Senior Benefits Advisor

Senior Benefits Advisor Sequel, headquartered in Manchester, New Hampshire, is a company developing the next generation of transformative drug-delivery advancements starting with diabetes. Sequel's approach is to look at diabetes management holistically to advance systems that make living with diabetes simpler and easier for all. Sequel's flagship product, the twiist Automated Insulin Delivery (AID) System, launched in July 2025 for people with type 1 diabetes providing them with personalized diabetes management. The Senior Benefits Advisor is responsible for supporting the strategy, design, optimization, and compliant administration of the organization's benefit programs. This role is ideal for someone who is naturally curious, analytical, and driven to understand the full mechanics of benefit plan design; identifying opportunities to reduce costs through proactive, employee centric health initiatives. In partnership with internal teams and external vendors, the Senior Benefits Advisor plays a key role in maintaining fiduciary and HIPAA related safeguards for our self-funded medical plan while supporting our broader goal of becoming an employer of choice through a healthier employee population. Job Responsibilities and Essential Duties Benefits Strategy & Plan Design Analyze medical, pharmacy, and ancillary plan designs to identify cost drivers, inefficiencies, and opportunities for improved outcomes. Recommend plan design enhancements that support preventive care, better care navigation, and improved population health while reducing plan costs. Collaborate with brokers, carriers, and consultants on modeling plan design and cost impact scenarios. Data & Insight Generation Review claims data, disease burden trends, and utilization patterns to identify proactive cost reduction opportunities. Convert findings into actionable strategies such as steerage programs, enhanced clinical management, or targeted communication initiatives. Prepare dashboards and presentations that simplify complex insights for leadership and stakeholders. Employee Experience & Communication Help create clear, empathetic, accessible communications to help employees understand and make the best use of their benefits. Support open enrollment strategy, materials, and presentations. Identify opportunities to help employees choose high value care options and avoid unnecessary costs. Vendor & Program Management Evaluate vendor performance, ensuring program design aligns with population health goals and cost management targets. Support implementation of programs such as virtual care, chronic condition management, behavioral health initiatives, or musculoskeletal solutions. Ensure carriers and TPAs meet service guarantees and comply with regulatory and fiduciary requirements. Drive RFP processes to identify innovative, cost-effective vendors, brokers, and TPAs that support improved population health outcomes and reduced plan spend. Fiduciary & HIPAA Oversight (Self-Funded Plan) Support the organization's fiduciary responsibilities under ERISA for our self-funded medical plan, including prudent oversight of plan administration, claims processing, and vendor actions. Assist with preparation and documentation for fiduciary committee meetings, including reporting, decision rationales, and compliance documentation. Monitor plan governance practices to ensure decisions are made solely in the best interest of plan participants. Maintain HIPAA compliance across all benefit functions, including PHI handling, authorization processes, and privacy safeguards. Coordinate required HIPAA training and support audits, breach response procedures, and documentation retention. Partner with internal privacy teams and third-party administrators to ensure adherence to all privacy and security standards. Compliance & Administration Ensure benefit programs comply with ERISA, HIPAA, ACA, COBRA, FMLA, and other applicable regulations. Minimum Requirements Education: Bachelor's degree in Human Resources, Business Administration, or related field; or equivalent combination of education and experience Experience: 8+ years of experience in benefits administration, plan design, HR, insurance, or population health. Required Knowledge, Skills and Abilities Deep knowledge of self-funded plan governance, fiduciary responsibilities, and compliance with HIPAA and other related regulatory requirements. Strong analytical skills and intellectual curiosity, with the ability to proactively investigate plan performance, review plan documents, and analyze claims and financial data to identify trends, risks, and root causes. Demonstrates a fiduciary mindset, with a track record of making decisions aligned with plan participants' best interest in mind. Customer service mindset and commitment to improving employee experience with their benefits plans. Experience with benefit vendor management, claims data interpretation, and/or benefit plan modeling to support strategic recommendations and ongoing plan optimization. Excellent communication and advisory skills, including the ability to translate complex benefits, compliance, and financial concepts into clear, actionable guidance for employees, leaders, and stakeholders. Proficiency with Excel, reporting tools, HRIS platforms, and benefits administration systems. Able and willing to work in Sequel's Marlborough, MA OR Manchester, NH office 3 days per week. $165,000 - $180,000 a year Sequel Med Tech provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. At Sequel, we believe that when you thrive, we thrive. That's why our benefits package is designed to support you from day one. You'll be automatically enrolled in our 401k plan, featuring a 6% company match and 100% immediate vesting. We're committed to your well-being and understand the unique needs of employees and families living with diabetes, so we offer capped out-of-pocket insulin costs and GLP-1 coverage across all plans. You'll have access to a variety of Meritain health insurance plans to suit your needs and can also take advantage of Flexible Spending Accounts (FSAs) or Health Savings Account (HSA). Our comprehensive benefits package includes vision and dental coverage, plus voluntary options such as long-term disability, accident, critical illness, hospital indemnity, and even discounts for pet care. In addition, we provide employer-paid short-term disability and life insurance for extra peace of mind. We know the importance of taking time to rest and recharge. That's why Sequel offers flexible PTO, generous paid holidays, and Flex Time options to help you balance work and life when you need it most. Our team enjoys a culture built on hard work, fun, and genuine support. At Sequel, you're not just starting a job, you're building a rewarding career and a brighter future. Join us, and let's thrive together! Environmental/Safety/Physical Work Conditions Ensures environmental consciousness and safe practices are exhibited in decisions Use of computer and telephone equipment and other related office accessories/devices to complete assignments May work extended hours during peak business cycles Physical requirements such as lifting specific weights Some travelling is expected #J-18808-Ljbffr Sequel Medical Technology