Senior Advisor, HR Health and Wellness

Benefits

Additional Information

Job Description Summary Job Description This position is eligible for remote work anywhere within the United States. However, candidates who reside within a commutable distance to our corporate headquarters in Saint Petersburg, FL (including the Tampa Bay area) will follow a hybrid work schedule, typically requiring 3 days per week in the office. As a Senior Advisor, Health & Wellness, you leverage deep expertise developed through experience to lead and support health care data analytics, manage health insurance-related escalations, and oversee benefit compliance activities, along with other related benefits programs. You operate with a high degree of autonomy while following established processes to execute both routine and complex work, exercising sound judgment and decision-making responsibility. You serve as a subject matter expert across a range of issues, from basic to complex, and determine when to escalate or engage senior leadership or external benefit consultants. This role requires extensive interaction with internal stakeholders, insurance carriers, and third-party administrators to identify, research, and resolve issues related to benefit coverage, leaves of absence, and payroll deductions. Essential Duties and Responsibilities Analyzes aggregate health and welfare plan data to inform recommendations related to trends and plan design changes Serves as central point of contract for escalations related to associate issues on insurance related issues with carriers Is the primary SME on benefit compliance subject issues including HIPAA, ACA reporting, and 5500s. Serves as a contact for internal customers, insurance vendors and/or third party administrators. Reviews documents and benefit changes to ensure both are in line with IRS compliance guidelines. Investigates and resolves moderate to complex associate complaints, issues and concerns regarding benefit programs and leave of absence by using various systems and sources. Communicates and ensures understanding of IRS regulations, Family Medical Leave, Health Savings Account regulations and Health Care Reform questions by managers, associates and potential candidates as needed. Properly manage the communication and resolution between associate and benefit plan vendors on unique issues (e.g. eligibility, claims, and general adherence to plan provisions) LOA administration and compliance - Liaison between vendor, associates, managers, HR COE's to ensure compliance and resolve unique issues. Manage the associate transition from leave of absence to potential job accommodation or long-term disability status. Investigates, audits and resolves differences with associate vacation and sick accrual accounts. HRMS system processing for vacation/sick entitlements, enrollment changes, leave of absences, payroll deductions and audits. Participates in the RFP process and assists with managing vendor benefit plan implementations. Responsible for the managing all compliance issues, audits and payments to applicable state programs Manages the open enrollment process for associates on a leave of absence. Audits open enrollment data files and carrier file exception reports to determine action needed to correct data errors reported that impact enrollment records. Maintains current knowledge of legal requirements as well as state and federal regulations which impact benefit administration functions and ensures compliance . RJNet content reviewer/editor Liaison between Corporate Communications and Health and Wellness Services to promote ongoing initiatives. Responsible for reviewing all documents for family status changes to ensure compliance with IRS regulations Prepares and delivers written and oral presentations to internal customers. Manage and increase utilization of onsite health clinic Coordinate New Hire benefit enrollment process. Other duties as assigned. Knowledge of Proven ability to organize, analyze, and utilize complex data related health care/vendors related data to inform recommendations Advanced knowledge of benefit related laws including ERISA, ACA, COBRA, and IRS requirements. Proven record of taking on new/additional responsibilities and assisting the team in completing whatever work is available. Company's working structure, policies, mission and strategies. Federal and state legislation, including Family Medical Leave, State specific paid leaves, San Francisco City Option, San Francisco Commuter and Health Care Reform. Advanced HRMS System processing and report analysis. Principles, practices and procedures required for managing the administration of assigned insurance plans or programs. Expertise with various health and wellness plan designs and annual enrollment. Skill in Investigating discrepancies. Gathering data, processing billings and preparing payment for approval. Preparing and delivering presentations to internal customers. Operating standard office equipment and using required software applications

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