Health Care Plan administration (Employee Benefits) Job at netPolarity, Inc. (Saicon Consultants, Inc.), Pleasanton, CA

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  • netPolarity, Inc. (Saicon Consultants, Inc.)
  • Pleasanton, CA

Job Description

Duration: 5 months Contract W2 + Possible extension

Note: No C2C/Corp to Corp/1099

Job Description:

Responsible for supporting the strategic direction, administration and vendor oversight of all U.S. Health Care Benefits (Medical, Prescription Drug, Dental, Vision, Retiree Medical and other related benefits) . Includes priority setting to ensure vendor partners are operating in a high performing manner to enhance the employee experience. Additional responsibilities include compliance related activities, partnering on communications of benefit programs to ensure awareness, engagement, and compliance, as well as ownership of annual and/or ongoing initiatives, contributing and collaborating with the broader Total Rewards team. Drives continuous improvements through streamlining of internal and vendor processes, identifying cost savings opportunities and bringing forward innovative program solutions.

Supporting strategic Vendor Management and Plan Management

a. Leads vendor relationships, budget considerations and oversight, including complex vendor day-to-day management, with all Health Care Plan Vendors (i.e., UnitedHealthcare, Surest, Kaiser, OptumRx, VSP, Via Benefits). Manages and monitors vendors’ performance through regular status meetings, performance reviews, performance guarantees and audits. Partners with vendors to identify trends and cost savings opportunities, as well as opportunities to improve the health and the health outcomes of employees.

b. L eads and manages all aspects of the Health Care Plan administration to ensure compliance with ERISA, HIPAA, and other applicable regulations impacting Group Insurance Plans.

c. Collaborates with legal and other outside resources to keep up-to-date on legislative changes effecting the health benefit plans, and implements changes as required.

d. Partners with vendors and consultants to develop recommendations for benefit plan changes and leads the implementation of approved changes.

e. Partners with Procurement for RFP/RFI’s proposals, and is project leader for new vendor implementations (when required).

Project Work

f. Co-manages implementation of new benefit plans or benefit changes in support of Benefits Annual Enrollment, including education of the internal team and TPA, and testing.

g. Subject Matter Expert for communication development and review for benefit plan changes and on-going education.

h. Point of contact for audits and audit controls for health plans.

i. Special projects as assigned.

Requirements: Years and Type of Experience:

• Typically requires a minimum of 10 years of progressive experience in Employee Benefits with focus on the administration of Health Care plans.

• A strong team player that can work independently. Must have proven experience working in a team environment.

• Expertise in MS Office, MS Word and Excel.

Education Level/Degree:

• BA/BS in related field preferred, or equivalent experience.

Job Tags

Contract work,

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