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Benefits Manager

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $115k - $130k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 8%

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Logo of Talkiatry

Talkiatry

501 - 1000 employees

Founded 2019

🏥 Healthcare

👥 B2C

Healthcare • B2C

Talkiatry is a virtual psychiatry provider that delivers 100% online psychiatric care and medication management. The platform matches patients to licensed psychiatrists and other clinicians, offers follow-up care with the same provider, and treats conditions such as ADHD, anxiety, depression, bipolar disorder, OCD, PTSD, insomnia and peripartum/postpartum needs. Talkiatry operates in-network with major insurers, provides copay estimates, a patient portal, and resources like quizzes and medication information. The site notes its clinicians average 10 years of experience, represent multiple subspecialties, and speak many languages.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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