Senior Health Plan Analyst

LOCATION:

This position is located in Reno/Sparks, Nevada

100% remote until office is opened, then hybrid 3 days/week in-office (the rest from home)

Under limited general direction, this role provides expert consultation and information to management by leading and supporting a wide variety of complex projects involving the design, delivery, reporting, analysis, financing, ongoing management, and communication of the Recology benefits program. This role serves as a key liaison with brokers, vendors, and employees.

• Oversees a portfolio of benefits programs, including medical, wellness, dental, life, and disability insurance.
• Leads the annual benefits renewal process, including project planning, communication, and implementation of changes.
• Ensures compliance with all contractual agreements, legal requirements (COBRA, HIPAA, ERISA, ACA, etc.), and facilitates timely updates to policies and procedures.
• Oversees the management of our benefit vendor and consultant relationships and contracts.
• Manages eligibility feeds for health benefit vendors, ensuring timely and accurate system updates.
• Researches and resolves complex, non-routine problems, including policy and contract issues.
• Oversees governmental reporting related to non-retirement benefits (e.g., 5500, 1095C, SFHCSO), and coordinates with Payroll and other departments as needed.
• Writes reports and queries, maintains procedural documentation, and analyzes benefits data to inform decision-making.
• Develops, reviews, and distributes legally required notices and benefits communication materials.
• Continuously assess and improve processes to streamline and automate workflows.
• Leads or assists with the RFP process for new vendors and benefit programs, including benchmarking and market analysis.
• Analyzes employee utilization data to enhance benefit offerings and recommend cost-effective program designs.
• Coordinates benefit program rollouts and new vendor implementations, ensuring effective communication and change management.
• Assists in developing benefits program strategies for various employee groups, including union and non-union populations.
• Designs and organizes employee benefit meetings, fairs, and educational sessions to improve understanding and engagement.
• Collaborates on People projects and cross-functional initiatives.
• Provides backup support for Health Program Benefit Specialists and other team members as needed.
• Travel may be required for meetings and/or site visits.
• Performs other duties as assigned.

• High school diploma or GED required.
• Bachelor's degree preferred.
• Four plus years of in-depth conceptual and practical knowledge and experience in health benefit plan operations for plans with over 500+ participants, are required.
• Health broker/consultant experience preferred.
• CEBS or GBA certification preferred.
• Computer application proficiency, including Microsoft Office suite of applications and using data to inform and set priorities and identify challenges/opportunities. Advanced Excel and Word skills.
• HRIS System and query report (e.g., Hubble, JD Edwards) experience.
• Understands and is able to follow COBRA, HIPAA, ERISA, ACA and other benefit-related laws.
• Strong math skills to determine benefits, payments, and perform analyses of benefit plans.
• Bilingual English/Spanish (Speaking, Reading & Writing) preferred.
• Ability to oversee and direct the workflow of other team members and guide other team members using own expertise and knowledge.
• Strong communication (oral and written), organization, collaboration, documentation, and presentation skills.
• Ability to project manage with attention to detail as well as use analytical skills to solve…