Senior Benefits Administrator

San Juan Regional Medical Center•Farmington, NM

1d•Onsite

About The Position

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. Working closely with the Total Rewards Director, the Senior Benefits Specialist is responsible for researching, analyzing, evaluating, administering, and maintaining company benefits plans and programs. This position functions as a liaison between vendors, managers, associates and advises all parties on eligibility, coverage, and other benefits matters. This position compiles and maintains benefits records and documents. This role will work closely with the Total Rewards Director to monitor benefit trends in the business environment and must stay abreast of applicable benefits legislation (state and federal). This position also serves as the Leave of Absence administrator for the organization. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Requirements

Bachelor’s degree and five (5) years of experience in human resources (HR) with at least three (3) years in benefits administration. May consider a combination of directly related benefits experience and education
Experience in Human Resources Information Systems (i.e., Workday, Lawson, Peoplesoft)
Excellent verbal and written communication skills
Ability to effectively convey a message during public speaking engagements
Strong analytical ability
Attention to detail
Ability to multi-task and work at a fast pace on a daily basis
Strong organizational skills
Ability to work independently
Excellent problem-solving skills
Proficiency with computers, systems, and the Microsoft Office suite

Nice To Haves

Bachelor’s degree in business administration or related field; or equivalent human resources experience in benefits administration for a large organization

Responsibilities

Conduct the benefits presentation at the New Caregiver Orientation (NCO) twice per month, as required by the Learning & Development Department
Conduct benefit enrollment meetings/sessions and other informational sessions as needed to ensure that Caregivers are enrolled in benefit programs on a timely basis
Work closely with benefits service providers to promote a good working relationship and ensure an acceptable level of customer service, including troubleshooting vendor or other system issues to ensure a seamless process for our Caregivers who utilize the vendor systems and sites (This requires high levels of critical thinking, attention to detail, creative problem solving, and proactive communication with all applicable parties.)
Assist with resolving non-routine or complex claims issues and other benefits-related matters, including Short-Term Disability (STD), Long-Term Disability (LTD), death, retirement, medical, dental, and vision
Respond to benefits inquiries from leadership and Caregivers with expert-level knowledge to provide timely and accurate information that satisfies requests
Audit reports for data integrity, and specifically audit payroll reports bi-weekly for accuracy of benefits deductions
Preview import files (benefits enrollment vendor / Lawson) and correct any errors in the system
Terminate Caregivers in the Benefits Enrollment System each pay period (after final check distribution)
Maintain close working relationships with vendors in providing service and education to Caregivers
At the direction of the Total Rewards Director, review benefits policies and plan documents, summaries, booklets, forms, and other materials to ensure accuracy
Serve as liaison for pharmacy claims and issues
Serve as a project coordinator during the implementation of benefit related systems and for any maintenance required
Enter data into the HRIS system (Workday) and all other benefits related systems and databases in a timely and accurate manner to meet critical deadlines while always maintaining confidentiality.
Serve as the benefits contact person for San Juan IPA provider offices as needed to support their HR needs
Train and guide other Caregivers at the Center for Workforce Excellence (CWE) who need to serve as a back-up or support to the Benefits Specialist role
Serve as the subject matter expert and key contact for the leave of absence programs in alignment with the organization’s policies and procedures, and under the general direction and guidance of Total Rewards Director
Interpret and administer leave programs and policies in accordance with the applicable federal and state employment laws (i.e., FMLA, ADA, USERRA, Pregnancy Discrimination Act, etc.)
Administer all aspects of leave programs
Provide extensive case management and coordinate administrative aspects of cases and claims
Administer the leave program and coordinate the leave approval and/or denial based on relevant medical information
Coordinate and organize all medical information and ensure HIPAA and Employee Privacy guidelines are closely monitored and effectively executed
Manage all administrative aspects of leave claims to include tracking hours used/taken, and work closely with the Payroll Department to ensure Caregiver pay is accurate
Work closely with Caregivers to ensure that all relevant completed medical documentation is submitted for timely review
Maintain appropriate contact with all Caregivers on leave and coordinate all aspects of return to work for Caregivers on leave
Produce and manage reporting metrics and analytics for all leave cases and claims, and present reports as requested
Manage STD/LTD programs and vendor relationships, ensuring that STD claims are coordinated with FMLA or general medical cases
Assist in the creation and facilitation of leave administration training programs
File all paper and e-documents in a timely and organized manner to allow for proper tracking and verification
Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
Other duties as assigned