Senior Advisor, HR Health and Wellness

Overview

This senior advisor, Health & Wellness role will work remotely across the United States, with hybrid onsite presence for candidates within commuting distance of the Florida headquarters.

• Analyze aggregate health and welfare plan data to inform recommendations related to trends and plan design changes.
• Serve as the central point of contact for escalations related to associate insurance issues with carriers.
• Act as the primary subject‑matter expert on benefit compliance topics including HIPAA, ACA reporting, and Form 5500.
• Serve as a contact for internal customers, insurance vendors, and third‑party administrators.
• Review documents and benefit changes to ensure alignment with IRS compliance guidelines.
• Investigate and resolve moderate to complex associate complaints, concerns regarding benefit programs and leave of absence.
• Communicate and ensure understanding of IRS regulations, Family Medical Leave, Health Savings Account regulations, and Health Care Reform questions to managers, associates, and potential candidates.
• Manage communication and resolution between associates and benefit plan vendors on unique issues such as eligibility, claims, and plan provision adherence.
• Administer LOA compliance and serve as liaison between vendor, associates, managers, and HR COEs.
• Manage associate transition from leave of absence to potential job accommodation or long‑term disability status.
• Investigate, audit, and resolve differences with associate vacation and sick accrual accounts.
• Process HRMS data for vacation/sick entitlements, enrollment changes, leave of absences, payroll deductions, and audits.
• Participate in the RFP process and assist with managing vendor benefit plan implementations.
• Oversee all compliance issues, audits, and payments to applicable state programs.
• Manage the open enrollment process for associates on leave of absence.
• Audit open enrollment data files and carrier exception reports to correct data errors.
• Maintain current knowledge of legal requirements and state & federal regulations that impact benefit administration and ensure compliance.
• Review documents for family status changes and ensure compliance with IRS regulations.
• Prepare and deliver written and oral presentations to internal customers.
• Manage and increase utilization of onsite health clinic.
• Coordinate new hire benefit enrollment process.
• Other duties as assigned.

• Proven ability to organize, analyze, and utilize complex health care/vendor data to inform recommendations.
• Advanced knowledge of benefit‑related laws including ERISA, ACA, COBRA, and IRS requirements.
• Record of taking on new or additional responsibilities and assisting the team in completing work.
• Knowledge of federal and state legislation including Family Medical Leave, state‑specific paid leaves, and Health Care Reform.
• Advanced HRMS system processing and report analysis skills.
• Experience with various health and wellness plan designs and annual enrollment.
• Strong skills in investigating discrepancies, gathering data, processing billings, and preparing payment approvals.
• Experience in preparing and delivering presentations to internal customers.
• Ability to operate standard office equipment and use software applications to produce correspondence, reports, electronic communication, spreadsheets, and databases.
• HRMS processing, audits, and queries (strongly preferred).
• Knowledge of ERISA plans (preferred).
• Advanced Microsoft Excel skills; intermediate Excel skills also preferred.
• Report‑writing skills, including People Soft Query, People Tools, and SQL (strongly preferred).
• HIPAA certification or completed compliance training.
• Ability to partner with other functional areas and senior leaders to accomplish objectives.
• Interpret and apply state and federal regulations to complex benefit and leave issues.
• Read, interpret, analyze, and apply information from insurance materials and service agreement contracts.
• Organize, manage, and track multiple detailed tasks with changing priorities in a fast‑paced environment.
• Communicate effectively, both orally and in writing.
• Work independently and collaboratively within a team environment.
• Keep appropriate parties…