Benfits Analyst

MW Partner; San Jose (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

MW Partner is seeking an experienced Healthcare Benefits Program Manager to serve as the primary escalation contact for benefits COE, manage Open Enrollment readiness, and coordinate with vendors and stakeholders across systems like bswift, Emma, and ServiceNow.

The role requires deep knowledge of US health and welfare programs, ERISA regulations, and strong project management skills to drive compliance and effective employee communications.

Qualifications

• Bachelor's Degree in related field or equivalent years of experience.
• 7+ years of health and welfare benefits experience in US contexts.
• Knowledge of ERISA regulations and related laws.
• CBP or CEBS certification is a plus.
• Strong organizational skills and communication abilities.
• Ability to work independently and in teams to meet goals.
• Analytical problem-solving for escalations and root-cause analysis.

Responsibilities

• Serve as frontline healthcare escalation point for benefits COE team.
• Triage healthcare ServiceNow tickets and coordinate resolutions with Rewards Ops or COE.
• Act as Tier 2 escalation resource for benefits inquiries and liaise with health plan vendors.
• Support Open Enrollment readiness and enrollment content in bswift and Emma.
• Review and update healthcare communications and OE materials for accuracy.
• Coordinate healthcare events, vendor participation, and webinars.

Skills

Healthcare benefits knowledge

Escalation management

Communication skills

Project management

Analytical thinking

Stakeholder collaboration

Education

Bachelor's Degree

Tools

bswift

Emma

ServiceNow

Job description

Responsibilities and duties:

Healthcare support and program management

• Be the first point of contact for healthcare escalations to the benefits COE team. Monitor cases and channels (e.g. Slack benefits-talk, ServiceNow, bswift, ERC, webinar chat), identify and report on trending issues, research specific concerns, and resolve issues working with employee, vendors, and COE as needed.
• Triage healthcare "ServiceNow" tickets, resolve healthcare cases and escalation any administration service issues to Rewards Ops or COE team.
• Serve as a Tier 2 escalation resource for employee benefits inquiries beyond standard call center support, including coordinating with health plan liaisons and vendors as needed to support issue resolution. Provide information and guidance to help employees understand benefits programs policies, and changes through ad hoc interactions, benefit meetings, and benefit fairs. May also include updating healthcare content in call center training decks and FAQs.
• bswift and Emma administration: Support Open Enrollment readiness by reviewing and updating enrollment requirements, plan details, and employee-facing content within bswift and Emma. Conduct testing of enrollment functionality, communications, and enrollment workflows, and perform final validation of content, rates, and enrollment flows following vendor and Rewards Operations sign-off.
• Communications content review: Review healthcare-related communications and content, including Open Enrollment materials, OE website updates, Rewards Guides, videos, PDFs, vendor communications, employee mailers, and microsites. Support annual Open Enrollment, year-end, midyear, and ad hoc healthcare content updates for benefits.adobe.com, ensuring information is accurate, current, and aligned across employee-facing resources.
• Events support: Liaise with internal and external teams on healthcare events, including calendaring and
• fulfillment. Confirm healthcare vendor participation, signage, and logistics for Open Enrollment fairs and pop-up events. Support programmatic webinars by coordinating scheduling, and promotion, and review of supporting collateral (decks, flyers, posters, FAQs, tip sheets, etc.) as needed.

Compliance

• May review SBCs, plan booklets, Schedules of Benefits and other compliance documents and coordinate with program managers to support any compliance implementation and posting.
• May support legislative requirements such as healthcare transparency, mental health parity (reviewing documents, posting mandatory employee notifications, tracking, scheduling)
• May contribute to compliance administration such as COBRA administration, non-discrimination testing, PCORI fees, IRS updates to pre-tax spending accounts, etc.
• May project manage and track annual compliance notices (e.g., SAR, Medicare, HIPAA) and aggregate notices for employee notification by annual deadlines.

Special projects

• In partnership with Sr. program managers, help drive or support various special projects such as RFPs and the implementation of new benefits vendors or programs.
• Support the healthcare portion of survey submissions (e.g. SVEF benchmark survey, Corporate Equality Index CEI)
• Liaise with wellbeing team on healthcare data needs for physical and emotional wellbeing dashboards.
• Acquisitions: Support acquired company medical plan transitions (onboarding vendors for claim runoff, decommissioning, scheduling webinars and support Q&A sessions).

Requirements:

• Bachelor's Degree in related field. Required education may be substituted by additional years of experience.
• 7 years + of directly applicable US health and welfare benefits experience
• Knowledge of Employee Retirement Income Security Act (ERISA) regulations, and other applicable federal, state, and local laws governing benefits
• Certified Benefits Professional (CBP) or Certified Employee Benefit Specialist (CEBS) professional certification, a plus.
• Strong organizational skills, ability to multi-task in a fast-paced environment.
• Strong oral and written communication skills and attention to detail.
• Ability to work efficiently both independently and within a team to meet common goals.
• Demonstrate analytical and problem-solving capabilities to manage escalations and help Sr. program managers identify root causes of issues.
• Ability to collaborate with various stakeholders such as Employee Resource Center (ERC), payroll, communications, and vendors.
• Demonstrate desire to learn, grow, and take on new challenges.