes, open enrollment, and terminations.B. In collaboration with TPA, liaises between employees and benefit carriers to successfully address policy questions and concerns while providing excellent personalized customer service.C. Ensures appropriate processing of enrollments/COBRA/changes/beneficiaries, etc.D. Oversees benefit premiums processing for employees on a leave of absence.E. Ensures the data entry based on employee's elections, qualified status changes, and open enrollment is done timely and accurately.F. Collaborates with TPA to regularly audit and ensure compliance with all employer benefits regulations.G. Advises and counsels management and employees on existing benefit plans.H. Researches and corrects benefit enrollment issues and/or benefit carrier file discrepancies.I. Reviews billing statements for accuracy and investigates any discrepancies for assigned benefit plans.J. Provides vendors with appropriate documentation for enrollment and billing as applicable.K. Produces various reports for enrollment including; deductions and plan participation as needed.L. Maintains records and interfaces with accounting and auditors as required.M. Ensures that non-discrimination testing is performed timely and in accordance with regulations and plan document.N. Analyzes employee utilization of benefits on an ongoing basis and assists with planning and implementation of the annual open enrollment process, new benefit plans, and other employee information sessions and events as required.O. Assists in the management of the benefit plan renewal process. Works with health insurance carriers and management to develop benefit implementation strategies and plans.P. Coordinates the implementation of new carriers and products as related to setup, system input and implementation of benefit business processes and rules.Q. In collaboration with vendors ensures that enrollment/transfers/election issues related to benefits are addressed and resolved in a timely basis. R. Monitors and coordinates the processing of death claims to ensure compliance with policy, contractual provisions and relevant laws and regulations.S. Installs approved new plans or changes to existing plans by preparing announcement materials, plan documents and other media for communicating plans to employees. Plans, coordinates and schedules employee meetings and arranges for open enrollment.T. Creates communication for participants concerning changes to plans and updates website.U. Maintains informed on any legal or regulatory changes affecting the administration of benefits and ensures that other HR professionals receive the appropriate updates timely. Reviews and analyzes changes to state and federal laws pertaining to benefits, and reports necessary or suggested changes to the Corporate Vice President of Human Resources and management team.V. Ensures continuous compliance with provision of Employee Retirement Income Security Act and the Affordable Care Act.W. Supervises preparation of reports and applications required by law to be filed with federal and state agencies, such as Internal Revenue Service, Department of Labor, and other regulatory agencies.X. Develops benefits information and statistical and census data for insurance carriers, TPA and management.Y. Responsible for the handling of benefits inquiries and complaints to ensure quick, equitable, courteous resolution. Z. Supervises team members in a professional and effective manner; AA. Delegates effectively to provide developmental opportunities to team member(s) while providing mentoring and coaching to direct reports and project team members.BB. Maintains the Corporate Vice President of Human Resources informed of any changes, complaints and resolutions related to employee benefits.CC. Communicates with UKG as necessary to ensure benefit plans are programmed appropriately and accurately. DD. Ensures open enrollment changes in UKG are done timely and accurately.EE. Analyze results of surveys and develops specific recommendations for review by management.FF. Processes medical support orders, evidence of insurability reports, COBRA billing administration, and/or LOA plan administration based on report output.GG. Works collaboratively with AHMC colleagues to deliver exceptional customer service and build cohesive interdepartmental relationships.HH. Ensures employee coverage changes are updated with benefit vendors in a timely manner.II. Supervises maintenance of enrollment, application, and claims records for all benefit plans.JJ. Ensures data integrity/proper storage of employee benefits files, as well as all documents, booklets, contracts, and carrier/vendor agreements.KK. Develops and implements annual benefit training program. LL. Works with a high level of integrity and maintains confidentiality.MM. Abides by AHMC Code of Conduct and HIPAA compliance.NN. Performs additional duties as assigned. - -

TRAINING/EXPERIENCE5+ years professional experience in benefits administration for a medium to large organizationDetailed knowledge of employee benefits and the regulations which govern self-funded programsKnowledge of all pertinent federal and state regulation, filing and compliance requirements effecting benefit programs, including ERISA, HIPAA, ADA, ACA, worker's compensation, COBRA, FMLA, IRS plan restrictions and other related regulationsProject and team management/leadership skills experience. Advanced Microsoft (Excel, Word, Power Point) and database (UKG Reports, People Soft, etc.) experienceAbility to create and comprehend reports and spreadsheetsStrong written, verbal, and presentation skillsStrong analytical, problem solving and research skills Ability to work and communicate with both internal and external employees and vendorsAbility to organize, prioritize, and follow through to completion on multiple tasks.Adapts to meet changing business needsEDUCATION/CERTIFICATION/LICENSEEBachelor's degree in Human Resources, Business Administration or related experience preferredCEBS, PHR, SPHR, OR CBP certification a plus - -

Hospital Description:
AHMC provides management services to AHMC Anaheim Regional Medical Center with 223 beds, Doctors Hospital of Riverside/Parkview with 193 beds, Garfield Medical Center with 211 beds, Greater El Monte Community Hospital with 115 beds, Monterey Park Hospital with 102 beds, San Gabriel Valley Medical Center with 273 beds, Seton Medical Center with 357 beds, Seton Medical Center Coastside, a 116-bed skilled nursing facility, and Whittier Hospital Medical Center with 172 beds. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission on Accreditation of Healthcare Organizations. The hospitals provide healthcare services reimbursed by Medicare, Medi-Cal, traditional insurance plans, PPO, HMO and under capitated arrangements.

Keywords: AHMC Healthcare, Alhambra , CORPORATE BENEFITS MANAGER, Executive , Alhambra, California

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