Job Summary:

The Senior Director, Total Rewards is responsible for the daily administration and strategy of health and welfare, retirement and other benefit plans at WMCHealth. Responsibilities require extensive contact with insurance carriers, employees, retirees, and benefit plan administrators, as well as the input and maintenance of accurate benefits data in the HRIS databases and external administrators' eligibility systems. Does related work as required.

Responsibilities:

• Drive the creation of Total Rewards philosophy and strategy aligned with the WMCHealth priorities, talent needs and is market competitive.
• Lead the network benefits team including the evaluation, strategic benefit plan selection, design, cost management, administration, customer service, concierge, communication, implementation of changes, and improvements to the benefits program.
• Partner and act as a change agent with vendors to manage the medical, dental, life, long-term, short-term disability insurance plans, flexible spending accounts, and defined contribution plan accounts.
• Develop other programs and lead projects as required: wellness programs.
• Lead the team through regular benchmarking cycles to analyze and assess market data, industry trends and best practices to create a competitive rewards package.
• Lead change management and communications of total rewards philosophy and practices to employees.
• Innovate and react quickly as business and market realities change, staying up to date on best practices and trends and ensure compliance.
• Serve as an integral member of the HR Leadership team advising on programs impacting the organization as a whole and collaborating with HR Leadership team members.
• Develop and support programs associated with employee engagement as aligns with a total rewards package.
• Provides explanations of benefit programs to employees as well as departmental representatives to facilitate administration of these programs.
• Responds to employee complaints or problems and reviews and researches claim issues for participants.
• Communicates with representatives from insurance companies to discuss benefits and claim issues.
• Analyzes and interprets new or revised requirements or programs for the purpose of determining their impact upon existing administrative and procedural activities.
• Assists in coordination of annual enrollment for plan participants ensuring all changes are processed correctly.
• Performs all other duties as assigned.

Experience:

5 years of relevant experience performing employee benefits functions and assisting in the administration of health insurance plans, which included responsibility for identifying problems, obtaining and analyzing relevant information, and determining solutions.

Education:

Bachelor's degree required, Master's degree preferred. Satisfactory completion of 30 credits* toward a Master's degree may be substituted on a year for year basis for up to four years of the above stated experience. Education beyond the secondary level must be from an institution recognized or accredited by the Board of Regents of the New York State Education Department as a post-secondary, degree-granting institution.

Licenses / Certifications:

SHRM certification preferred

Other:

Good knowledge of various health insurance and retirement programs, including benefit limits, eligibility criteria, and administrative and procedural requirements; good knowledge of governmental, provider and hospital rules, regulations, agreements and procedures that affect benefit programs; good knowledge of basic medical and insurance industry terminology; knowledge of third party and medical provider billing and payment procedures; knowledge of Medicare procedures and benefits; ability to evaluate and analyze potential program problem areas and to formulate and recommend workable solutions; ability to communicate effectively both orally and in writing; ability to gather and organize pertinent data and to draw appropriate conclusions; ability to establish and maintain effective working relationships; ability to read, write, speak, understand, and communicate in English sufficiently to perform the essential duties of the position; ability to use computer applications such as spreadsheets, word processing, e-mail and database software; tact; good judgment; integrity; resourcefulness; physical condition commensurate with the demands of the position.

About Us:

NorthEast Provider Solutions Inc.