P Health Partners Hiring for Sr. Analyst Benefits at Henderson, NV Full Time

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. We are looking for a Senior Analyst, Benefits. If you are passionate about human resources and how benefits impact our employee’s lives; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.

Job Summary

The Sr. Analyst Benefits will be responsible for overseeing all aspects of the health and welfare benefits plans for all employees. This includes developing benefit strategies that drive growth, attract/retain talent, optimize the workforce and drive productivity.

This position reports to the VP, Human Capital and Org Development

Position Responsibilities include: Benefits Administration:
Assists the Vice President with reviewing vendor contracts, monitoring and evaluating vendor performance for timeliness, accuracy, quality of customer service and cost effectiveness. Creates and maintains the annual compliance calendar to ensure that every employee has received benefit information and completed any necessary steps.

• Contribute to the development of the Total Reward strategy across all businesses and functions, in collaboration with others, assuring internal equity and external competitiveness.
• Administers employee benefit programs, such as medical, dental, vision, life, STD/LD, 401(k), flexible spending accounts, and supplemental group insurances, including complex claims and second level appeals.
• Maintains and periodically audits benefit enrollment records to ensure accuracy of premium deductions and expense calculation for general ledger capture.
• Regularly audits invoices for accuracy; records additions/deletions and adjusts payments accordingly to ensure appropriate payment of premiums according to contracted terms.
• Monitors and evaluates current benefit programs and recommends improvements or modifications as needed.
• Assists in developing and revising documentation such as the Summary Plan Description and work instructions.
• Maintains enrollment and other changes to health, life, disability, worker’s compensation and retirement vendors via a variety of reporting mechanisms including provider interfaces and reports in the PeopleSoft system.
• Coordinates the employee Open Enrollment period and Benefit Fairs.
• Participate in Onboarding/New Employee Orientation (NEO) program to ensure timely enrollment and thorough understanding of the available employee benefit options.
• Communicates effectively with employees at all levels of the organization as well as the public. Interprets and explains contract provisions, COBRA and HIPAA regulations to employees.
• Actively remains current on industry and regulatory issues and changes through training and available literature.
• Reviews claim issues for possible fraudulent submissions and errors.
• Develop and execute a comprehensive communication strategy for benefit programs and identifying opportunities to better enable the company to improve employee engagement, facilitate proactive and effective messaging and cadence as well as support the company’s growth and strategic plan.
• Playing a critical role in the due diligence process and comprehensive review of all benefit plans for new ventures, mergers and acquisitions

Benefits HRIS:
Oversees accurate set up and maintenance of the PlanSource Benefit module.

• Ensures PlanSource benefit tables are set-up for all benefit related programs to ensure ongoing integrity and accuracy of computerized integrated personnel system.
• Initiates, maintains, and updates all benefit records and files to ensure ongoing accuracy and completeness in accordance with policy and technical requirements.
• Works closely and in conjunction with third party vendors to identify system requirements to ensure compatibility and functionality and ensures that all electronic files are sent to vendors with accurate data and in a timely manner.
• Prepares benefits information and statistical/census data and reports, using standard and/or ad hoc HRIS reporting to provide information for decision making to actuaries, auditors, insurance carriers, and management.
• Oversees the Employee Self Service; function to assist employees and ensure compliance.
• Manages Open Enrollment in the PlanSource Benefit Module, update system as applicable and coordinate scheduled testing with HR Tech team.

Benefits Program Analysis:
Evaluates existing employee benefit programs, analyzes trends, utilization, budget, and proposes changes.

• Collaborates with consultants, benefit vendors and/or third-party administrators.
• Interfaces with the Finance Department and enterprises for the billing processes and procedures for benefit programs. Reviews vendor billing for accuracy and works with vendors to ensure timely adjustments when applicable.
• Analyzes workflow to increase operational efficiency.
• Reviews statistical and technical data for cost analysis of additional benefits.

Benefits Operations:
Subject matter expert of the employee benefits programs and insurance plans. Provides oversight of the implementation and coordination of benefit programs, such as:

• Self-insured health care plan
• Retirement plans, defined contribution and defined benefit plans. 401(k), Deferred Compensation, and State Pension plans
• Leave Administration, Family Medical Leave, Military Leave, Leave Donations, and Disability
• Life Insurance, group, and voluntary
• Flexible spending , Health Care Spending
• Workers’ Compensation

Performs other job-related duties as assigned to maintain and enhance departmental operation.

Required Qualifications

• Professional in Human Resources (PHR/SHRM- CP) certification, Senior Professional in Human Resources (SPHR/SHRM-SCP) or Certified Employee Benefit Specialist (CEBS) preferred.
• Knowledge of legislation governing benefit plans (ERISA, COBRA, HIPAA, FMLA, ACA).
• Extensive knowledge of benefit programs with a minimum of 5 years of experience.
• Financial ability to identify and implement cost-effective programs.
• Bachelor’s Degree. Master’s strongly preferred

Desired Skills

• Knowledge and experience working with HRIS UKG.
• Knowledge of Workers’ Compensation, FMLA, ADA, administration and insurance industry regulatory requirements.
• Knowledge of the insurance proposal and implementation process.
• Knowledge of insurance carrier adjudication systems.
• Knowledge of ICD-9, DRG and hospital revenue coding, provider contract language, insurance/benefit language and medical terminology.
• Knowledge of rules, regulations, practices, procedures and policies pertaining to employee benefits and services.
• Knowledge of group insurance plan processing and administration.
• Knowledge and understanding of insurance contracts, plan design, policies, certificates, plan documents and summary plan descriptions.
• Knowledge and experience with provider billing and payment systems.
• Knowledge and experience with interpretation of provider contract language and administration.
• Knowledge of flexible spending accounts administration.
• Skill establishing and maintaining effective working relationships with staff, Community members, consultants, vendors, providers and the public.
• Skill interpreting and explaining employee benefits and policies in clear, non-technical language that will be understandable to employees at all levels of the organization.
• Skill handling sensitive employee information relevant to health care and other confidential issues.
• Skill understanding and applying complex rules, regulations, procedures and guidelines.
• Skill developing detailed data and maintaining accurate records.
• Ability to interpret employee benefits information and respond accurately to employee inquiries.
• Ability to define problems and develop alternative solutions.
• Ability to maintain confidential records.
• Ability to learn legal and procedural requirements regarding employee benefit programs.
• Ability to understand and discuss insurance and benefit related issues.
• Ability to read and interpret insurance claims, carrier billings, claims bills and related documents.
• Ability to communicate effectively both verbally and in writing. Including presentations skills to small groups.