Benefits & Total Rewards Manager

Lead administration of self-funded medical, dental, vision, wellness, and voluntary benefit programs Manage relationships with TPAs, PBMs, stop-loss carriers, brokers, consultants, and other benefits vendors Monitor healthcare claims utilization, identify trends, evaluate high-cost claims, and recommend cost-containment strategies Oversee stop-loss renewals, reimbursements, contracts, and vendor performance Evaluate benefit plan performance and recommend enhancements Develop and implement wellness and population health initiatives Administer compensation philosophy, salary structures, market pricing, and pay practices Conduct compensation analyses and recommend salary adjustments, new positions, promotions, retention initiatives, and incentive programs Lead annual market benchmarking and pay equity analyses Serve as subject matter expert for Paycom Benefits Administration and Payroll modules Configure benefit plans, eligibility rules, payroll deductions, and system workflows Lead Annual Open Enrollment and post-enrollment audits Ensure compliance with

ERISA

, ACA, HIPAA, COBRA, Section 125, FMLA, and applicable regulations Coordinate compliance reporting, audits, plan documentation, filings, and employee communications Partner with Finance on claims trends, reserve funding, premium equivalents, and benefits budgets Analyze healthcare utilization, compensation, and workforce data for executive decision-making Develop executive dashboards and recommend Total Rewards strategies Requirements Bachelor's degree in Human Resources, Business Administration, Finance, or a related field Seven (7) or more years of progressive experience leading Benefits or Total Rewards programs Five (5) or more years of direct experience administering self-funded employer-sponsored health plans Experience working with TPAs, PBMs, stop-loss carriers, benefits brokers, and consultants Experience analyzing healthcare claims utilization, cost trends, and cost-containment initiatives Experience administering compensation programs, salary structures, market pricing, and pay equity initiatives Advanced Microsoft Excel skills, including Pivot Tables, formulas, financial analysis, and reporting Experience administering HRIS/payroll systems Excellent analytical, communication, project management, and relationship-building skills Healthcare industry experience preferred CEBS designation preferred PHR, SPHR, SHRM-CP, or SHRM-SCP certification Experience leading wellness and population health initiatives Experience presenting benefits, compensation, and financial analyses to executive leadership Core Competencies Demonstrates expertise in leading Benefits and Total Rewards programs, including administration of self-funded health plans, compensation analysis, and compliance with healthcare regulations. Proficient in utilizing advanced analytical skills to evaluate healthcare claims and develop strategic initiatives for wellness and population health. Highest-signal resume keywords Benefits Administration Compensation Analysis Healthcare Claims Utilization Compliance with ERISA and ACA Advanced Microsoft Excel ATS Optimization Keywords Hard Skills Benefits Program Management Compensation Program Administration Healthcare Claims Analysis Market Pricing Cost-Containment Strategies Payroll System Administration Data Analysis Project Management Wellness Initiatives Total Rewards Strategy Development Soft Skills Analytical Skills Communication Skills Relationship-Building Skills Project Management Skills Certifications & Qualifications CEBS Designation PHR Certification SPHR Certification SHRM-CP Certification SHRM-SCP Certification Industry Keywords Self-Funded Health Plans TPAs PBMs Stop-Loss Carriers ERISA ACA

HIPAA

COBRA

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