ESSENTIAL DUTIES AND RESPONSIBILITIES

• Assist with the validation of enrollment, claims and fixed fees for the data analytics system.
• Collaborate with the clinical, communications, data analytics, underwriting, actuarial, etc. teams in the review of plan performance and the development of strategies to mitigate risk.
• Oversee the collection and reporting of benchmark comparisons to industry, employee size and geographical span for each line of business.
• Keep client abreast of all reporting and testing obligations (i.e. ACA, Form 5500, Non-Discrimination Testing, Online CMS Form, Imputed Income, Statutory Disability, Medicare Part D Creditable Coverage and Minimum Value Attestations, etc.) pertaining to employee benefits.
• Obtain copies of all governing documents, disclosures and service agreements (i.e. Policies, Certificates, Adoption Agreements, Summary Plan Descriptions, Plan Documents, Wrap Plans, Business Associate Agreements, Administrative Service Agreements, Compensation Disclosures, Summary of Benefits and Coverage, Health & Welfare Notices, Summary Annual Reports, etc.) and ensure each instrument aligns with the current business practice of the client and the regulatory environment.
• Coordinate the development of communication pieces (i.e. Benefits-at-a-Glance, Benefit Guides, Open Enrollment Presentations, Post Cards, Newsletters, Flyers, Posters, etc.) in support of employee education across all benefit plans.
• Serve as the liaison to all subject matter experts in the design, implementation, oversight and evaluation of employer sponsored voluntary wellness programs.
• Maintain consistent contact with all clients to ensure service and support needs are being met.
• Collaborate with all parties in resolving service issues not consistent with quality standards or acceptable levels of practice.
• Stay abreast of all carrier, administrator and vendor operational requirements and “value-added” services.
• Manage the strategic planning process for renewals, implementations, proposals and ongoing maintenance for all benefits and support services.
• Collect, manage and maintain data for all employee benefit plans in the client management system and adjoining document repository.
• Attend benefit fairs, open enrollment meeting, group or one-on-one sessions, etc. based on client preferences.
• Source new employee benefit offerings and point solution providers (i.e. Communication & Education, Health Advocacy & Cost Transparency Solutions, Chronic Condition Management, Case Management, Pain Management, Diabetes Management, Utilization Management, Centers of Excellence, Telemedicine, Dialysis, Weight Management, Tobacco Cessation, Maternity Management, Employee Assistance Programs, Care Coordination, Third Party Administrators, HSA Custodians, COBRA Administration, Benefit Administration Systems, HIPPA Privacy & Security, Pharmacy Benefit Managers, Stop Loss Insurance, Leave Management, Supplemental & Worksite Benefits, etc.) in support of client needs and interest.
• Assist in the development of stewardship reporting, where applicable.
• Perform other related duties as required.

EDUCATION AND EXPERIENCE

Broad knowledge of such fields as accounting, marketing, business administration, finance, etc. Equivalent to a four year college degree, plus 4 years related experience and/or training, or equivalent combination of education and experience. 

REQUIRED CERTIFICATES, LICENSES, REGISTRATIONS

Requires resident state Life and Health insurance license and non-resident licenses in states where materially communicating with clients or prospects.