Benefits Manager

🕒 vor 6 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $115.000 - $130.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

👻 Geisterscore 8%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Talkiatry

Talkiatry

501 - 1000 Mitarbeiter

Gegründet 2019

🏥 Gesundheitswesen

👥 B2C

Healthcare • B2C

Talkiatry ist ein Anbieter von virtuellen Psychiatrie-Dienstleistungen, der zu 100 % Online-Psychiatriebetreuung und Medikamentenmanagement bietet. Die Plattform verbindet Patienten mit zugelassenen Psychiatern und anderen Klinikern, bietet Nachsorge beim selben Anbieter und behandelt Erkrankungen wie ADHS, Angstzustände, Depressionen, bipolare Störungen, Zwangsstörungen, PTBS, Schlaflosigkeit sowie peripartale/postpartale Bedürfnisse. Talkiatry arbeitet mit großen Versicherern im Netzwerk zusammen, stellt Kostenschätzungen von Zuzahlungen, ein Patientenportal und Ressourcen wie Quizze und Medikamenteninformationen zur Verfügung. Die Website weist darauf hin, dass ihre Kliniker im Durchschnitt 10 Jahre Erfahrung haben, mehrere Subspezialitäten vertreten und viele Sprachen sprechen.

Beschreibung

• Own monthly benefits reconciliation across all carriers and both legal entities • Identify, research, and resolve billing discrepancies • Maintain data integrity between HRIS, payroll, and carrier systems • Manage medical, dental, vision, life, disability, 401(k), and voluntary/ancillary benefits programs • Manage ACA compliance, affordability and eligibility tracking, measurement periods, and IRS reporting • Prepare and file 1094-C/1095-C forms and respond to IRS notices • Ensure compliance with ERISA, COBRA, HIPAA, PCORI, and applicable state benefits mandates • Lead the transition from level funded or fully insured medical plans to self funded plans • Manage plan design, stop loss selection, implementation timelines, funding models, and claims exposure models • Partner with Finance, Legal, HRIS, Payroll, brokers, TPAs, and stop loss carriers • Own the full open enrollment cycle, including strategy, vendor coordination, system configuration, testing, communications, and post-enrollment audit • Analyze benefit utilization, cost trends, and market benchmarking data • Manage broker and carrier relationships, renewals, RFPs, and service-level accountability • Manage escalated benefits inquiries and educate cross-functional teams • Build and maintain SOPs and process documentation for benefits operations and audit readiness

🎯 Anforderungen

• 5 to 8+ years of progressive employee benefits experience, including direct plan ownership • Strong working knowledge of ACA reporting, ERISA, COBRA, HIPAA, and PCORI requirements • HRIS experience, including ADP Workforce Now or similar • Strong Excel and analytical skills • Bachelor's degree or equivalent experience • Direct, hands-on experience leading a transition from a level funded or fully insured medical plan to self funded • Experience with funding arrangement design, stop loss procurement, and financial risk modeling • Proven ownership of benefits reconciliation, including monthly carrier billing audits, eligibility discrepancies, and payroll/HRIS/carrier data integrity • Deep benefits compliance and ACA management and reporting experience, including affordability testing, eligibility tracking, and 1094-C/1095-C filing • Full lifecycle open enrollment ownership • Multi-entity and/or multi-state benefits administration experience preferred • Experience supporting benefits in a fast-paced healthcare, clinical, or matrixed organization preferred • Experience maintaining a benefits knowledge base and ticketing system preferred • CEBS, CBP, or equivalent HR/benefits certification preferred • Must be authorized to work in the U.S.; Talkiatry participates in E-Verify

🏖️ Vorteile

• Medical, dental, and vision benefits effective day 1 of employment • 401(k) with match • Generous PTO plus paid holidays • Paid parental leave • Professional learning and development opportunities through the Learning team • Team well-being focus • Collaborative environment • Diverse, experienced team • Remote work arrangement

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