Senior Benefits & Compliance Manager at Sagility LLC in Westminster, Colorado

Job Description:

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

We are currently hiring a Senior Benefits Manager to oversee the design, implementation, and administration of employee benefit programs within the organization. They ensure that benefit offerings are competitive, compliant with regulatory requirements, and aligned with the organization's strategic objectives. The Senior Benefits Manager also serves as the primary point of contact for employee inquiries and concerns related to benefits.

Job title:

Senior Benefits & Compliance Manager

Job Description:

Key Responsibilities:

Benefits Program Administration:

• Develop, implement, and administer employee benefit programs, including health insurance, retirement plans, wellness programs, life insurance, disability coverage, and other employee perks.


• Coordinate with benefits vendors, insurance providers, and third-party administrators to ensure smooth administration of benefit plans and resolve issues as needed.


• Review and analyze benefit plan designs, costs, utilization trends, and benchmark data to evaluate program effectiveness and make recommendations for enhancements or adjustments.

Compliance and Regulatory Reporting:

• Ensure compliance with federal, state, and local laws and regulations governing employee benefits, including ERISA, ACA, HIPAA, COBRA, FMLA, and other relevant legislation.


• Prepare and submit required regulatory filings, disclosures, notices, and reports related to employee benefits programs in a timely and accurate manner.


• Monitor legislative changes and regulatory updates affecting employee benefits and recommend strategies to maintain compliance and mitigate risks.

Employee Communication and Education:

• Develop and deliver communications materials, presentations, and training sessions to educate employees about benefit options, enrollment processes, eligibility criteria, and program features.


• Respond to employee inquiries, concerns, and requests for assistance regarding benefits, claims, coverage, and eligibility determinations.


• Collaborate with HR colleagues to facilitate new hire orientations, open enrollment periods, and other employee engagement initiatives related to benefits.

Vendor Management and Contract Negotiation:

• Negotiate contracts, service agreements, and pricing arrangements with benefit providers, brokers, consultants, and vendors to optimize cost-effectiveness and service quality.


• Evaluate vendor performance, service levels, and compliance with contractual obligations to ensure alignment with organizational standards and objectives.


• Conduct periodic reviews and assessments of benefit programs and vendors to identify opportunities for improvement and innovation.

Data Analysis and Reporting:

• Collect, analyze, and interpret data related to employee demographics, benefit utilization, claims experience, cost trends, and satisfaction surveys to inform decision-making and program design.


• Prepare regular reports, metrics dashboards, and presentations summarizing key findings, insights, and recommendations for management review and strategic planning purposes.

Customer Service

• Respond to employee and partner inquiries, requests, and concerns via phone, email, or chat interactions in a timely and professional manner.


• Assist customers with product selection, customization options, troubleshooting, and problem resolution to meet their needs and preferences.


• Investigate root causes of escalations and collaborate with internal departments to implement corrective actions and prevent recurrence.


• Build rapport and foster long-term relationships with internal and external partners by providing personalized attention, addressing individual preferences, and exceeding expectations for service quality.

Education, Experience, and Skills

• High School Diploma or equivalent required, bachelors degree preferred.


• 5-7 years of Benefits experience with a focus on Benefits, HRIS, Compliance & Policy Formulation and Administration


• A strong understanding of Workday Benefits Administration and Open Enrollment is required.


• Excellent verbal and written communication skills


• Must have strong organizational skills, analytical ability, and intermediate MS Office Suite skills


• Ability to work independently and collectively


• Experience working in a fast-paced, customer-oriented culture


• Strong team orientation and interpersonal skills


• Excellent attention to detail with a willingness to ask questions


• Ability to quickly shift between strategic and transactional level thinking


• Ability to problem solve and drive results


• Strong analytical skills


• Ability to use sound judgment and maintain the confidentiality of information


• Strong working knowledge of employment policies, procedures, guidelines, and philosophies


• Strong ability to build trusting relationships


• Excellent collaboration, and decision-making skills

Salary Range: $85,000.00 to $95,000.00

Sagility Offers Competitive Benefits Including:

• Medical


• Dental


• Vision


• Life Insurance


• Short-Term and Long-Term Disability


• Flexible Spending Account


• Life Assistance Program


• 401K with employer contribution


• PTO and Sick Time


• Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

Apply Now