Operations Manager

Job Description

Job Description

Job Summary

We are seeking an experienced Operations Manager to join our team. In this role, the Operations Manager  is responsible for the oversight, administration, and compliance of all IRS Section 125 Cafeteria Plans and IRS Section 132(f) Transportation Fringe Benefit Plans administered on behalf of employer clients. As a Third-Party Administrator (TPA), this role ensures the accurate and efficient management of benefit programs, including Premium Only Plans (POP), Flexible Spending Accounts (FSA and LPFSA), Dependent Care Assistance Plans (DCA), Health Savings Accounts (HSA), Health Reimbursement Arrangements (HRA), and other insurance premium payment plans.

This position serves as the primary non-technical liaison with WEX Health, managing employer and participant account administration, service delivery, and platform-related activities through the web portal and mobile application. The Operations Manager is also responsible for safeguarding fiduciary obligations by ensuring accurate transaction processing, daily account balancing, and trust account reporting in partnership with our Finance Department.

Additionally, the Operations Manager oversees the daily operations of the Cafeteria Operations Department, including staff supervision, training and development, knowledge management, process improvement, documentation maintenance, and operational compliance. The ideal candidate is a strong leader with expertise in employee benefit administration, regulatory compliance, financial accuracy, and client service excellence.

Responsibilities
Day-to-day responsibilities include but are not limited to: 

• Employer account and qualified plans set up for claims processing in WexHealth, SASI Business System and QuickBooks (with Senior Accountant) 
• Supervising Trust Account daily accounting tasks such as reporting transactions into ledgers, monthly balancing and monthly & year-end closing processes (with Senior Accountant and Financial Auditor) 
• Supervising Participant (Employee) claims processing including reimbursement, daily adjudication, compliance, pay period deductions and other related record keeping in accordance with each Employer’s plan rules. 
• Managing Participant (Employee) Open Enrollment and Re-Enrollment activities and related record keeping 
• Supervising all plan compliance activities including nondiscrimination testing and related record keeping 
• Overseeing all other Cafeteria Operations activities, record keeping and related responsibilities 
• Perform Employer (Monthly Billing) Accounts Receivables (with Senior Accountant and IT Manager) 
• Handle office location activities 
• Line Manager of all employees working in Cafeteria Operations department providing staff training, daily supervision and annual performance reviews (with Human Resource Manager) 
• Supervise daily activities with Employers, Participants (Employee) and other contacts recorded in JIRA and JIRA Service Management portal 

Qualifications

• Bachelor’s degree in business administration, human resources, or equivalent practical experience in related fields 
• Minimum 5+ years of experience in human resources or employee benefit administration for Third-Party Administrators (TPA) including experience with health insurance, retirement plans, employer billing, claims processing and regulatory compliance, is highly valuable 
• Knowledge of IRS Section 125 Cafeteria plan rules and regulations for operations and compliance 
• Minimum 2+ years supervisory or management level 
• Experience in billing, collections and/or financial operations with Third-Party Administrators (TPA) employees and participants (employees). 

Preferred Skills 

• Proficiency in using human resource information systems (HRIS e.g. WexHealth) and SASI Business System 
• Human resource record keeping, and report generation for compliance and accuracy 
• Ability to lead, motivate, and train a team of cafeteria operation administrators 
• Ability to analyze data, find trends and troubleshoot financial record keeping in claims processing and reimbursement transactions in human resources 
• Financial acumen of all aspects of human resource benefits management including funding, claims processing, and contribution limits 
• Solid understanding of relevant laws and regulations, such as ERISA, HIPPA and other compliance requirements 
• Banking acumen of all aspects of debit card, direct deposit (ACH), wire transfer and check processing 
• Clear communication with verbal and writing skills for accurate reporting 
• Proficiency with Microsoft Office365 (Word, Excel, Teams and Outlook)