Looking for a way to influence the health and healthcare of many?
If so, we'd love to hear from you! Our mission-driven organization is focused on the“Triple
Aim” - Better Health, Better Healthcare and Lower Costs to individuals and their families who participate in our health plans.
UNITEHEREHEALTH serves 100,000+ workers in the
hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and
challenging. Please read on to learn more about this great opportunity!
Integrity – Must be trustworthy and principled when faced with complex situations
build positive work relationships – Mutual trust and respect will be essential to the collaborative relationships required
Communication – Ability to generate concise, compelling, objective and data-driven
Teamwork – Working well with others is required in the Fund's collaborative environment
Diversity – Must be capable of working in a culturally diverse environment
Continuous Learning – Must be open to learning and skill development. As the Fund's needs evolve, must be proactive about developing new areas of expertise
Lives our values – Must be a role
model for the Fund's BETTER Culture and Mission (Better, Engage, Teamwork, Trust, Empower, Respect)
This role is primarily responsible for developing, maintaining and updating all legally required / compliance benefit plan documents for the
assigned Plan Units. This involves staying current with all applicable employee benefit law (ERISA, ACA, etc.) as it pertains to each Plan and working with various Staff to revise and build legally compliant, participant friendly communications.
Ensure that all plan units comply with ERISA reporting and disclosure requirements, including creation and distribution of:
Summary plan descriptions (SPDs),
Summaries of material modifications (SMMs),
Summaries of benefits and coverage (SBCs), and
Annual mailing of other required documents.
Draft plan amendments and resolutions describing the proposed benefit change.
Draft plan related documents and
communication material in a manner compliant with all applicable state, federal and benefits related legislation and regulations.
Review of benefit related discretionary communications.
Investigate, analyze, and provide recommendations on
benefit and compliance issues.
Work with Manager of Plan Compliance & Benefits & Counsel on plan compliance and regulatory matters impacting benefits.
Work with other departments (Claims, Healthcare Delivery, and Operations) on
plan eligibility and benefit related issues.
Collaborate and partner with other Plan Compliance and Benefits Specialist(s) / Analyst(s) to ensure consistency and uniformity in materials, responses to questions, and interpretations, where
Serve as a benefit and compliance expert.
Perform other duties as assigned within the scope of responsibilities and requirements of the job.
Perform Essential Job Functions and Duties with or without reasonable
Bachelor's Degree in health care or related field (or related field or equivalent work experience) required
Master's degree in preferred
3+ years of increasing work responsibility
Experience in a
healthcare, benefits administration or compliance work role.
Preferable experience in a Taft-Hartley environment, insurance company or consulting firm.
Requires an excellent understanding of all facets of welfare benefit plans, as it
relates to plan design and administration and therefore plan benefits and eligibility.
Strong understanding of employee benefits legal environment, including statutory and regulatory requirement and the associated case law.
Interact effectively with all levels of staff
Work independently, prioritize multiple projects, and attend to detail and deadlines to bring projects to a satisfactory conclusion
Work in a team environment
research and provide an analysis with a recommendation