Remote Benefits Manager: Self-Funded Health & Compliance

Rancho Health MSO, Inc; Sacramento (CA); Remote; USD 90,000 - 140,000; Full time

Job summary

Rancho Health MSO, Inc. is seeking an experienced Benefits Manager to own and optimize employee benefits programs across ~800 lives and four plan structures, including medical, dental, vision, life, disability, and retirement offerings.

You will lead the 2027 transition from fully insured to self-funded plans, partnering with brokers, Finance, and vendors to ensure competitive, sustainable programs. In addition to benefits ownership, you will maintain broad HR knowledge to support operations,

Qualifications

• Bachelor’s degree in HR, Business Administration, or related field.
• 3+ years of progressive employee benefits administration experience.
• Experience with self-funded health plans and broker management.
• Experience with HRIS and benefits systems (ADP Workforce Now preferred).
• Strong Excel skills and data analysis.

Responsibilities

• Own day-to-day administration and oversight of employee benefits programs across MSO and Provider populations.
• Serve as the internal resource for benefits-related questions, escalations, vendor coordination, and complex issues.
• Manage relationships with brokers, carriers, third-party administrators, and external partners.
• Lead annual benefits renewals, open enrollment planning, communication, and post-enrollment reconciliation.
• Partner with HR Operations to ensure accurate benefits eligibility, enrollment, deductions, and system configuration.
• Lead the operational execution of the transition from fully insured to self-funded health plans.
• Monitor plan performance and financial exposure via claims experience and utilization trends.
• Coordinate stop-loss renewals, funding arrangements, reporting, and budgeting.
• Oversee compliance with ERISA, ACA, COBRA, HIPAA, and related regulations.

Skills

Ownership mindset

Analytical thinking

Confidentiality

Attention to detail

Adaptability

Cross-functional collaboration

Education

Bachelor’s degree in HR/Business Administration or related field

Tools

ADP Workforce Now

Excel

Monday.com

Job description

Rancho Health MSO, Inc. is seeking an experienced Benefits Manager to own and optimize employee benefits programs across ~800 lives and four plan structures, including medical, dental, vision, life, disability, and retirement offerings.

You will lead the 2027 transition from fully insured to self-funded plans, partnering with brokers, Finance, and vendors to ensure competitive, sustainable programs. In addition to benefits ownership, you will maintain broad HR knowledge to support operations,