Vice President, Contribution Accounting & Enrollment Eligibility

Brighton Health Plan Solutions, LLC•Chapel Hill, NC

6d•Remote

About The Position

The Vice President, Contribution Accounting & Enrollment Eligibility provides strategic direction and operational oversight for the Contribution Accounting & Enrollment function in a multi-employer health and welfare fund administration environment. The role is accountable for accurate and timely receipt, processing, reconciliation, posting, and reporting of employer hours files, eligibility information, and contributions in accordance with collective bargaining agreements, trust documents, eligibility rules, and regulatory requirements. It oversees day-to-day operations while improving processes, scalability, reporting accuracy, and client and fund relationships. The position partners with Finance, Operations, Payroll Audit, Client Management, Compliance, and Technology teams to support seamless contribution processing and fund integrity. This is a fully remote position with occasional travel for client meetings and on-site engagement. The role serves as a senior operational contact for fund offices, trustees, labor representatives, employers, and internal stakeholders, and supports audits, system enhancements, conversions, client implementations, and operational transformation initiatives.

Requirements

At least 7 years of progressive leadership experience in contribution accounting, eligibility, fund administration, healthcare operations, or related operational environments.
Strong understanding of multi-employer health and welfare fund administration and union environments.
Experience interpreting collective bargaining agreements (CBAs) and employer contribution requirements.
Demonstrated success leading high-volume operational teams and driving process improvement.
Strong analytical, organizational, and problem-solving skills.
Excellent communication and relationship management abilities.
Experience working cross-functionally with Finance, Operations, Technology, Compliance, and Client teams.
Advanced proficiency in operational reporting and systems management.

Nice To Haves

Bachelor’s degree in Business, Finance, Accounting, Healthcare Administration, or a related field is preferred.
Experience within a TPA, Taft-Hartley, union, or multi-employer benefits environment.
Knowledge of eligibility administration, payroll audits, delinquency processes, and employer contribution reconciliation.
Experience with benefit administration platforms, workflow tools, and operational reporting systems.
Proven ability to lead through growth, operational transformation, or organizational change.

Responsibilities

Lead and develop the Contribution Accounting & Eligibility department, including managers, supervisors, and operational staff.
Establish department goals, service standards, KPIs, and operational priorities aligned with organizational objectives.
Build a culture focused on accountability, accuracy, responsiveness, and continuous improvement.
Provide leadership visibility into operational performance, risks, trends, and opportunities.
Drive strategic enhancements to workflows, automation, reporting, and employer contribution processes.
Oversee accurate and timely processing, reconciliation, and posting of employer hours files, eligibility lists, and related contributions across multiple union and multi-employer benefit funds.
Ensure hours files, eligibility files, and contributions are processed in accordance with collective bargaining agreements, participation agreements, eligibility rules, and fund policies.
Manage client-specific Collections Policies, including delinquency identification, discrepancy resolution, employer follow-up, escalations, and reporting.
Partner with Payroll Audit and Client teams on contribution disputes, audits, shortages, and compliance concerns.
Ensure operational readiness during peak contribution cycles and renewal periods.
Serve as a senior operational point of contact for fund offices, trustees, labor representatives, employers, and internal stakeholders.
Build strong client relationships through operational transparency, responsiveness, and proactive issue resolution.
Participate in client meetings, operational reviews, and implementation discussions.
Communicate complex operational, contribution, and eligibility issues clearly to technical and non-technical audiences.
Ensure adherence to applicable regulatory requirements, trust agreements, policies, and internal controls.
Maintain audit readiness and support internal, external, and client audits.
Monitor contribution and eligibility processes to identify operational risk, data integrity concerns, and compliance gaps.
Develop and maintain departmental procedures, controls, and documentation.
Oversee operational reporting related to contribution activity, delinquency trends, reconciliation status, employer activity, and fund performance.
Use data and metrics to identify trends, improve efficiency, and support business decisions.
Partner with Finance to align contribution activity and member eligibility.
Identify and implement opportunities to improve operational efficiency, automation, reporting, and employer experience.
Partner with IT and system teams on enhancements, integrations, and issue resolution.
Support system conversions, client implementations, and operational transformation initiatives.
Drive standardization and scalability across contribution accounting and eligibility operations.