Director, Benefits Operations: Lead TPA & EDI

Airbase; Schaumburg (IL); On-site; USD 138,000 - 225,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

Disability insurance

401(k) match

Job summary

Paylocity is seeking a Director of Benefits Operations to lead TPA, EDI, and COBRA administration, defining the vision and operating model for these teams. You will oversee daily eligibility, enrollment, and change processing while managing carrier/vendor relationships and ensuring service quality.

You will drive AI-enabled improvements, develop KPIs, and mentor leaders across the benefits organization, with travel expected and a strong focus on compliance and data accuracy.

Qualifications

• Bachelor's degree in a relevant field or equivalent experience.
• Minimum 10 years in an operational management role in a high-volume environment.
• Experience implementing process improvements with recognized methodologies (e.g., Lean Six Sigma).
• Strong leadership, people management, and performance development skills.

Responsibilities

• Lead TPA operations, EDI, and COBRA administration with measurable SLAs.
• Define vision and operating model for Benefits TPA, EDI, and COBRA teams.
• Oversee daily operations: eligibility, enrollment, change processing.
• Manage carrier and vendor relationships and performance against SLAs.
• Lead EDI integrations and ensure reliable data flows with HR systems.
• Monitor EDI quality, error rates, and turnaround times.
• Ensure COBRA compliance in notices, premiums, and elections.
• Champion AI capabilities and drive efficiency and client experience improvements.
• Collaborate with nearshore leadership to align staffing and processes.
• Partner with Legal/Compliance and external vendors to stay audit-ready.
• Develop KPIs and quality controls; report results to senior management.
• Mentor leaders across Benefits TPA, EDI, and COBRA teams.
• Communicate effectively across departments and with external partners.
• Travel ~25% annually.

Skills

Leadership

Vendor management

Process improvement

Project management

Change management

Data analytics

Communication skills

Education

Bachelor's degree

10+ years in operational management

Lean Six Sigma knowledge

Job description

Paylocity is seeking a Director of Benefits Operations to lead TPA, EDI, and COBRA administration, defining the vision and operating model for these teams. You will oversee daily eligibility, enrollment, and change processing while managing carrier/vendor relationships and ensuring service quality.

You will drive AI-enabled improvements, develop KPIs, and mentor leaders across the benefits organization, with travel expected and a strong focus on compliance and data accuracy.