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Senior Benefits Analyst

Attentive

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See open jobs at Attentive.See open jobs similar to "Senior Benefits Analyst" Eniac Ventures.

IT, Accounting & Finance

United States

Posted on Sep 25, 2024

At Attentive, we're revolutionizing the way businesses connect with their customers. Our AI-driven marketing platform infuses intelligence into every stage of the consumer journey, helping brands deliver hyper-personalized messages at scale. With a mobile-first approach, engaging two-way conversations, and enterprise-grade technology, we're driving billions in online revenue for leading brands worldwide, including CB2, Urban Outfitters, GUESS, Long John Silver’s, and Wyndham Resort. But we're not just about SMS and email—by expanding our AI capabilities to enhance multiple products and channels, our goal is to help make every interaction more meaningful. As a member of our team, you'll be at the forefront of this innovation, helping to shape the future of customer communication.

Attentive’s growth has been recognized by Deloitte’s Fast 500, Linkedin’s Top Startups and Forbes Cloud 100 all thanks to the hard work from our global employees!

Who we are

We are looking for an individual with strong technical expertise for a critical role within the Total Rewards Team. Reporting to our Senior Manager, Global Benefits, this person will manage the overall administration, oversight, analysis, and claims management of our self-funded medical plan.

The role involves ensuring compliance with regulations, analyzing healthcare cost trends, and working closely with third-party administrators (TPAs) to manage claims, cost containment, and reporting. This analyst is vital in optimizing plan design, reducing costs, and ensuring that the plan meets employee needs while adhering to organizational goals.

Plan Administration:

Oversee the day-to-day operations of the self-funded medical plan, including claims processing, funding, and reporting
Work with TPAs to ensure timely and accurate claim adjudication and manage any escalated claim issues
Work with the finance team to monitor cash flow to ensure that the plan is adequately funded for claim payments and administrative costs
Oversee Claim Management and Claims Resolution
Work with Finance to resolve billing question
Manage High Cost Claim Notifications
Review Plan Exceptions and flag to the committee for review as appropriate
Facilitate Monthly Claim Review Meetings with People, Finance, and the Carrier

Cost Analysis & Reporting:

Analyze healthcare cost trends, claims data, and utilization patterns to identify cost drivers and opportunities for cost savings
Generate detailed financial reports on the performance of the self-funded plan, including stop-loss analysis, claim frequency, and large claims tracking
Provide recommendations based on claims data and financial performance analysis

Compliance:

Ensure the self-funded plan complies with federal and state regulations, such as ERISA, HIPAA, and the ACA
Assist in preparing required filings, such as Form 5500, ACA, PCORI, and Summary Plan Descriptions (SPDs)
Prepare, manage, and send required compliance notices
Manage Health Care Committee governance, meeting preparation, and charter maintenance
Stay up-to-date with regulatory changes that affect self-funded plans and ensure compliance, such as Pharmacy Gag Clause and Mental Health Parity Compliance

Vendor & Partner Management:

Collaborate with the broker to negotiate contracts and terms to optimize plan costs with TPAs, stop-loss carriers, and other vendors
Serve as the primary point of contact between the organization and external vendors for the self-funded plan
Conduct performance reviews of vendors and ensure service level agreements (SLAs) and performance guarantees (PGs) are met

Plan Design & Optimization:

Assess plan design annually (At minimum) and recommend modifications to reduce costs, improve care management, and/or align with employee needs
Work with actuarial consultants to project costs and set stop-loss limits
Evaluate wellness programs, disease management initiatives, and other health interventions to enhance plan performance
Develop utilization dashboards for our entire suite of benefits and benefit line features and report on it monthly

Employee Communication & Education:

Develop and implement communication strategies to ensure employees understand their medical benefits, claims processes, and any changes to the plan
Serve as the primary contact for employee inquiries related to the self-funded medical plan
Organize workshops or informational sessions to educate employees about the medical plan and its features
Resolving Coverage Questions relating to the self-funded plan

About you

Bachelor’s degree in Finance, Business, Healthcare Administration, or related field.
3-5 years of experience with self-funded health plans or benefits administration.
In-depth knowledge of healthcare regulations and compliance (ERISA, ACA, HIPAA, et all).
Strong analytical skills and experience with claims data analysis and cost reporting.
Proficiency in benefits management software and advanced Excel skills.
Excellent communication skills.
Designations preferred but not required: CEBS or GBA
Tools: ADP Workforce Now (HRIS & Payroll Systems), Fidelity, Guardian, Lincoln, Cigna, and Kaiser (Benefit Portals) Jira & Confluence, (Internal Tools & Help Desks) Google Suite (Mail, Drive, Sheets, Docs, & Slides), Adobe Acrobat Pro
Job Classifications: Salary Exempt, Benefits Eligible, 0% Travel Required, Supervisory Responsibility - None, Physical Requirement - Prolonged periods sitting at a desk and working on a computer

You'll get competitive perks and benefits, from health & wellness to equity, to help you bring your best self to work.

For US based applicants:

- The US base salary range for this full-time position is $100k - $125k base + equity + benefits

- Our salary ranges are determined by role, level and location

#LI-LC1

Attentive Company Values

Default to Action - Move swiftly and with purpose

Be One Unstoppable Team - Rally as each other’s champions

Champion the Customer - Our success is defined by our customers' success

Act Like an Owner - Take responsibility for Attentive’s success

Learn more about AWAKE, Attentive’s collective of employee resource groups.

If you do not meet all the requirements listed here, we still encourage you to apply! No job description is perfect, and we may also have another opportunity that closely matches your skills and experience.

At Attentive, we know that our Company's strength lies in the diversity of our employees. Attentive is an Equal Opportunity Employer and we welcome applicants from all backgrounds. Our policy is to provide equal employment opportunities for all employees, applicants and covered individuals regardless of protected characteristics. We prioritize and maintain a fair, inclusive and equitable workplace free from discrimination, harassment, and retaliation. Attentive is also committed to providing reasonable accommodations for candidates with disabilities. If you need any assistance or reasonable accommodations, please let your recruiter know.