Benefits Strategy Lead - Self-Funded Health Plans

Paycom - ATS; McKinney (TX); On-site; USD 63,000 - 77,000; Full time

Job summary

Paycom - ATS in McKinney, TX is seeking a benefits administrator responsible for managing and overseeing the administration, compliance, and strategic management of employee benefits, with emphasis on self-funded health insurance plans. Reports to HR Director with moderate latitude for initiative and independent judgment.

You will serve as the primary liaison between the organization, brokers, TPAs, stop-loss carriers, PBMs and other benefits vendors, ensuring regulatory compliance and

Qualifications

• Bachelor’s degree in human resources, Business Administration, Healthcare Administration, Insurance, or related field.

Responsibilities

• Partner with brokers, TPA’s, stop-loss carriers, and PBMs to administer and optimize plan performance.
• Review and analyze claims utilization reports, pharmacy spend, and trend data.
• Monitor stop-loss coverage large claim activity, and renewal projections.

Skills

Regulatory compliance knowledge

Data analysis

Vendor management

Education

Bachelor’s degree in human resources / related field

Tools

Microsoft Excel

Reporting tools

Job description

Paycom - ATS in McKinney, TX is seeking a benefits administrator responsible for managing and overseeing the administration, compliance, and strategic management of employee benefits, with emphasis on self-funded health insurance plans. Reports to HR Director with moderate latitude for initiative and independent judgment.

You will serve as the primary liaison between the organization, brokers, TPAs, stop-loss carriers, PBMs and other benefits vendors, ensuring regulatory compliance and