Benefits Manager

Addison Group; Sugar Land (TX); Hybrid; USD 110,000 - 130,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401(k) with company match

Paid time off

Job summary

Addison Group is seeking an experienced Benefits Manager to lead and optimize the U.S. employee benefits program, overseeing strategy, administration, compliance, and vendor relationships.

The role manages self-insured medical plans, PBM contracts, 401(k) plans, and annual renewals, partnering with HR, Payroll, Finance, Legal, and external providers to drive cost efficiency and employee experience.

Qualifications

• 5+ years of progressive employee benefits experience including self-insured health plans.
• Experience working with PBM/Pharmacy Benefit Manager.
• Experience supporting a workforce of 500+ employees.
• 2+ years of management or leadership experience.
• Experience with HRIS and benefits administration systems (UKG preferred).
• Experience leading annual renewals and Open Enrollment.

Responsibilities

• Develop and execute a comprehensive benefits strategy aligned with organizational goals and employee needs.
• Manage self-insured medical plan, including claims, utilization, and cost-management initiatives.
• Oversee PBM relationship, pricing, rebates, formulary strategy, and vendor performance.
• Analyze claims, utilization trends, enrollment, and financial data to identify cost-saving opportunities.
• Lead annual renewals, Open Enrollment, plan design analysis, contribution modeling, and employee communications.
• Manage relationships with brokers, consultants, and other benefits vendors.
• Support benefits integration for mergers and acquisitions.
• Manage the annual benefits budget, forecasts, and plan reconciliations.
• Ensure compliance with ERISA, COBRA, ACA, HIPAA, FMLA, ADA, Section 125, Medicare.

Skills

Benefits management

PBM management

Financial analysis

Excel skills

HRIS (UKG)

Open enrollment

401(k) administration

Leave management (FMLA/ADA)

M&A benefits support

Education

SHRM-CP/SCP

PHR/SPHR

Bachelor's degree

Tools

UKG HRIS

Job description

Position Overview

A growing organization is seeking an experienced Benefits Manager to lead and enhance its U.S. employee benefits programs. This role will oversee the strategy, administration, financial performance, compliance, and ongoing improvement of benefit programs while serving as a key resource for employees, leadership, HR, Payroll, Finance, and external partners.

Key Responsibilities

• Develop and execute a comprehensive benefits strategy aligned with organizational goals and employee needs.


• Manage the company’s self-insured medical plan, including claims, utilization, financial performance, stop-loss coverage, and cost-management initiatives.


• Oversee the Pharmacy Benefit Manager (PBM) relationship, including pricing, rebates, guarantees, formulary strategy, specialty pharmacy, and vendor performance.


• Analyze medical and pharmacy claims, utilization trends, enrollment, and financial data to identify opportunities for improved outcomes and cost savings.


• Lead annual benefits renewals, Open Enrollment, plan design analysis, contribution modeling, system configuration, testing, and employee communications.


• Manage relationships with brokers, consultants, third-party administrators, PBMs, stop-loss carriers, and other benefits vendors.


• Support benefits integration associated with mergers and acquisitions, including evaluating existing programs and transitioning employees into company plans.


• Manage the annual benefits budget, financial forecasts, vendor expenses, claims-related costs, and plan reconciliations.


• Oversee benefits compliance and required filings, notices, audits, plan documents, and employee communications.


• Ensure compliance with applicable regulations, including ERISA, COBRA, ACA, HIPAA, FMLA, ADA, Section 125, Medicare, and related requirements.


• Oversee the company’s 401(k) program, including vendor management, compliance testing, employee support, and annual audits.


• Manage leave programs, including FMLA, short- and long-term disability, ADA coordination, and other leaves of absence.


• Partner with HRIS, Payroll, Finance, Legal, and HR teams to ensure accurate benefits administration, payroll deductions, eligibility, funding, and reporting.


• Serve as the subject matter expert for benefits administration within the HRIS and benefits platform.


• Identify opportunities to improve processes, automate administrative work, increase data accuracy, reduce costs, and improve the employee experience.


• Lead, coach, and develop a small benefits team while establishing priorities, performance expectations, and service standards.

Qualifications

• 5+ years of progressive employee benefits experience, including direct experience administering a self-insured health plan.


• Strong experience working with a PBM / Pharmacy Benefit Manager.


• Experience supporting a workforce of 500+ employees.


• At least 2 years of management, supervisory, or functional leadership experience.


• Experience working with medical TPAs, PBMs, brokers, consultants, stop-loss carriers, and benefits vendors.


• Strong understanding of self-funded plan design, claims, utilization, pharmacy costs, stop-loss, and cost-containment strategies.


• Experience with 401(k) administration and audits.


• Experience managing FMLA, disability, ADA coordination, and leaves of absence.


• Experience leading annual renewals and Open Enrollment.


• Strong analytical and financial skills, including the ability to analyze claims and benefits data and develop forecasts.


• Advanced Microsoft Excel skills.


• Experience with HRIS and benefits administration systems; UKG experience is strongly preferred.


• Strong knowledge of benefits compliance and applicable federal and state regulations.


• Excellent vendor management, communication, project management, and organizational skills.

Preferred Qualifications

• Experience supporting mergers and acquisitions.


• Experience evaluating PBM contracts, rebates, guarantees, and specialty pharmacy programs.


• CEBS, SHRM-CP/SCP, PHR/SPHR, or another relevant professional designation.


• Bachelor's degree in Human Resources, Business, Finance, or a related field preferred.

Compensation & Work Arrangement

• Base Salary: Approximately $110,000 - $130,000


• Schedule: Monday–Friday, 8:00 AM–5:00 PM


• Work Arrangement: Hybrid following an initial onsite training period


• Benefits: Medical, dental, vision, 401(k) with company match, and paid time off