Category/Area of Expertise: Benefits & Retirement
Job Requisition: 449883
Address: USA-PA-Carlisle-1149 Harrisburg Pike
Store Code: Benefits (2760845)

• Serve as a project lead and/or subject matter expert, for projects involving functional business areas, Payroll, HRIS, and IT. This will also include external vendor partners.
• Be a recognized expert in all aspects of ADUSA Brand Health Benefit processes- design, testing and site management. This includes the benefits enrollment platform and the associate portal. Partner with Consultants and vendors to ensure design proposed can be effectively managed under existing system design/constraints.
• Provide analytical support and impact analysis (both short and long term projections) of changes and modifications of programs. Research process improvements, lead vendor Plan and claim audits and resolve identified system issues impacting eligibility and plan compliance within the benefit platform and portal. Review data in conjunction with actuarial team.
• Analyze data to ensure accuracy of benefit related financial transactions/payroll deductions/health care fees & premiums. Support Health Plan Budget related initiatives by monitoring administrative costs of benefits programs and work closely with the Finance team to budget and forecast costs. Prepare budgetary recommendations and assist in the monitoring, verifying and reconciling of budgeted funds.
• Serve as Team Lead regarding Plan compliance - Including Government regulations, SPDs/ Plan documents and support tracking related to vendor contracting - working with HRIS team members as needed. Ensures compliance with data privacy regulations related to technology and best practices with ADUSA privacy teams.
• Develop and maintain strong partnerships with Brand leadership and maintain a comprehensive knowledge of brand culture. Serve as Brand ambassador.
• In support of Health Plan strategy, review both short and long term cost estimates/projections and provide input and ideas to support new benefits programs. Provide analytical support and provide analyses of various impacts to changes and modifications of programs. Analyze possible plan designs and benefits cost changes.
• Participate in the evaluation of and revise internal processes to reduce costs and increase efficiency. Document and maintain administrative procedures for assigned benefits processes. Ensure timeliness and accuracy of required reporting and fees.
• Review trends in claims activity. Using data analytics tools, create statistical analyses showing risk areas, key clinical trends and demographics. Prepare periodic summaries for presentation to HR Brands, finance and executive leadership.
• Perform plan audits and support those managed by Consultants. Prepare, collect and organize data for actuarial assessments. Review data in conjunction with actuarial evaluation.
• Survey industry trends. Complete benefits surveys and review information obtained from the results. Analyze moderate to complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management.
• Develop communications and tools to enhance understanding of the company’s benefits package. Design materials for new hire benefits orientations, open enrollment and summary plan descriptions. Provide training and support to the benefits administration team, HRBP’s and brand stakeholders.
• Provide customer service support to internal and external stakeholders.
• Preserves confidentiality of associate medical documentation and files.
• Performs all other duties as assigned or required