Providence Senior Caregiver Benefits Analyst PSJH in Irvine, California
Providence St. Joseph Health is calling a Senior Caregiver Benefits Analyst PSJH. This position currently works 100% remote. Post-Covid we are flexibile to discuss ongoing work arrangements. This role is open to candidates in the greater Anchorage, Seattle, Spokane, Portland and Irvine areas.
We are seeking a Senior Caregiver Benefits Analyst PSJH to have senior level benefits administration and design knowledge to provide accurate benefit plan explanation, provide customer service to caregivers and managers, and execute administration/plan design functions for a multi-state, multi-line organization. The incumbent will be a key player in high level benefits projects and assist the Manager, Caregiver Benefits with future benefit design changes and implementation of those benefit designs. This position will handle sensitive benefit issues that may require a deep level of research to resolve the issue. The incumbent will be responsible for working for all-benefits related vendors, carriers, brokers and consultants system-wide, trouble-shooting issues and conducting root cause analysis of issues. This position will research best-practices and will develop best practices, workflow and program improvements for review and consideration.
In this position you will have the following responsibilities:
Responsible for management of vendor partner administration of benefits programs. Develop process, workflow and program improvements with vendors and local HR staff for review and consideration/implementation watching for data integrity issues and compliance. Act as the single point of contact for all benefits-related vendors, brokers, carriers, and HR for all benefits issues, problems, changes and coordinate all resolutions. Coordinate all system-related changes, testing and implementation. Monitor adherence with service level agreements and any performance guarantees; remedy service issues as they arise to avoid actual failures of expected service levels.
Work with the Benefits Manager in delivering a positive caregiver experience in a timely and accurate annual open enrollment. As applicable, also deliver a successful "off-cycle" voluntary benefits open/annual enrollment period. Translate plan design rules into programming specifications to manage caregiver enrollment tool, and access to online information on the HR portal. Update plan specification documents to reflect all plan changes, test and audit plan build of the enrollment system. Work with vendor partners to update file feeds, plan changes, network updates and customer service representative training. Responsibilities will include project plan timelines, communications, coordination of plan document updates and vendor management.
Act as the subject matter and process expert, investigate best-practices in order to ensure quality and compliant processes, workflow and program improvements for review and consideration. Continuous review of current processes for efficiency and consistency. Works systematically to resolve problems, and identify and anticipate issues. Manages issues to completion, engaging additional resources as needed.
Develop communications to inform caregivers of the benefits program available to them, the general rules and necessary actions as well the timing for action. Content to be delivered in a variety of mediums including HR portal content, home mailings, emails, regional communication vehicles such as Caregiver News/Huddle and Core Leader News. Work with communications consultant, print/fulfillment vendor and internal partners. Prepare and lead informative presentations for our HR community. Create targeted messaging as needed to address specific corrective actions.
Handle benefits inquiries and complaints to ensure timely, equitable, courteous, professional and compliant resolutions. Benefits issues include areas such tax reporting, sponsor support, executive onboarding, field HR as well as HR Centers of Excellence. Ensure the Benefit Service Center vendor partner is providing professional, accurate and timely responses to caregivers and their customers, and informs Benefits of any trending issues from caregiver calls or AskHR tickets.
Collaborate with the Sr. Project Manager, Benefits for larger projects and workflow to facilitate management of team resource allocation at the management level. Achieving project plan timelines and milestones as defined as well as contributing to the creation of the project plan based on subject matter expertise. Creating a self-contained project plan for smaller projects, integrating the milestones into the workflow managed by the Sr. Project Manager, Benefits, keeping stakeholders informed in a timely manner and delivering the project on time, and on budget.
Collaborate with Consultant, Benefits Analytics and Financial Reporting, vendor partners and/or Benefits Manager in reviewing vendor report data for use in evaluating plan performance and market competitiveness based on vendor book of business (as well as other surveys); recommending changes to design and/or processing through the Situation, Background, Assessment and Recommendation model.
Work with HR Consulting group and labor attorneys in responding to union requests for information to provide consistent and appropriate information to the various union groups within the system. Participate in the webcasts in which details of newly reached tentative agreement terms are shared; ensure contracts are then saved onto shared drive for reference. Notify team of changes which impact programming.
Support mergers and affiliation projects, working with the HR Integration team. For smaller affiliations, participate in ongoing clinical acquisitions planning calls, provide information content for newly eligible caregivers, evaluate special request for support with Benefits Manager. Larger affiliations: work with HR Integration Project Manager for work including due diligence, communications, benefits set-up and transitions, including all relevant team members.
Complete surveys, oversee HR Service Center management of QMSCO, dual coverage, appeal tickets and verification of coverage requests. Engage with the Benefits Service Center in resolution of caregiver issues.
Required qualifications for this position include:
Bachelor's Degree, preferably in business, health administration or HR related field of study.
6 years in the development, analysis and support of benefits programs and processes.
2 years of project management experience.
In depth knowledge of ERISA, other benefits-related state and federal government regulations; health and welfare benefits plan design, financing and delivery.
Preferred qualifications for this position include:
2 years of being in a corporate role in overseeing benefits for system with subsidiaries/divisions.
1 year in health care and/or a union environment.
Experience in HRIS or payroll system.
PHR, CEBS, CBP, HIA, GBA.
About the department you will serve.
Providence Strategic and Management Services provides a variety of functional and system support services for all eight regions of Providence St. Joseph health from Alaska to California. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Benefits
Other Location(s): Oregon-Portland, Washington-Spokane, Alaska-Anchorage, Washington-Renton
Req ID: 286796