Benefits Operations Lead

Performant Healthcare, Inc.; Plantation (FL); Remote; USD 90,000 - 110,000; Full time

Job summary

A leading company in healthcare payment integrity is seeking a Benefits Operations Lead to shape and execute benefits strategy. This pivotal role involves managing carrier relations, compliance, and employee engagement initiatives. The ideal candidate will possess strong analytical and communication skills, with a Bachelor’s degree and significant experience in benefit plan administration. Join a team committed to innovative solutions and employee well-being.

Benefits

Medical coverage

Dental coverage

Vision coverage

401(k) savings plans

Paid family/parental leave

11 paid holidays per year

Sick time

Vacation time

Qualifications

• At least 5 years of benefit plan administration experience required.
• High-level organization and communication skills.

Responsibilities

• Manage relationships with benefit carriers and ensure accurate billing processes.
• Lead communication efforts and oversee the annual open enrollment process.

Skills

Analytical

Communication

Organization

Problem-Solving

Education

Bachelor’s degree in human resources

Tools

Microsoft Office Suite

HRIS

Excel

Job description

Join to apply for the Benefits Operations Lead role at Performant Healthcare, Inc.

Join to apply for the Benefits Operations Lead role at Performant Healthcare, Inc.

About Performant

At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission:

About Performant

At Performant, we’re focused on helping our clients achieve their goals by providing technology-enabled services which identify improper payments and recoup or prevent losses due to errant billing practices. We are the premier independent healthcare payment integrity company in the US and a leader across several markets, including Medicare, Medicaid, and Commercial Healthcare. Through this important work we accomplish our mission: To offer innovative payment accuracy solutions that allow our clients to focus on what matter most – quality of care and healthier lives for all.

If you are seeking an employer who values People, Innovation, Integrity, Fun, and fostering an Ownership Culture – then Performant is the place for you!

About The Opportunity

Expected Hiring Range: $90,000 - $110,000 annual base salary (not including annual bonus eligibility)

Responsibilities

The Benefits Operations Lead plays a pivotal role in shaping and executing Performant’s benefits strategy, ensuring that our offerings are competitive, compliant, and aligned with our organizational goals. This role encompasses a wide range of responsibilities, including but not limited to:

• Carrier Relations and Billing Reconciliation: Managing relationships with benefit carriers and ensuring accurate billing processes.
• Communication Campaigns and Open Enrollment: Leading communication efforts and overseeing the annual open enrollment process to maximize employee engagement and understanding.
• Compliance and Data Analysis: Maintaining a compliance calendar, conducting related data analysis, and coordinating ADA requests to ensure adherence to regulatory requirements.
• Subject Matter Expertise: Serving as the go-to expert on all health and welfare offerings, including medical, pharmacy, dental, vision, life, disability, flexible spending, health savings, wellness, and retirement plans.
  
  

As a key member of the benefits team, the Benefits Operations Lead shares accountability for the success of the function. This includes providing insights based on analytics, statistics, and benchmarking to drive progressive benefits that support Performant’s employees and enhance their overall well-being.

By leveraging data-driven insights and fostering a culture of continuous improvement, the Benefits Operations Lead will contribute to the development of innovative benefits solutions that attract and retain top talent, ultimately driving Performant’s success.

This position is remote and requires a suitable home office with limited travel required (averaging approximately 10% annually).

Key Responsibilities To Include

• Strategically plan and implement communication campaigns for health and welfare programs
• Manage processes related to LOA, including FMLA, state regulations, and ADA accommodations, ensuring compliance and support of employees
• Oversee benefit enrollment activities, including new hire and open enrollment, to ensure smooth and efficient experience
• Monitor industry trends and regulatory changes through research
• Manage compliance calendar for the Benefits Team including gathering and formatting of data and submissions, as required
• Ability to collect accurate, refined data from HRIS to analyze data and create statistics
• Offer recommendations on improving benefits programs, addressing employee concerns, and aligning benefits with overall business goals to identify trends and patterns, providing actionable insights for strategic planning
• Performs other duties as assigned, contributing to the overall success of the team and organization
  
  

