Sr. Benefits & Leave Administrator

Mpower Healthcare•Addison, TX

36d•Remote

About The Position

HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements. The Senior Benefits & Leave Administrator ensures accurate, timely administration of HaloMD's health & welfare benefit plans and manages end-to-end leave processes (FMLA, ADA, STD, LTD, state leaves). This role serves as the primary employee contact for benefits and leaves, partners with vendors/carriers, maintains compliance (ACA, COBRA, ERISA, HIPAA), and coordinates closely with Payroll, HRBPs, and managers to deliver a high-touch employee experience.

Requirements

Bachelor's degree or equivalent experience in HR/Benefits or related field.
5+ years of hands-on benefits administration and leave management in a multi-state environment; healthcare or self-funded plan experience preferred.
Experience working with a modern HCM/benefits platform (e.g., UKG, Workday, Oracle) required.
Strong knowledge of ACA, ERISA, HIPAA, COBRA, FMLA, ADA and related state leave laws.
Detail-oriented with excellent follow-through; skilled in invoice reconciliation and data accuracy.
Clear, compassionate communicator with strong customer-service mindset and discretion with PHI/PII.
Solid Excel/reporting skills; ability to manage multiple priorities and deadlines.
Process-minded: creates SOPs, improves workflows, and meets SLAs.
Strong organizational analytical and problem-solving skills
Detail-oriented with a high degree of accuracy and accountability
Experience with MS Office applications including Word, Excel, Access, Outlook etc.

Nice To Haves

healthcare or self-funded plan experience preferred

Responsibilities

Administer day-to-day benefits (medical, dental, vision, HSA/FSA, life/AD&D, disability, EAP, retirement), including new hire enrollment, life events, and terminations.
Conduct eligibility audits; reconcile monthly invoices and resolve discrepancies with carriers/vendors.
Lead/open enrollment execution: project plan, testing, communications, employee support, and file/data validation.
Manage COBRA events (in-house or through TPA) and ensure timely notices.
Maintain plan documents/SPDs/SMMs and partner with broker/carriers on renewals and plan changes.
Track and report ACA data; support 1095-C/1094-C, 5500, nondiscrimination testing, and other required filings.
Own the leave lifecycle: intake, eligibility, designation, required notices, tracking, and return-to-work.
Coordinate STD/LTD claims with carriers and align leave pay with payroll calendars; track benefit premium arrears during unpaid leaves.
Facilitate the ADA interactive process (medical documentation, reasonable accommodations, periodic reviews) and document outcomes.
Partner with managers/HRBPs on scheduling, coverage plans, and communication cadence while protecting confidentiality.
Maintain accurate leave records in HCM and prepare status reports/metrics (open cases, upcoming RTWs, expirations).
Ensure compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and applicable state leave laws; monitor regulatory changes and update processes/policies accordingly.
Maintain SOPs, workflows, templates, and employee communications for benefits and leaves.
Prepare routine dashboards: enrollment counts, OE completion, invoice variances, open leave cases, RTW timelines, and SLA adherence.
Process enrollments/changes through the HCM/benefits platform (e.g., UKG/Workday/Oracle) and validate carrier feeds (EDI).
Provide high-touch employee support via ticketing/email/office hours; resolve complex issues and escalate to carriers/broker when needed.
Develop concise guides/FAQs and deliver brief trainings for managers and employees (OE, life events, leave basics).