Benefits Administrator

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast.

Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS).

Education

• Bachelor’s degree in business, Human Resources, or related field
• Master's Degree Preferred
• SHRM-CP or SHRM- SCP, PHR or SPHR
• CEBS professional designations preferred

Experience / Qualifications

• Minimum of three years of related benefits or employee benefits administration experience.
• Minimum of five (5) years’ experience in analysis, design, and implementation of benefit programs.
• Excellent communication skills, both verbally and in writing.
• Must have the ability to effectively present information to all levels of the organization.
• Strong analytical abilities, attention to detail and the ability to successfully manage multiple competing tasks and priorities in a fast-paced environment.
• Computer proficiency and technical aptitude with the ability to use Microsoft products, including PowerPoint; experience with HRIS and benefits databases.
• Project and team management/leadership skills and experience.
• Proven ability to work effectively in a team environment.
• Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.
• Strong analytical skills and a thorough knowledge of plan designs.
• Ability to understand, evaluate and make judgment on proposals (RFPs).
• Knowledge of benefits contract language.
• Knowledge of all pertinent federal and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements.
• Excellent communication and organization skills.

Position Summary

The Benefits Administrator is responsible for directing and planning the day-to-day operations of group benefits programs (group health, dental, vision, short-term and long-term disability, worker's compensation, life insurance, travel and accident plan, flexible spending plan, retirement plans, etc.). This position provides excellent customer service and designs quality benefits plans. The administrator continually investigates new benefits programs, improves existing programs, and supervises and monitors benefits administration.

• Research employee benefits plans and vendors to identify those that present the best value.
• Design, recommend and implement new benefits programs. Examine possible plan designs and benefits cost changes.
• Negotiate with vendors and administrators for best plans, options, and rates.
• Serve as primary contact for plan vendors and third-party administrators.
• Coordinate transfer of data to external contacts for services, premiums, and plan administration.
• Evaluate and revise internal processes to reduce costs and increase efficiency.
• Document and maintain administrative procedures for assigned benefits processes. 
• Ensure compliance with applicable government regulations. Ensure timeliness and accuracy of required reporting and fees.
• Coordinate daily benefits processing. Handle enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, QDROs, QMCSOs, distributions, loans, hardships, and compliance testing. 
• Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records.
• Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans. 
• Allocate group health and dental claims monthly and review quarterly.
• Audit the accuracy and performance of functions performed by benefits staff.
• Analyze current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience and competitive trends in benefits programs, and identify the company's stance.
• Perform plan audits. Prepare, collect, and organize data for actuarial assessments. Review data in conjunction with actuarial evaluation task forces.
• Review both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs.
• Survey industry trends. Complete benefits surveys and review information obtained from the results. Analyze complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management.
• Monitor administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and funding. Prepare budgetary recommendations and assist in the monitoring, verifying, and reconciling of budgeted funds.
• Provide customer service support to internal and external customers. Develop communication tools to enhance understanding of the company's benefits package.
• Design and distribute materials for benefits orientations, open enrollment, and summary plan descriptions. Provide training and support to group benefits team.
• Effectively uses and role models current leadership techniques and theories, encouraging the decision-making skills of staff members and providing insight and leadership in complex situations.
• Ensures that information disseminated to staff is monitored for effectiveness and changed as needed.
• Understands and enforces hospital and personnel policies and procedures.
• Serve on hospital and Patient Care Services committees, teams, and work groups as requested.
• Performs other duties as assigned

Leadership Competencies

Establishing Relationships

Builds effective networks, working relationships, and alliances with a broad range of stakeholders (both internal and external) in order to collaborate effectively within divisions and across boundaries. Can relate to all kinds of people regardless of background; find topics and common interests that can be used to build rapport with others.

Developing Talent

Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively.

Inspiring and Motivating Others

Fosters commitment and cohesiveness by motivating, guiding, and facilitating cooperation within the department toward goal accomplishments. Can persuade others, build consensus, and ensure cooperation from others to gain genuine acceptance to accomplish “win-win” solutions.

Demonstrating Emotional Intelligence

Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.

Acting with Integrity

Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations. Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments. Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.

Acting Strategically

Aligns day to day activities around broader organizational goals and objectives; prioritizes resources based on the strategic objectives of the organization.

Being a Champion for Change and Innovation

Supports people in their efforts to try new things. Generates novel and valuable ideas and uses these ideas to suggest new or improved processes.

Communicating Effectively

Speaks and writes clearly, conveys information in a concise, organized, and logical manner. Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and across the organization.

Promoting Diversity and Inclusion

Treats all people with dignity and respect by being fair and consistent. Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics. Challenges bias and intolerance. Develops all-inclusive groups in the realms of social interaction and communication. Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.

Holding Self and Others Accountable

Sets clear performance expectations and objectives for self and others; evaluates work performance and provides feedback when needed. Accepts responsibility and accountability.

Physical Requirements

Requires sitting for long periods of time, also stooping, bending, standing, and stretching. Must have manual dexterity for typing and computer data entry. Able to work under a stressful environment, work independently, capable of making sound decisions, be detail oriented, alert, and self-motivated. Ability to push/pull up to 40lbs., carry and lift up to 20lbs.                                                                          

Threshold Requirements

• These threshold requirements are required and completed yearly basis.
  • Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation.
  • TB/PPD Surveillance Program
  • Maintenance of required professional licensing and/or certification(s).

This is not necessarily an extensive list of all responsibilities, skills, duties, requirements, or working conditions associates with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or require that other or different tasks be performed when circumstances change. I have reviewed these job requirements and verify that I can perform all essential functions of this position.

I have seen this job description in its entirety and its completed form.