Manager, Health & Welfare Compliance

60 Insperity Services, L.P.; Houston (TX); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Flexibility

Career growth

Well-being

Job summary

Insperity is seeking a Manager, Health & Welfare Compliance to lead healthcare reporting and regulatory compliance across federal, state, and industry standards. The role involves developing effective compliance solutions and guiding clients through evolving benefits compliance.

You will oversee ACA reporting, Forms 1095/1094 processing, vendor relationships, and quarterly audits, while mentoring a team and coordinating with Legal, sales support and service providers to ensure ongoing regulatory

Qualifications

• Bachelor’s Degree in Business Administration is required.
• MBA preferred.
• Five to seven years of benefits administration regulatory compliance experience is required.
• Three or more years of supervisory experience is required.
• Experience with healthcare reform is required.
• Travel up to 5% of the time.

Responsibilities

• Provide healthcare reform and other compliance regulations subject‑matter expertise across business units to support compliance management and self‑monitoring, using training, tools and technology.
• Evaluate the impact of new and changing laws and regulations on current business processes, manage projects to incorporate changes and deploy them to clients and employees.
• Apply regulations such as ACA, ACA IRS Reporting, Medicare & CHIP programs, employer‑required state reporting, non‑discrimination testing and other directives.
• Lead annual Applicable Large Employer determination and Variable Hour Employee eligibility determination effort under the Affordable Care Act.
• Produce Forms 1095‑C employee statements and file Forms 1094‑C and 1095‑C with the IRS on behalf of the corporation.
• Manage healthcare reform vendor relationships, facilitate contract negotiations and product renewals.
• Conduct quarterly healthcare compliance audits and initiatives, including guidelines and standardized processes for communication, testing, training, and documentation.
• Lead the staff responsible for reporting and compliance: provide guidance, direction and leadership; track eligibility for all employees, consult with clients, monitor state reporting requirements, assess inbound eligibility verifications, monitor state‑specific waiting periods, and conduct compliance audits.
• Determine group workload, assess staffing needs, interview, hire, and train employees; plan, assign, and direct work; conduct performance appraisals, address complaints and resolve problems.
• Maintain relationships with Legal, sales support and service providers as needed to support compliance functions.

Skills

Regulatory compliance

Healthcare reform

Leadership

Staff supervision

Education

Bachelor's Degree in Business Administration

MBA

Job description

Insperity provides comprehensive HR solutions across the U.S. and is recognized as a top workplace. We value diversity, inclusion and a sense of belonging.

About the Role

Manager, Health & Welfare Compliance – responsible for overall managerial direction and leadership for healthcare reporting and compliance with federal, state and industry healthcare regulations and standards. Also responsible for developing effective compliance solutions and guiding clients in navigating the evolving areas of benefits compliance.

Responsibilities

• Provide healthcare reform and other compliance regulations subject‑matter expertise across business units to support compliance management and self‑monitoring, using training, tools and technology.
• Evaluate the impact of new and changing laws and regulations on current business processes, manage projects to incorporate changes and deploy them to clients and employees.
• Apply regulations such as ACA, ACA IRS Reporting, Medicare & CHIP programs, employer‑required state reporting, non‑discrimination testing and other directives.
• Lead annual Applicable Large Employer determination and Variable Hour Employee eligibility determination effort under the Affordable Care Act.
• Produce Forms 1095‑C employee statements and file Forms 1094‑C and 1095‑C with the IRS on behalf of the corporation.
• Manage healthcare reform vendor relationships, facilitate contract negotiations and product renewals.
• Conduct quarterly healthcare compliance audits and initiatives, including guidelines and standardized processes for communication, testing, training, and documentation.
• Lead the staff responsible for reporting and compliance: provide guidance, direction and leadership; track eligibility for all employees, consult with clients, monitor state reporting requirements, assess inbound eligibility verifications, monitor state‑specific waiting periods, and conduct compliance audits.
• Determine group workload, assess staffing needs, interview, hire, and train employees; plan, assign, and direct work; conduct performance appraisals, address complaints and resolve problems.
• Maintain relationships with Legal, sales support and service providers as needed to support compliance functions.

Qualifications

• Bachelor’s Degree in Business Administration (required).
• MBA preferred.
• Five to seven years of experience in benefits administration regulatory compliance (required).
• Three or more years of supervisory experience (required).
• Experience with healthcare reform (required).
• Travel up to 5% of the time.

Benefits

• Flexibility – 80% of Insperity’s jobs offer flexible arrangements to support work‑life balance.
• Career growth – continuous learning programs, mentorship opportunities and ongoing training.
• Well‑being – generous paid time off, top‑tier medical, dental and vision benefits, health & wellness support, and paid volunteer hours.

Insperity is an equal‑opportunity employer; all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.