Role of a Senior Health Plan Analyst
Under limited general direction, this role provides expert consultation and information to management by leading and supporting a wide variety of complex projects involving the design, delivery, reporting, analysis, financing, ongoing management, and communication of the Recology benefits program. This role serves as a key liaison with brokers, vendors, and employees.
Essential Responsibilities:
*Oversees a portfolio of benefits programs, including medical, wellness, dental, life, and disability insurance.
*Leads the annual benefits renewal process, including project planning, communication, and implementation of changes.
*Ensures compliance with all contractual agreements, legal requirements (COBRA, HIPAA, ERISA, ACA, etc.), and facilitates timely updates to policies and procedures.
*Oversees the management of our benefit vendor and consultant relationships and contracts.
*Manages eligibility feeds for health benefit vendors, ensuring timely and accurate system updates.
*Researches and resolves complex, non-routine problems, including policy and contract issues.
*Oversees governmental reporting related to non-retirement benefits (e.g., 5500, 1095C, SFHCSO), and coordinates with Payroll and other departments as needed.
*Writes reports and queries, maintains procedural documentation, and analyzes benefits data to inform decision-making.
*Develops, reviews, and distributes legally required notices and benefits communication materials.
*Continuously assess and improve processes to streamline and automate workflows.
*Leads or assists with the RFP process for new vendors and benefit programs, including benchmarking and market analysis.
*Analyzes employee utilization data to enhance benefit offerings and recommend cost-effective program designs.
*Coordinates benefit program rollouts and new vendor implementations, ensuring effective communication and change management.
*Assists in developing benefits program strategies for various employee groups, including union and non-union populations.
*Designs and organizes employee benefit meetings, fairs, and educational sessions to improve understanding and engagement.
*Collaborates on People projects and cross-functional initiatives.
*Provides backup support for Health Program Benefit Specialists and other team members as needed.
*Travel may be required for meetings and/or site visits.
*Performs other duties as assigned.
Qualifications
*High school diploma or GED required.
*Bachelor's degree preferred.
*Four plus years of in-depth conceptual and practical knowledge and experience in health benefit plan operations for plans with over 500+ participants, are required.
*Health broker/consultant experience preferred.
*CEBS or GBA certification preferred.
*Computer application proficiency, including Microsoft Office suite of applications and using data to inform and set priorities and identify challenges/opportunities. Advanced Excel and Word skills.
*HRIS System and query report (e.g., Hubble, JD Edwards) experience.
*Understands and is able to follow COBRA, HIPAA, ERISA, ACA and other benefit-related laws.
*Strong math skills to determine benefits, payments, and perform analyses of benefit plans.
*Bilingual English/Spanish (Speaking, Reading & Writing) preferred.
*Ability to oversee and direct the workflow of other team members and guide other team members using own expertise and knowledge.
*Strong communication (oral and written), organization, collaboration, documentation, and presentation skills.
*Ability to project manage with attention to detail as well as use analytical skills to solve problems.
*Listen to and build customer relationships; increase customer satisfaction and ensure commitments are met.
Recology Offers
- An ecologically innovative company that finds and mentors people committed to protecting the environment and sustaining our communities.
- The largest employee-owned resource recovery company in the industry with terrific benefits to help you prosper.
- A creative and caring culture that values community, diversity, altruism, accountability, collaboration, and learning by doing.
- An inspired company mission driven to use and return resources to their best and highest use through the practice of the 4R's: Reduce, Re-use, Recycle, and Recologize.
- Distinct professional challenges to connect with, care for, and grow community that sees a world without waste.
Recology Benefits May Include
- Paid time off and paid holidays.
- Health and wellness benefits including medical, dental, and vision.
- Retirement plans (Employee Stock Ownership Plan, 401(k) with match).
- Annual wellness incentives.
- Employee Assistance Program (EAP).
- Educational assistance.
- Commuting benefits.
- Employee referral program.
Supplemental Information
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job; and pursuant to applicable law, we will consider for employment qualified applicants with criminal records. It is important that you provide accurate information on the job application, inaccurate information may cause delays in the processing of your application and/or may disqualify you as a candidate.
Recology is an equal opportunity employer committed to supporting an inclusive work environment where employees are valued, heard, and provided development opportunities. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, disability, protected veteran status, or any other basis that is prohibited by law.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, effort, work conditions, and benefits associated with the job.