Benefits Manager

🕒 Maio 12

🗽 New York – Remoto

🗽 New York – Remote

💵 $98.000 - $118.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Capital Rx

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

💳 Fintech

🤖 Inteligência Artificial

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx é a healthtech que mais cresce nos Estados Unidos, dedicada a transformar os modelos de precificação de medicamentos e de cuidado ao paciente. Fundada em 2017, oferece serviços inovadores de gestão de benefícios farmacêuticos (PBM), incluindo benefícios de farmácia personalizáveis para grandes empregadores e uma plataforma de navegação de cuidados com IA. A Capital Rx foca em entregar soluções custo-efetivas e eficiências operacionais aos clientes, garantindo transparência e cuidado de qualidade para os pacientes.

Descrição

• Ensures state and federal regulatory compliance filings and government regulations, ensuring benefits and leave programs adhere to applicable laws. • Performs regular financial reviews of benefit carrier billing to ensure the accuracy of invoices and enrollment compared to change files, vendor systems, inputs, and payroll. • Provide day-to-day benefits support, assisting employees in navigating their benefits needs. • Ensures the accuracy of all benefits enrollments in the HRIS to provide vendors with accurate eligibility information. • Leads new-hire orientation benefit sessions. • Performs quality checks of benefits-related data. • Understands self-insured benefits plans and stop loss. • Manage, review, validate and process life status changes. • Serve as point of contact for benefits inquiries from employees on plan provisions, benefits enrollments, status changes and other general questions. • Oversees leave-of-absence and disability requests. • Effectively interprets FMLA, ADA and state leave implications as they relate to leaves of absences/disabilities. • Manages the open enrollment process. • Provides necessary reports for allocation/billing charges. • Document and maintain administrative procedures for assigned benefits processes. • Prepares special reports by collecting, analyzing and summarizing information and trends. • Maintain up to date materials for benefits vendors on company intranet. • Assist with the maintenance and testing of the HRIS and other systems and with benefits and wellness initiatives. • Conduct regular audits to ensure the accuracy and completeness of benefits data, making necessary corrections and updates. • Stay informed about changes in benefit trends, laws and regulations, ensuring ongoing compliance and timely adjustments to policies. • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

🎯 Requisitos

• Bachelor’s degree in HR, Business, Finance, or related field (or equivalent experience) • Relevant certifications (e.g., CEBS, SHRM-CP) preferred • 5+ years of benefits administration experience • 5+ years managing leave of absence in a multi-state environment • Strong knowledge of federal/state benefits laws (ACA, ERISA, COBRA, FMLA, ADA, Section 125, Workers’ comp, etc.) • Experience with vendor/broker management • Proficiency in Microsoft Office Suite • Excellent organizational, communication, and time management skills • Proven ability to analyze data, identify issues, and implement solutions independently. • Strong analytical, problem-solving, and detail orientation with ability to manage multiple priorities; Strong sense of urgency for reaching goals • Strategic, collaborative team player able to work in fast-paced, virtual environments; ability to travel (10–15%)

🏖️ Benefícios

• Health insurance • 401(k) plan • Remote work options • Paid time off