Manager, Business

Job Title: Manager, Benefits

Department: Benefits

Location: Riedman Campus

Hours Per Week: 40

Schedule: Monday - Friday, 8am - 4:30pm

Responsible for the day to day operations of Rochester Regional Health's benefit programs. Ensures plans run smoothly, investigates discrepancies, improves benefit performance and efficiency, analyzes operations and enhance/restructure processes as necessary. Ensures compliance with benefit laws and regulations. With guidance from the Director and Vice President, the Benefits Manager develops, recommends and implements new or modified plans and employee benefits.

• Manages administration of employee benefit programs including self-funded medical, dental, pharmacy, vision, etc. Researches, recommends and implements changes to programs for annual review. Maintains knowledge of benefit programs and policies. Advises and counsels management and employees on existing benefit policies and plans. Assists with audits of benefit plan programs as needed to maintain compliance. Responds promptly to staff and general employee questions.
• Effectively uses critical thinking skills and attention to detail to conduct a thorough analysis of market values, affordability, and internal operational factors to make benefit plan recommendations, often relying on inference as well as concrete resource materials.
• Serves as subject matter expert and communicates effectively with Business Partners, Recruitment, and leadership across RRH.
• Designs and maintains spreadsheet costing models to recommend new benefit options (i.e., types of benefits and different employer / employee contribution levels).
• Conducts business analysis in partnership with the operation and other HR functional areas to understand business needs and maintain a competitive benefit offering.
• Participates in benefit surveys to determine benefit trends and to monitor the competitiveness of RRH’s benefit programs. Analyzes existing benefit plans, policies, and prevailing practices among best in class organizations to establish remarkable benefits programs that are managed flawlessly. Crafts innovative benefit solutions that balance cost-containment and attraction and retention needs. Evaluates, recommends, and implements changes and improvements in benefit programs, including medical, dental, vision, STD, LTD, life, FSA ensuring alignment with the organization’s goals and strategies.
• Identifies strategic benefit policies and goals.
• Ensures company compliance with all laws and regulations pertaining to group health and welfare plans including ERISA, HIPAA, COBRA, etc. Reviews and analyzes changes to state and federal laws pertaining to benefits and reports necessary or suggested changes to Management. Coordinates benefit plan documents and summary plan descriptions. Develops and revises all benefit policies and procedures as needed.
• Manages and reviews annual compliance activities (5500, plan audits). Additional regulatory compliance includes Summary Annual Reports, Summary Plan Descriptions and COBRA/HIPAA.
• Consults with outside legal counsel, actuaries, government agencies, and consultants on a regular basis dealing with plan design, communication and compliance issues.
• Key player in the planning and execution of the annual benefits Open Enrolment, which includes but is not limited to, creating and overseeing project plan timelines, creating communication materials, testing online enrollment system, conducting open enrollment meetings and developing cost strategy.
• Participates in negotiations with insurance carriers and outsources providers regarding contractual obligations and rates by reviewing all contracts against needs and performance standards of the organization.
• Collaborating with Director and Vice President, resolves complex issues with carriers, brokers, and vendors and manages external partners to a high level of contribution and quality on behalf of RRH and the employees. Follows through until satisfactory completion is assured.
• Manages and monitors performance of carriers, vendors, and auditors for services and plan administration.
• Works in collaboration with Director and Vice President to establish and…