HR & Compliance Lead - Part Time

Overview

HR Benefit & Compliance Lead - Part Time

About Call 4 Health (C4H):
Call 4 Health is a remote‑first healthcare call‑center organization that supports hospitals, physician groups, and healthcare partners nationwide. We operate in a regulated environment and are committed to HIPAA compliance, patient privacy, and exceptional service for our clients and employees.

The Compliance & Benefits Lead is a hands‑on subject matter expert responsible for employee benefits administration and compliance across multiple states. This role partners with brokers and carriers to manage health and ancillary benefits, leads FMLA/ADA/leave of absence (LOA) processes end‑to‑end, oversees multi‑state unemployment insurance (UI) claims and accounts, performs benefit invoice audits and ACA reporting, and ensures HRIS data integrity—primarily in UKG (and related systems).

The ideal candidate is detail‑oriented, deadline‑driven, and experienced in a remote, multi‑jurisdiction HR environment.

• Benefits Administration & Vendor Management:
  Serve as primary liaison with brokers and carriers for health, dental, vision, life/AD&D, disability, EAP, and voluntary benefits.
• Manage Open Enrollment timelines, communications, plan mappings, testing, and post‑OE reconciliation.
• Process enrollments, qualifying life events (QLEs), terminations, and corrections; ensure timely and accurate EDI/eligibility feeds.
• Conduct monthly benefit invoice audits vs. HRIS/carrier eligibility; research variances and coordinate credits/debits.
• Maintain plan documents, SBCs, SPDs, notices, and ensure distribution and recordkeeping.

• Leave of Absence (FMLA/ADA/State Leaves):
  Own end‑to‑end FMLA, ADA accommodation workflows, and company/state LOAs; intake, eligibility, notices, tracking, recertifications, and return‑to‑work.
• Track leave hours and balances in UKG; monitor overlaps with PTO, STD/LTD, and coordinate with payroll.
• Lead the interactive process for ADA; document rigorously and coordinate accommodations with managers and IT.
• Maintain a leave dashboard for leadership; report on utilization, duration, and compliance metrics.

• ACA Compliance:
  Manage ACA measurement/stability periods, offer tracking, affordability testing, 1094‑C/1095‑C preparations, and vendor/carrier reconciliations.
• Audit full‑time status, look‑back calculations, and coverage offers; partner with payroll/HRIS for accurate coding and year‑end filings.

• Unemployment & Employment Status Changes:
  Administer multi‑state UI claim responses, hearings, and appeals; maintain state accounts and SUI rate documentation.
• Coordinate terminations: eligibility/benefit end dates, COBRA notices, final pay/benefit deductions, and system updates; ensure compliant documentation and timely processing.

• HRIS/UKG Data Integrity & Compliance:
  Maintain accurate UKG records for benefits, leaves, job codes, and status changes; drive data quality and audit readiness.
• Build and run scheduled audits/reports; prepare dashboards for HR leadership and Finance. Partner with IT/HRIS on workflows, security roles, and testing of configuration changes.

• Policy, Training & Documentation:
  Draft and update SOPs, employee communications, and manager guidance for benefits, leaves, COBRA, and ACA.
• Provide training to managers and HR staff on LOA/FMLA/ADA processes, timelines, and documentation requirements.
• Ensure HIPAA privacy and security compliance in all benefit and leave processes.

• 5+ years of progressive experience in benefits administration and HR compliance, including direct ownership of FMLA/ADA/LOA in a multi‑state environment.
• Demonstrated experience with UKG (Pro/Core) for benefits and leave tracking; strong Excel/reporting skills.
• Working knowledge of ACA, COBRA, ERISA, HIPAA, FMLA, ADA, and state leave laws; experience with multi‑state unemployment insurance claims.
• Prior experience collaborating with brokers and carriers and auditing benefit invoices/eligibility.
• Remote work experience with distributed teams; excellent written and verbal communication.

• Preferred:
  Experience with benefits administration platforms (e.g., Employee Navigator) and EDI file troubleshooting; healthcare or…