Benefits Analyst

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Benefits Analyst supports all health and welfare benefit plans and programs company wide. Provides daily support in the areas of benefit administration and leaves of absence (LOA) management. Includes new hire onboarding, annual open enrollment, benefit and leaves of absence inquiries, system updates, analytics and reporting. Provides excellent customer service to all employees and resolves issues in an efficient, accurate and timely manner. Has solid knowledge of benefits and leave administration, along with technical skills, excellent problem-solving and analytical skills and sound judgement.

GENERAL DUTIES/RESPONSIBILITIES

1.    Benefits Management:
a.    Assists in supporting employee benefit programs, including medical, dental, vision, life and disability insurance, HSA, FSA, 401(k), COBRA, supplemental benefits and wellness programs.
b.    Acts as first point of contact for general benefit inquiries received through the benefits inbox.
c.    Manages Workday tasks, such as processing life events, new hire benefits, and missing information.
d.    Leverages contact with the benefits vendors and third-party administrators to resolve escalated issues.
e.    Assists with provider premium billing statements and resolve any discrepancies.
f.    Monitors weekly error reports from carriers, interfacing with carrier and system contacts to resolve enrollment data issues.
g.    Partners with payroll to ensure accuracy of benefit deductions, processing adjustments when necessary and streamline current procedures to ensure proper data flow to relevant parties.
h.    Assists with the coordination of the Open Enrollment process, including communication, training, vendor updates, and other tasks.
i.    Works with the communications team regarding overall content and updating of the benefits intranet pages and wellness program pages
2.    LOA Administration:
a.    Works closely with leave/ disability vendor to aid in the administration of the LOA process (including short-term disability (STD), family medical leave (FML), ADAAA, Workers’ Compensation, and long-term disability (LTD).
b.    Manages LOAs that fall outside the vendor’s scope, such as personal leave and other types of company leaves. 
c.    Acts as the liaison between team members and leave/ disability vendor when issues arise.
d.    Manages communications with internal leaders regarding their team member’s LOA. 
e.    Ensures LOA processing and status in Workday, and internal leave tracking tools are updated accordingly.
f.    Interpret FMLA, STD, LTD, workers compensation, and ADAAA plans, programs, policies and procedures for employees and provide advice and remediation of escalated issues.
g.    Partners with payroll to ensure accuracy of applied time off accruals and Paid Parental leave where applicable.
h.    Oversees the billing of benefit premiums to team members on LOA.
i.    Coordinates with internal leads, HR colleagues and leave/ disability vendor to facilitate a smooth transition for employees returning from leave, including accommodation requests and job modifications.
3.    Workers’ Compensation:
a.    Works closely with Workers’ Compensation (WC) vendor to assist in the processing of claims according to established standards, requirements and procedures.
b.    Manages communications with internal leads and HR colleagues regarding team members’ WC case when needed. 
c.    Other special projects and duties as assigned.

Job Requirements:

Experience:

• Required: Minimum three (3) years Human Resources experience, with special emphasis on benefits and leave administration.

• Preferred: Three years of Healthcare or Insurance industry experience. Two years of Workday experience.

Education:

• Required: High School Diploma or GED.  Bachelor's degree or four years additional experience in lieu of education.

Specialized Skills:

• Required:

• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
• Mathematical Skills:  Ability to perform mathematical calculations and calculate simple statistics correctly
• Reasoning Skills:  Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Problem-Solving Skills:  Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Report Analysis Skills:  Comprehend and analyze statistical reports.

Licensure:

• Required: None

• Preferred: PHR, SHRM-CP

Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.  While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range:

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.