Benefits Administrator

Jupiter Medical Center

About The Position

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Position Summary The Benefits Administrator is responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, retirement plans, etc.). This position provides excellent customer service and designs quality benefits plans. The administrator continually investigates new benefits programs, improves existing programs, and supervises and monitors benefits administration. Research employee benefits plans and vendors to identify those that present the best value. Design, recommend and implement new benefits programs. Examine possible plan designs and benefits cost changes. Negotiate with vendors and administrators for best plans, options, and rates. Serve as primary contact for plan vendors and third-party administrators. Coordinate transfer of data to external contacts for services, premiums, and plan administration. Evaluate and revise internal processes to reduce costs and increase efficiency. Document and maintain administrative procedures for assigned benefits processes. Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees. Coordinate daily benefits processing. Handle enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, QDROs, QMCSOs, distributions, loans, hardships, and compliance testing. Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records. Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans. Allocate group health and dental claims monthly and review quarterly. Audit the accuracy and performance of functions performed by benefits staff. Analyze current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience and competitive trends in benefits programs, and identify the company's stance. Perform plan audits. Prepare, collect, and organize data for actuarial assessments. Review data in conjunction with actuarial evaluation task forces. Review both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs. Survey industry trends. Complete benefits surveys and review information obtained from the results. Analyze complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management. Monitor administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and funding. Prepare budgetary recommendations and assist in the monitoring, verifying, and reconciling of budgeted funds. Provide customer service support to internal and external customers. Develop communication tools to enhance understanding of the company's benefits package. Design and distribute materials for benefits orientations, open enrollment, and summary plan descriptions. Provide training and support to group benefits team. Effectively uses and role models current leadership techniques and theories, encouraging the decision-making skills of staff members and providing insight and leadership in complex situations. Ensures that information disseminated to staff is monitored for effectiveness and changed as needed. Understands and enforces hospital and personnel policies and procedures. Serve on hospital and Patient Care Services committees, teams, and work groups as requested. Performs other duties as assigned

Requirements

Bachelor’s degree in business, Human Resources, or related field
Minimum of three years of related benefits or employee benefits administration experience.
Minimum of five (5) years’ experience in analysis, design, and implementation of benefit programs.
Excellent communication skills, both verbally and in writing.
Must have the ability to effectively present information to all levels of the organization.
Strong analytical abilities, attention to detail and the ability to successfully manage multiple competing tasks and priorities in a fast-paced environment.
Computer proficiency and technical aptitude with the ability to use Microsoft products, including PowerPoint; experience with HRIS and benefits databases.
Project and team management/leadership skills and experience.
Proven ability to work effectively in a team environment.
Effective planning and priority setting.
Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.
Strong analytical skills and a thorough knowledge of plan designs.
Ability to understand, evaluate and make judgment on proposals (RFPs).
Knowledge of benefits contract language.
Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.
Excellent communication and organization skills.

Nice To Haves

Master's Degree Preferred
SHRM-CP or SHRM- SCP, PHR or SPHR CEBS professional designations preferred

Responsibilities

Directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, retirement plans, etc.)
Providing excellent customer service and designs quality benefits plans
Continually investigates new benefits programs, improves existing programs, and supervises and monitors benefits administration
Research employee benefits plans and vendors to identify those that present the best value
Design, recommend and implement new benefits programs
Examine possible plan designs and benefits cost changes
Negotiate with vendors and administrators for best plans, options, and rates
Serve as primary contact for plan vendors and third-party administrators
Coordinate transfer of data to external contacts for services, premiums, and plan administration
Evaluate and revise internal processes to reduce costs and increase efficiency
Document and maintain administrative procedures for assigned benefits processes
Ensure compliance with applicable government regulations
Ensure timeliness and accuracy of required reporting and fees
Coordinate daily benefits processing
Handle enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, QDROs, QMCSOs, distributions, loans, hardships, and compliance testing
Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records
Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans
Allocate group health and dental claims monthly and review quarterly
Audit the accuracy and performance of functions performed by benefits staff
Analyze current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience and competitive trends in benefits programs, and identify the company's stance
Perform plan audits
Prepare, collect, and organize data for actuarial assessments
Review data in conjunction with actuarial evaluation task forces
Review both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs
Survey industry trends
Complete benefits surveys and review information obtained from the results
Analyze complex benefits information
Forecast trends and assist with future benefits designs
Develop specific recommendations for review by management
Monitor administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and funding
Prepare budgetary recommendations and assist in the monitoring, verifying, and reconciling of budgeted funds
Provide customer service support to internal and external customers
Develop communication tools to enhance understanding of the company's benefits package
Design and distribute materials for benefits orientations, open enrollment, and summary plan descriptions
Provide training and support to group benefits team
Effectively uses and role models current leadership techniques and theories, encouraging the decision-making skills of staff members and providing insight and leadership in complex situations
Ensures that information disseminated to staff is monitored for effectiveness and changed as needed
Understands and enforces hospital and personnel policies and procedures
Serve on hospital and Patient Care Services committees, teams, and work groups as requested
Performs other duties as assigned