Job Description

Description
At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
This position researches complex benefit plan issues, coordinates annual open enrollment, participates in program implementation, and audits benefit eligibility and compliance
Essential Functions
Researches complex benefit plan issues, such as investigation of denied claims. Determines and approves appropriate action up to $10,000. Recommends resolution on other issues
Audits eligibility and compliance and addresses with divisions and manager
Participates in and coordinates program implementations and enhancements
Serves as point of contact with vendors on issues such as reporting, finance and data interfaces
Supports manager in compliance activities, such as non-discrimination testing and implementation of legislative mandates
Conducts/responds to benefit surveys
Assists in coordination of annual Open Enrollment
Researches issues related to time off to include research and issue resolution, as well as policy development
Identifies process improvements and develops procedures to implement
Ensures administration of disability and leave of absence programs are being provided in accordance with Kindred Healthcare’s policies. Responsibilities include coordination with outsourced leave provider, management of escalated claims, liaison with employees and business partners. Responsible for communication, and coordination of vender integrations for proper tracking and payment of leaves
Knowledge/Skills/Abilities
Knowledge of benefit plan features, maintenance and administration, including open enrollment process
Financial analysis skills
Project management skills
Proficient in the use of spreadsheet and database software
Some travel may be required
Approximate percent of time required to travel: 20
Qualifications
Education
College degree strongly preferred
Licenses/Certifications
CEBS, CBP, or PHR may be considered in lieu of college degree
Experience
5+ years benefit administration experience, including benefit data analysis, open enrollment, and acquisition integration

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