Human Resources-Benefits Manager

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

Job Details: Job Location: 2295 Bloomdale Road - McKinney, TX, Position Type: Full Time, Education Level: 4 Year Degree, Salary Range: $70000.00Salary/year, Works under the supervision of the Human Resources Director with moderate latitude for initiative and independent judgment.

Manages and oversees the administration, compliance, and strategic management of employee benefits program, with a strong emphasis on self-funded heath insurance plans. This position will serve as the primary liaison between the organization, insurance broker, Third-Party Administrator (TPA), stop-loss carrier, pharmacy benefit manager (PBM) and other benefits vendors, regulatory compliance, and healthcare cost management. Support executive leadership by providing data analysis, recommendations, that align with organizational goals and employee needs.

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.

Qualifications

• Bachelor’s degree in human resources, Business Administration, Healthcare Administration, Insurance, or related field.
• 5 years of progressive benefits administration experience.
• Minimum 3 years of experience working with self-funded health plans.
• Strong knowledge of employee benefits regulations and compliance requirements.
• Experience working directly with brokers, TPAs, Insurance carriers and PBMs.
• Advance proficiency in Microsoft Excel and reporting tools.