Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
Regional Benefits Manager responsible for administration of employee benefits in all company operations within their assigned region. Provides special guidance, education, training, and assistance to company locations on various employee benefit plans. Collaborates with the Corporate Director of Benefits to develop annual Open Enrollment strategy and timeline, coordination and roll out at facility level: benefit fairs, employee communication, electronic/on-line enrollment programming and testing, update rates/deductions/payroll schedules, ID card distribution, carrier interfaces, implementation of newly approved or modified employee benefit policies. Oversee dependent audit process. Supervises daily administration of existing benefits, including execution of new policies and carrier billing to all company locations. Develops and executes written Policy and Procedure guidelines. Understanding of Self-funding, Stoploss, Pharmacy Benefit Management, ERISA guidelines, Affordable Care Act, Section 125, HIPAA and PHI. Oversees annual reporting and filings, ensures accuracy of data and meets appropriate deadlines for 5500 / SAR, Creditable Coverage and Medicare Part D CMS disclosures, CMS demand letters, Healthcare Exchange Appeals, Covered California Appeals, 1095-C, PCORI, Form 720 and Non-Discrimination Testing. Updates and maintains electronic postings to the SharePoint and company website benefits section: Plan Documents and Amendments, Summary of Material Modifications, Company Memos, Benefit Summaries, and all other benefits related material. Ability to review, interpret and edit all Plan Documents and Contracts as applied to employer sponsored benefit policies. 25% travel required in and outside California.
EDUCATION, EXPERIENCE, TRAINING
1. Bachelor’s degree or five (5) years of experience in Benefits Administration overseeing a large Health and Welfare plan.
2. Bachelor’s degree and appropriate work history with a Carrier and / or Third-Party Administrator (TPA)
3. 10 years of appropriate combination of education and experience in benefits field
1. A master’s degree and four (4) years’ experience in Benefits Administration, including negotiating collective bargaining agreements
We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. EEO is the Law: https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf