Benefits Manager

Patient Accounting Service Center, LLC; Houston (TX); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health benefits

Life & disability coverage

401(k) plan with match

Paid time off

Flexible benefits

Job summary

GetixHealth seeks an experienced Benefits Manager to lead strategy, administration, and continuous improvement of our employee benefits programs across U.S.-based locations.

The role manages self-insured medical, PBM carve-out, and related benefits vendors, with a focus on cost management and employee experience. You will supervise the Benefits Specialist and Assistant while partnering with HR, Payroll, and Finance.

Qualifications

• Bachelor’s degree in HR, business, finance or related field or equivalent experience.
• Progressive experience in employee benefits administration and benefits management.
• Hands-on experience with self-insured/self-funded health plans.
• Strong knowledge of medical and pharmacy benefits, PBMs, claims utilization, and cost-management.
• Experience leading annual benefits renewals and Open Enrollment.
• Vendor management with brokers, TPAs, and carriers.

Responsibilities

• Develop and execute a comprehensive benefits strategy aligned with business objectives and financial goals.
• Oversee self-insured medical plan and PBM carve-out in partnership with vendors.
• Analyze claims, utilization, enrollment, and costs to identify improvement opportunities.
• Lead annual benefits review, renewals, and Open Enrollment processes.
• Communicate financial and employee impact of benefit changes to leadership.
• Manage budgeting, forecasting, and vendor governance for benefits.
• Supervise Benefits Specialist and Benefits Assistant and coordinate with HR/Finance.

Skills

Benefits administration

Self-insured health plans

Claims analysis

Vendor management

Renewals & Open Enrollment

Data interpretation

Education

Bachelor’s degree in HR/Business/Finance or equivalent

Tools

Excel

HRIS/Workday

Job description

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Position Summary:

GetixHealth is seeking an experienced Benefits Manager to lead the strategy, administration, and continuous improvement of our employee benefits programs across U.S.-based locations and future acquisitions.

This role is responsible for the effective administration and financial performance of the Company’s benefits programs, including self-insured medical, prescription drug, dental, vision, health savings and flexible spending accounts, life and accident insurance, short- and long-term disability, 401(k), leave, and employee wellbeing programs.

The Benefits Manager will play a key role in managing GetixHealth’s self-insured health plan and pharmacy benefit manager (PBM) carve-out, analyzing plan performance and claims data, managing vendor relationships, supporting annual renewals and Open Enrollment, and identifying opportunities to improve employee experience while controlling costs.

This position will directly supervise the Benefits Specialist and Benefits Assistant (coming soon) and partner closely with HR leadership, Payroll, Finance, employees, brokers, consultants, and benefits vendors.

Key Responsibilities:

• Develop and execute a comprehensive benefits strategy aligned with Company business objectives, employee needs, and financial goals.
• Manage the Company’s self-insured medical plan and PBM carve-out in partnership with third-party administrators, brokers, consultants, stop-loss carriers, and other vendors.
• Analyze medical and pharmacy claims, utilization, enrollment, specialty-drug trends, and site-of-care opportunities to identify risks and cost-management strategies.
• Lead the annual benefits review, renewal, and Open Enrollment process, including plan design, contribution modeling, vendor coordination, system configuration, testing, employee communications, and post-enrollment reconciliation.
• Evaluate benefit programs for competitiveness, effectiveness, utilization, and cost and recommend changes based on market practices and employee experience.
• Develop benefit-plan recommendations and presentations for HR and executive leadership, clearly communicating financial impact, employee impact, risk, and implementation considerations.
• Manage benefits budgeting, forecasting, vendor governance, and financial performance.
• Oversee third-party administrators, PBMs, stop-loss carriers, brokers, consultants, and other benefits vendors.
• Establish and monitor benefits metrics, dashboards, service standards, and operating controls.
• Lead benefits administration, employee communications, retirement and leave administration, regulatory compliance, and benefits-related processes.
• Support mergers, acquisitions, and organizational growth by evaluating benefit programs and assisting with the transition of newly acquired employees to Company programs.
• Lead, coach, and develop the Benefits Specialist and Benefits Assistant.
• Partner with HR, Payroll, Finance, and external partners to ensure accurate and timely benefits administration.

Qualifications:

Required:

• Bachelor’s degree in Human Resources, Business Administration, Finance, or a related field, or equivalent relevant experience.
• Progressive experience in employee benefits administration and benefits management.
• Hands-on experience managing or supporting self-insured/self-funded health plans.
• Strong understanding of medical and pharmacy benefits, including PBMs, claims utilization, plan performance, and cost-management strategies.
• Experience leading or supporting annual benefits renewals and Open Enrollment.
• Experience managing benefits vendors, brokers, consultants, TPAs, and/or insurance carriers.
• Strong analytical skills with the ability to interpret claims, utilization, enrollment, and financial data.
• Knowledge of applicable benefits regulations and compliance requirements.
• Strong communication and presentation skills with the ability to communicate complex benefits and financial information to employees and leadership.
• Demonstrated leadership, organization, and project-management skills.

Preferred:

• Experience managing benefits for a multi-state organization.
• Experience supporting benefits integration related to mergers and acquisitions.
• Experience with PBM carve-out arrangements and pharmacy cost-management strategies.
• Previous experience supervising or leading benefits/HR team members.
• Experience working in healthcare or another complex, highly regulated environment.

What We’re Looking For:

The ideal candidate is a strategic and hands-on benefits leader who understands both the employee experience and financial side of benefits management. This individual should be comfortable analyzing data, challenging vendors, identifying cost-saving opportunities, managing complex projects, and presenting recommendations to senior leadership.

Benefits & Incentives:

• Comprehensive Health Benefits: Choose from a variety of medical, dental, and vision plans designed to support your overall well-being.
• Life & Disability Coverage: Company-paid Basic Life and AD&D insurance, short-term and long-term disability coverage, with voluntary coverage options available.
• 401(k) Retirement Plan: Eligible employees can participate in the company’s 401(k) plan, including company matching opportunities.
• Paid Time Off: PTO begins accruing from your first day of employment.
• Flexible Benefit Options: A variety of benefit options are available to meet individual and family needs.

About GetixHealth:

Founded in 1992, GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize financial performance through solutions designed to improve efficiency, profitability, and the patient financial experience.

GetixHealth is an equal employment opportunity employer and participates in E-Verify.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.