HR Benefits Analyst - Medical and Pharmacy Plans
Where You’ll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Job Summary and Responsibilities
JOB SUMMARY / PURPOSEThis position works with team members to support benefit management, analysis, administration, communication, compliance, benefit program coordination and project management for system-wide offered medical and pharmacy programs with annual cost of about $1 billion for 130,000 employees across the country. Works as a liaison with insurance carriers, third party administrators (TPAs), consultants, national groups, regions, People Connections (HR Technology), HR leaders and employees. Helps to develop benefits communication materials including preparation and presentations to CommonSpirit Health employees and regional HR leaders and benefit staff. Create materials for the Contact Center on notification of system issues/carrier notifications that may rise.
ESSENTIAL KEY JOB RESPONSIBILITIES1. Supports project coordination such as implementation of new benefits programs, Annual Benefits Enrollment, streamlining existing medical and pharmacy programs, including cost/savings of proposed programs.2. Acts as a liaison to Regions, People Connections (HR Technology), carriers, TPAs to resolve benefit plan elevated issues and provides clarification of benefit plan regulations and provisions.3. Works with carriers, TPAs and Manager to develop, maintain and provide periodic benefit plans reports for market divisions and the CommonSpirit Health management team. If service or communication issues arise, identifies root causes and works with vendors to develop solutions.4. Works with Sr. HR Benefits Analyst/Manager to develop, review and edit benefits education/communication materials for regions and employees.5. Writes and edits benefit plan documents and compliance materials as needed; assists Sr. HR Benefits Analyst/Manager to fulfill benefit plans compliance requirements.6. Supports acquisitions and divestitures by serving as a benefits subject matter expert for implementation efforts and providing employee impact analysis to all parties as needed.7. Supports annual benefit enrollment implementation process, testing/UAT, communications/reviews and sign-off.8. Assesses and monitors effectiveness of current, new or proposed programs/initiatives and reports financial and employee impact. Conducts analysis of benefits programs for cost management and Medical plan design decision-making. Develops measurements and reviews plans’ utilization and performance against benchmarks.
Job Requirements
Required Education and Experience
Bachelor’s degree from a four-year college or university or equivalent education and experience.Required Licensure and Certifications CEBS preferred, but not required.
Required Minimum Knowledge, Skills, Abilities and Training
Minimum of three years of experience in benefits administration.Must possess detailed benefit knowledge including coverage provisions, legal requirements, and implementation and enrollment process. Must have a broad perspective on industry plans, trends, vendors, administrators, and financingarrangements. Must have strong knowledge of vendor fee arrangements. Must be able to work under minimal supervision.
Apply Now
Apply Now
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Job Summary and Responsibilities
JOB SUMMARY / PURPOSEThis position works with team members to support benefit management, analysis, administration, communication, compliance, benefit program coordination and project management for system-wide offered medical and pharmacy programs with annual cost of about $1 billion for 130,000 employees across the country. Works as a liaison with insurance carriers, third party administrators (TPAs), consultants, national groups, regions, People Connections (HR Technology), HR leaders and employees. Helps to develop benefits communication materials including preparation and presentations to CommonSpirit Health employees and regional HR leaders and benefit staff. Create materials for the Contact Center on notification of system issues/carrier notifications that may rise.
ESSENTIAL KEY JOB RESPONSIBILITIES1. Supports project coordination such as implementation of new benefits programs, Annual Benefits Enrollment, streamlining existing medical and pharmacy programs, including cost/savings of proposed programs.2. Acts as a liaison to Regions, People Connections (HR Technology), carriers, TPAs to resolve benefit plan elevated issues and provides clarification of benefit plan regulations and provisions.3. Works with carriers, TPAs and Manager to develop, maintain and provide periodic benefit plans reports for market divisions and the CommonSpirit Health management team. If service or communication issues arise, identifies root causes and works with vendors to develop solutions.4. Works with Sr. HR Benefits Analyst/Manager to develop, review and edit benefits education/communication materials for regions and employees.5. Writes and edits benefit plan documents and compliance materials as needed; assists Sr. HR Benefits Analyst/Manager to fulfill benefit plans compliance requirements.6. Supports acquisitions and divestitures by serving as a benefits subject matter expert for implementation efforts and providing employee impact analysis to all parties as needed.7. Supports annual benefit enrollment implementation process, testing/UAT, communications/reviews and sign-off.8. Assesses and monitors effectiveness of current, new or proposed programs/initiatives and reports financial and employee impact. Conducts analysis of benefits programs for cost management and Medical plan design decision-making. Develops measurements and reviews plans’ utilization and performance against benchmarks.
Job Requirements
Required Education and Experience
Bachelor’s degree from a four-year college or university or equivalent education and experience.Required Licensure and Certifications CEBS preferred, but not required.
Required Minimum Knowledge, Skills, Abilities and Training
Minimum of three years of experience in benefits administration.Must possess detailed benefit knowledge including coverage provisions, legal requirements, and implementation and enrollment process. Must have a broad perspective on industry plans, trends, vendors, administrators, and financingarrangements. Must have strong knowledge of vendor fee arrangements. Must be able to work under minimal supervision.
Apply Now
Apply Now