Tebra
Senior Benefits Administrator
United States - Remote. Posted a month ago
The role
The Senior Benefits Administrator oversees the day-to-day administration and strategic alignment of health and welfare plans. This role manages self-insured medical plans, monitors plan performance, and manages Third-Party Administrator relationships.
What you will do
- Monitor medical and prescription drug claims performance and identify trends
- Coordinate stop-loss policy renewals and track claims thresholds
- Oversee relationships with TPAs, PBMs, brokers, and carriers
- Manage weekly and monthly billing, claims funding, and reconciliations
- Lead the annual Open Enrollment process
- Manage day-to-day enrollment changes and qualifying life events
- Support short-term and long-term disability programs
- Ensure compliance with ERISA, ACA, HIPAA, COBRA, and FMLA
- Maintain plan documentation including SPDs, SBCs, and Form 5500 filings
- Coordinate annual 105(h) and Section 125 nondiscrimination testing
Required qualifications
- Bachelor’s Degree in Human Resources, Business Administration, Finance, or a related field (or equivalent practical experience)
- 5 years of direct experience dedicated to health & welfare plan administration
- Experience managing self-insured / self-funded medical plans
- Experience working with stop-loss insurance, TPAs, and PBMs
- Experience administering benefits using Workday
- Advanced skills in MS Excel (Pivot Tables, VLOOKUP/XLOOKUP, data modeling)
- Functional knowledge of ERISA, ACA, HIPAA, COBRA, and IRS Section 125 rules
Nice to have
- CEBS (Certified Employee Benefit Specialist)
- SHRM-CP/SHRM-SCP
- PHR/SPHR
Benefits
- Variable pay
- Healthcare benefits
- Dell discount for work from home basics
- Gympass
- Telus Employee Assistance Program
Before you apply
- By applying for this position, you acknowledge that your interview may be recorded
About the company
Tebra is an all-in-one EHR+ platform built for independent healthcare practices. It connects EHR software, billing, automation, telehealth, and marketing.