HR Director – Health & Dental Benefits

🕒 May 21

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $59 - $101 / hour

⏰ Full Time

🔴 Lead

👩‍👩‍👧‍👦 Human Resources (HR)

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Provide comprehensive oversight of all activities related to health, pharmacy, and dental benefit programs, including plan performance, vendor management, compliance, and operational efficiency. • Partner with internal stakeholders and external vendors • Ensure benefit programs are administered accurately, efficiently, and in compliance with applicable regulations. • Facilitate timely resolution of benefit‑related issues • Oversee appeals processes to ensure fair, consistent, and prompt outcomes for team members. • Analyze trends in health, pharmacy, and dental utilization, costs, and outcomes • Identify opportunities for improvement. • Assess team member satisfaction with benefit programs. • Evaluate network adequacy, access to care, and cost efficiency across all benefit offerings. • Monitor pharmacy utilization and cost trends • Identify emerging issues and recommend appropriate plan or programmatic changes. • Research, assess, and recommend plan design enhancements based on utilization trends, market benchmarks, organizational priorities, and financial sustainability. • Collaborate with partners, vendors, and consultants to evaluate benefit design alternatives. • Develop actionable recommendations to support team member well‑being based on health and dental usage patterns. • Annual, or as needed, review of summary plan description • Prepare for and lead monthly and quarterly Health and Welfare Committee meetings, including agenda development, data presentations, recommendations, and follow‑up actions. • Partner with key stakeholders to align benefit strategies with organizational objectives. • Maintain strong vendor relationships • Ensure accountability, performance standards, and continuous improvement. • Assure plans are and remain compliant with all applicable laws. • Oversee the development and execution of all communication plans related to health, pharmacy, and dental benefits. • Ensure benefit communications are clear, accurate, timely, and supportive of informed decision‑making by team members. • Coordinate and lead the annual open enrollment process, including timelines, materials, vendor coordination, system readiness, and post‑enrollment follow‑up. • Develop and implement targeted actions, programs, or initiatives to support team member well‑being, informed by health and dental utilization trends. • Coordinate on‑site dental clinics and oversee development of related promotional and educational materials.

🎯 Requirements

• Bachelor's Degree: Healthcare Administration or Business Administration or Human Resources • Leading health, pharmacy, and dental benefit programs in a complex organization - 10 years • Strong expertise in benefit plan design, vendor management, regulatory compliance, and data analysis. • Demonstrated ability to translate analytics into actionable strategy and recommendations. • Proven experience leading cross functional stakeholders and governance committees. • Exceptional communication, presentation, and relationship management skills.

🏖️ Benefits

• Comprehensive benefits package for team members and providers