Knowledge, Skills And Abilities Needed

This position is instrumental in the implementation of new programs, vendors, and initiatives. As such, this role requires the following key knowledge, skills and abilities:

• High-level organization and communication skills to ensure seamless execution and clear communication across all levels of the organization.
• Comprehensive knowledge of benefit programs - a deep understanding of benefit and retirement programs, including medical, dental, vision, life insurance, short- and long-term disability, 401k, flexible spending accounts, health savings accounts, critical illness, accident insurance, and wellness programs.
• Commitment to delivering high quality solutions / responses to employees
• Strong analytical and problem-solving skills
• Benefit program design and administration
• Vendor management
• Thorough understanding of local, state and federal laws involving benefits administration / compliance relating to benefits, leave of absence, time off, ADA, etc.
• Proficient with Microsoft Office Suite or related software
• Advanced Excel skills
• Proficient with or the ability to quickly learn the organization’s HRIS and payroll
• Excellent verbal and written communication skills
• Excellent organizational skills and attention to detail
  
  

Required And Preferred Qualifications

• Bachelor’s degree in human resources, business administration, or a related field; equivalent combination of education/training and experience may be considered.
• At least 5 years of benefit plan administration experience required; experience in a self-insured environment strongly preferred.
• Must maintain a high level of confidentiality in all situations
• Demonstrated ability as a high-functioning member of a corporate HR team
  
  

What We Offer

Performant offers a wide range of benefits to help support a healthy work/life balance. These benefits include medical, dental, vision, disability coverage options, life insurance coverage, 401(k) savings plans, paid family/parental leave, 11 paid holidays per year, as well as sick time and vacation time off annually. For more information about our benefits package, please refer to our benefits page on our website or ask your Talent Acquisition contact during an interview.

Physical Requirements & Additional Notices

If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at your home office location is required. Proof of such may be required prior to an offer being made. It is the Employee’s responsibility to maintain this Internet access at their home office location.

The following is a general summary of the physical demands and requirements of an Office/Clerical/Professional or similar job, whether completed remotely at a home office or in a typical on-site professional office environment. This is not intended to be an exhaustive list of requirements, as physical demands of each individual job may vary.

• Regularly sits at a desk during scheduled shift, uses office phone or headset provided by the Company for phone calls, making outbound calls and answering inbound return calls using an office phone system; views a computer monitor, types on a keyboard and uses a computer mouse.
• Regularly reads and comprehends information in electronic (computer) or paper form (written/printed).
• Regularly sit/stand 8 or more hours per day.
• Occasionally lift/carry/push/pull up to 10lbs.
  
  

Requirements

Performant is a government contractor and subject to compliance with client contractual and regulatory requirements, including but not limited to, Drug Free Workplace, background requirements, and other clearances (as applicable). As such, the following requirements will or may apply to this position:

• Must submit to, and pass, a pre-hire criminal background check and drug test (applies to all positions). Ability to obtain and maintain client required clearances, as well as pass regular company background and/or drug screenings post-hire, may be required for some positions.
• Some positions may require the total absence of felony and/or misdemeanor convictions. Must not appear on any state/federal debarment or exclusion lists.
• Must complete the Performant Teleworker Agreement upon hire and adhere to the Agreement and all related policies and procedures.
• Other requirements may apply.
  
  

All employees and contractors for Performant Financial may and/or will have access to Sensitive, Proprietary, Confidential and/or Public data. As such, all employees and contractors will have ownership and responsibility to report any violations to the Confidentiality and Integrity of Sensitive, Proprietary, Confidential and/or Public data at all times. Violations to Performant’s policy related to the Confidentiality or Integrity of data may be subject to disciplinary actions up to and including termination.

Performant is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Performant will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if you believe a reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact Performant’s Human Resources team to discuss further.

Our diversity makes Performant unique and strengthens us as an organization to help us better serve our clients. Performant is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, age, religion, gender, gender identity, sexual orientation, pregnancy, age, physical or mental disability, genetic characteristics, medical condition, marital status, citizenship status, military service status, political belief status, or any other consideration made unlawful by law.

THIRD PARTY RECRUITMENT AGENCY SUBMISSIONS ARE NOT ACCEPTED

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

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