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.

Senior Benefits Administrator at Tebra | JobZoey