Benefits Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee monthly benefits reconciliation for all carriers and both legal entities.

• Detect, investigate, and rectify billing discrepancies.

• Ensure data integrity across HRIS, payroll, and carrier systems.

• Administer medical, dental, vision, life, disability, 401(k), and voluntary/ancillary benefits programs.

• Manage ACA compliance, including affordability and eligibility tracking, measurement periods, and IRS reporting.

• Prepare and submit 1094-C/1095-C forms and address IRS notices.

• Ensure adherence to ERISA, COBRA, HIPAA, PCORI, and relevant state benefits mandates.

• Lead the shift from level-funded or fully insured medical plans to self-funded plans.

• Oversee plan design, stop-loss selection, implementation schedules, funding models, and claims exposure models.

• Collaborate with Finance, Legal, HRIS, Payroll, brokers, TPAs, and stop-loss carriers.

• Manage the entire open enrollment cycle, including strategy, vendor coordination, system configuration, testing, communications, and post-enrollment audits.

• Evaluate benefit utilization, cost patterns, and market benchmarking data.

• Handle broker and carrier relationships, renewals, RFPs, and service-level accountability.

• Address escalated benefits inquiries and provide education to cross-functional teams.

• Develop and maintain SOPs and process documentation for benefits operations and audit readiness.

⛳️ Requirements

• 5 to 8+ years of progressive experience in employee benefits, including direct plan ownership.

• Strong understanding of ACA reporting, ERISA, COBRA, HIPAA, and PCORI requirements.

• Experience with HRIS, including ADP Workforce Now or similar systems.

• Proficient in Excel and possess strong analytical abilities.

• Bachelor's degree or equivalent professional experience.

• Direct, hands-on experience in transitioning from a level-funded or fully insured medical plan to self-funded.

• Experience in designing funding arrangements, procuring stop-loss insurance, and financial risk modeling.

• Proven track record in benefits reconciliation, including monthly carrier billing audits, addressing eligibility discrepancies, and ensuring data integrity between payroll/HRIS/carrier.

• Extensive experience in benefits compliance, ACA management, and reporting, including affordability testing, eligibility tracking, and 1094-C/1095-C filing.

• Complete ownership of the open enrollment lifecycle.

• Preferred experience in multi-entity and/or multi-state benefits administration.

• Experience supporting benefits within a fast-paced healthcare, clinical, or matrixed organization is preferred.

• Familiarity with maintaining a benefits knowledge base and ticketing system is preferred.

• CEBS, CBP, or equivalent HR/benefits certification is preferred.

• Must be authorized to work in the U.S.; Talkiatry participates in E-Verify.

🏝️ Benefits

• Medical, dental, and vision benefits effective from the first day of employment.

• 401(k) plan with matching contributions.

• Generous paid time off plus paid holidays.

• Paid parental leave.

• Professional learning and development opportunities through the Learning team.

• Focus on team well-being.

• Collaborative work environment.

• Diverse and experienced team.

• Remote work arrangement.