Benefits Administrator at MPOWERHealth

Addison, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Apr, 26

Salary

0.0

Posted On

10 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Benefits Administration, Leave Management, Compliance, HRIS, Data Analysis, Communication, Problem Solving, Project Management, Invoice Reconciliation, Employee Support, SOP Development, Workflow Improvement, Excel, FMLA, ADA, HIPAA

Industry

Hospitals and Health Care

Description

Overview Job Summary The Senior Benefits & Leave Administrator is responsible for the accurate, timely administration of MPowerHealth’s U.S. health & welfare benefit programs and for managing end-to-end leave processes (FMLA, ADA, STD, LTD, and applicable state/local leave programs). This role serves as a primary point of contact for employees and managers regarding benefits and leaves, partners closely with carriers, brokers, and third-party administrators, and ensures compliance with all relevant federal and state regulations (ACA, COBRA, ERISA, HIPAA, FMLA, ADA, and state leave laws). In a fully remote environment, this position plays a key role in delivering a high-touch, responsive employee experience through proactive communication, virtual support, and strong cross-functional collaboration with Payroll, HRBPs, and People Operations. Responsibilities Essential Job Duties and Responsibilities Administer day-to-day health and welfare benefits (medical, dental, vision, HSA/FSA, life/AD&D, disability, EAP, retirement), including new hire enrollments, qualifying life events, terminations, and rehires. Conduct ongoing eligibility and dependent audits; reconcile monthly vendor invoices and resolve discrepancies to ensure accurate billing and cost management. Lead annual and mid-year enrollment processes, including project planning, system configuration/testing, employee communications, virtual support sessions, and data/file validation. Manage COBRA events (in-house or via TPA) and ensure timely and compliant notices and processes. Maintain benefit plan documentation (plan documents, SPDs, SMMs) and coordinate updates/changes with internal stakeholders, brokers, and carriers. Track and report ACA data; support the annual 1095-C/1094-C process, 5500 preparation, nondiscrimination testing, and other required filings and audits. Own the leave administration lifecycle from intake through return-to-work, including eligibility determination, required notices, designation, documentation tracking, and case resolution. Coordinate STD/LTD claims with carriers; align leave pay impacts with payroll timelines and ensure premium collection/arrears tracking during unpaid leaves. Facilitate the ADA interactive process, including documentation review, accommodation tracking, manager guidance, and outcome documentation in accordance with compliance and confidentiality standards. Partner with HRBPs and managers on leave planning, return-to-work strategies, coverage considerations, and communication cadence while protecting employee privacy and confidential medical information. Maintain accurate benefit and leave records in the HCM and/or leave management system; produce regular status reports and metrics (open cases, RTW timelines, expirations, claim trends, SLAs). Ensure ongoing compliance with ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and applicable state/local leave laws; monitor regulatory changes and recommend updates to processes and policies. Own and continuously improve SOPs, workflows, templates, and employee-facing communications to drive consistency, scalability, and audit readiness. Prepare and analyze routine dashboards, including enrollment statistics, open enrollment participation, invoice variance trends, leave volume and duration, and service-level adherence. Process benefit enrollments and changes through a modern HRIS/benefits platform (e.g., UKG, Workday, Oracle) and validate carrier feeds/EDI files; coordinate troubleshooting and issue resolution. Deliver high-quality employee support via ticketing, email, and virtual office hours; resolve complex cases and serve as an escalation point with carriers, TPAs, and brokers as needed. Develop clear FAQs, job aids, and guides; deliver brief virtual trainings for employees and managers related to enrollment, life events, leave basics, and policy updates. Support vendor performance management by tracking issues, monitoring SLAs, documenting escalations, and identifying opportunities to improve service delivery and employee experience. Leverage technology and automation tools where appropriate (e.g., workflow routing, ticketing systems, knowledge bases) to streamline processes and enhance the remote employee experience. Qualifications Experience & Education Bachelor’s degree in Human Resources, Business, or related field, or equivalent applicable experience. 5+ years of hands-on U.S. benefits administration and leave management experience in a multi-state environment; healthcare, high-growth, or self-funded plan experience strongly preferred. Experience working with a modern HRIS/benefits platform (e.g., UKG, Workday, Oracle) required; exposure to EDI/carrier file feeds strongly preferred. Strong knowledge of U.S. benefits compliance requirements and regulations including ACA, ERISA, HIPAA, COBRA, FMLA, ADA, and state/local leave laws. Proven ability to work effectively in a fully remote environment, manage competing priorities independently, and maintain a high level of responsiveness and professionalism. Detail-oriented with strong follow-through and a high standard for data integrity; experienced with invoice reconciliation and audit-ready documentation. Excellent communicator with a service-oriented, empathetic approach; able to explain complex topics clearly and maintain discretion with PHI/PII. Strong Excel/reporting skills and comfort working with HR/benefits data (pivot tables, VLOOKUP/XLOOKUP, data validation, and trend reporting). Process and continuous improvement mindset with experience developing SOPs, improving workflows, and meeting service-level expectations.

Responsibilities

The Senior Benefits & Leave Administrator manages the administration of health and welfare benefit programs and oversees the leave processes. This includes ensuring compliance with regulations, managing enrollments, and providing employee support.