Benefits Manager

🕒 il y a 6 jours

🇺🇸 États-Unis – Télétravail

💵 $115 000 - $130 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 8%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Talkiatry

Talkiatry

501 - 1000 employés

Fondée en 2019

🏥 Santé

👥 B2C

Healthcare • B2C

Talkiatry est un prestataire de services de psychiatrie virtuelle qui propose des soins psychiatriques 100 % en ligne ainsi qu'une gestion de la médication. La plateforme met en relation les patients avec des psychiatres agréés et d'autres cliniciens, offre un suivi avec le même prestataire et traite des affections telles que le TDAH, l'anxiété, la dépression, le trouble bipolaire, le TOC, le SSPT, l'insomnie et les besoins péripartum/postpartum. Talkiatry travaille en réseau avec les principaux assureurs, fournit des estimations de copaiement, un portail patient et des ressources telles que des quiz et des informations sur les médicaments. Le site précise que ses cliniciens ont en moyenne 10 ans d'expérience, représentent plusieurs sous-spécialités et parlent de nombreuses langues.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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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