Sr HR Benefits Analyst - Medical Plans

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Company: CommonSpirit Health

Location: Englewood, CO 80112

Description:

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

Job Summary / Purpose
Under minimum supervision, this position is responsible for benefit management, analysis, administration, communication, compliance, benefit program coordination and project management for system-wide offered medical programs with annual cost of about $1 billion for 130,000 employees across the country. Works as a liaison with insurance carriers, third party administrators (TPAs), consultants, national groups, market divisions, People Connections (HR Technology), HR leaders and employees. Develops benefits communication materials including preparation and presentations to CommonSpirit Health employees and market regional HR leaders and benefit staff. Create materials for the Contact Center on notification of system issues/carrier notifications that may rise.

Essential Key Job Responsibilities
  • Responsible for medical plan project coordination such as implementation of new medical benefits programs, streamlining existing programs, including cost/savings of proposed programs.
  • Acts as a liaison to regions, People Connections (HR Technology), carriers, TPAs to resolve medical plan elevated issues and provides clarification of benefit plan regulations and provisions.
  • Works with medical carriers, TPAs and Manager to develop, maintain and provide periodic medical benefit plans reports for regions and CommonSpirit Health management as well as to discuss best practices, system-wide issues, annual renewals, and review vendor performance. If service or communication issues arise, identifies root causes and works with vendors to develop solutions.
  • Works with Manager/Director to develop, review and edit benefits education/communication materials for regions and employees.
  • Writes and edits medical plan documents and compliance materials as needed; assists Manager/Director to fulfill benefit plans compliance requirements.
  • Supports acquisitions and divestitures by serving as a benefits subject matter expert for implementation efforts and providing employee impact analysis to all parties.
  • Supports benefits strategy efforts and overall administration integration in partnership with People Connections team and Benefits Integration Manager/Sr. Analyst.
  • Supports annual benefit enrollment implementation process, testing/UAT, communications/reviews and sign-off.
  • Assesses and monitors effectiveness of current, new or proposed medical programs/initiatives and reports financial and employee impact. Conducts analysis of benefits programs for cost management and Medical plan design decision-making. Develops measurements and reviews plans' utilization and performance against benchmarks.
  • Mentors and supervises benefits staff (analysts) of 1 or more employees.


Qualifications

Minimum Qualifications
Required Education and Experience
Bachelor's degree from a four-year college or university or equivalent education and experience.

Required Licensure and Certifications
CEBS preferred, but not required.

Required Minimum Knowledge, Skills, Abilities and Training
Minimum of three years of experience in benefits administration.

Must possess detailed benefit knowledge including coverage provisions, legal requirements, and implementation and enrollment process. Must have a broad perspective on industry plans, trends, vendors, administrators, and financing arrangements. Must have strong knowledge of vendor fee arrangements. Must be able to work under minimal supervision.

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