Sr HR Benefits Analyst - Medical Plans

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary / Purpose
Under minimum supervision, this position is responsible for benefit management, analysis, administration, communication, compliance, benefit program coordination and project management for system-wide offered medical programs with annual cost of about $1 billion for 130,000 employees across the country. Works as a liaison with insurance carriers, third party administrators (TPAs), consultants, national groups, market divisions, People Connections (HR Technology), HR leaders and employees. Develops benefits communication materials including preparation and presentations to CommonSpirit Health employees and market regional HR leaders and benefit staff. Create materials for the Contact Center on notification of system issues/carrier notifications that may rise.   

Essential Key Job Responsibilities

• Responsible for medical plan project coordination such as implementation of new medical benefits programs, streamlining existing programs, including cost/savings of proposed programs.
• Acts as a liaison to regions, People Connections (HR Technology), carriers, TPAs to resolve medical plan elevated issues and provides clarification of benefit plan regulations and provisions.
• Works with medical carriers, TPAs and Manager to develop, maintain and provide periodic medical benefit plans reports for regions and CommonSpirit Health management as well as to discuss best practices, system-wide issues, annual renewals, and review vendor performance. If service or communication issues arise, identifies root causes and works with vendors to develop solutions.
• Works with Manager/Director to develop, review and edit benefits education/communication materials for regions and employees.
• Writes and edits medical plan documents and compliance materials as needed; assists Manager/Director to fulfill benefit plans compliance requirements.
• Supports acquisitions and divestitures by serving as a benefits subject matter expert for implementation efforts and providing employee impact analysis to all parties.
• Supports benefits strategy efforts and overall administration integration in partnership with People Connections team and Benefits Integration Manager/Sr. Analyst.
• Supports annual benefit enrollment implementation process, testing/UAT, communications/reviews and sign-off.
• Assesses and monitors effectiveness of current, new or proposed medical programs/initiatives and reports financial and employee impact. Conducts analysis of benefits programs for cost management and Medical plan design decision-making. Develops measurements and reviews plans’ utilization and performance against benchmarks.
• Mentors and supervises benefits staff (analysts) of 1 or more employees.

Minimum Qualifications
Required Education and Experience 
Bachelor’s degree from a four-year college or university or equivalent education and experience. 

Required Licensure and Certifications
CEBS preferred, but not required.

Required Minimum Knowledge, Skills, Abilities and Training
Minimum of three years of experience in benefits administration. 

Must possess detailed benefit knowledge including coverage provisions, legal requirements, and implementation and enrollment process. Must have a broad perspective on industry plans, trends, vendors, administrators, and financing arrangements. Must have strong knowledge of vendor fee arrangements. Must be able to work under minimal supervision.