Lahey Health Shared Services is part of a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.
We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.
About the Job
Under the general direction of the department Director and exercising independent judgment and decision-making within the scope of the job, performs a variety of activities associated with the interpretation, administration and communication of benefits to eligible colleagues. The Sr. Benefits Specialist possesses and applies knowledge of benefit plans, their administration, and regulatory requirements.
Essential Duties & Responsibilities including but not limited to:
Day-to-day management of assigned benefit programs and related processes and projects.
Responds to requests for information from internal constituents relative to benefits coverage, enrollment, eligibility, status changes, and claims processing.
Ensures the proper use and submission of related forms and other documentation required for accurate and thorough processing of enrollments, status changes, terminations, and the like, and within established time restraints.
Administers policies and guidelines governing employee benefits consistently and according to plan documents and Lahey Health policies & practices in support of Health & Welfare, Retirement, ERISA, FMLA, HIPAA, Time Away, Physician Billing and Tuition Reimbursement.
Assists with policy revision and development.
Maintains regular contact with vendors and plan representatives to ensure that enrollment status changes are processed accurately and in accordance with strict time limits.
Provides necessary reports for allocation/billing charges.
Cultivates effective working relationships with assigned external vendors.
Works with Third Party Administrators to ensure that assigned programs are administered smoothly, fairly, and in accordance with regulatory requirements.
Supports HR Management team activities in the review and selection of new vendors.
Uses existing electronic systems for routine data entry, inquiries, research, and reporting.
Performs testing, and problem solving in assigned areas. Participates in testing of processes, programs, and applications.
Serves as an expert to colleagues, managers, and HR Staff in Self-Service environments.
Assists management staff in the review and selection of new systems or upgrades. Collaborates with HRIS and IS to identify and resolve systems issues.
Interacts one-on-one with all levels of colleagues seeking information and/or action about a variety of benefits issues.
Participates in development of literature supporting benefits administration, including brochures, Summary Plan Documents, memos, enrollment materials and forms.
Participates in development of, and conducts, workshops, meetings, and counseling sessions to announce/communicate benefit programs.
Effectively presents benefits-related information to individuals and groups.
Travels to different Lahey Health sites to provide Help Desk service as needed as part of Open Enrollment.
Presents Benefits orientation programs as assigned.
Responsible for all aspects of project management for assigned areas.
Establishes, maintains, and works in accordance with project plan, meeting targets, and making adjustments where needed.
Annual Open Enrollment:
Partners with Human Resources Information Services (HRIS) and Information Services (IS) in the design, testing, and launch of electronic Open Enrollment applications including Self-Service and the dedicated intranets (MassNet, NIC and Staffmatter).
Assists with system-wide Annual Open Enrollment preparation, communications, coordinating and staffing the help desk;
Coordinates and/or facilitates Benefits Help Desk activities, including drafting instructions, maintaining schedule to ensure adequate coverage,
Participates in staffing Help Desk.
Works independently on assigned projects.
Works as an effective part of a team on assigned projects.
Works collaboratively with other members of the Human Resources and other departments to accomplish goals.
Maintain strict adherence to Lahey Health Confidentiality Policy.
Incorporates Lahey Health Guiding Principles , Mission Statement and Goals into daily activities.
Complies with all Lahey Health Policies.
Complies with behavioral expectations of the department and Lahey Health.
Maintains courteous and effective interactions with colleagues and patients.
Demonstrates an understanding of the job description, performance expectations, and competency assessment.
Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
Participates in departmental and/or interdepartmental quality improvement activities.
Participates in and successfully completes Mandatory Education.
Performs all other duties as needed or directed to meet the needs of the department.
Participates in Surveys as assigned.
Skills, Knowledge & Abilities:
Knowledge of assigned benefits plans.
Proficiency in electronic systems supporting benefits enrollment and administration.
Skill in effective public speaking to small and large groups.
Proficiency in computer applications such as word processing, spreadsheets, project management, and benefits-driven HRIS systems.
Effective Customer Service skills.
Ability to handle confidential information appropraitely.
Effective written and oral communications skills
Processing skills, such as handling of forms, inquiries and systems tests.
Problem solving skills.
Familiarity with HRIS systems such as PeopleSoft.
In the absence of any of these skills, demonstrates the ability to be thoroughly trained to meet organizational standards.
The Lahey Model of Careright care, right time, right placeis exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.
Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.