Benefits Manager

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
• Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
• Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

Position Summary

The Benefits Manager position is responsible for the day-to-day operations of the Judi Health group benefits programs. This position provides excellent customer service, assists with benefit and claims navigation and works directly with vendors. The Benefits Manager continually investigates new benefits programs, improves existing programs, and supervises and monitors benefits administration.

Position Responsibilities

• Ensures state and federal regulatory compliance filings and government regulations, ensuring benefits and leave programs adhere to applicable laws.
• Performs regular financial reviews of benefit carrier billing to ensure the accuracy of invoices and enrollment compared to change files, vendor systems, inputs, and payroll.
• Provide day-to-day benefits support, assisting employees in navigating their benefits needs.
• Ensures the accuracy of all benefits enrollments in the HRIS to provide vendors with accurate eligibility information.
• Leads new-hire orientation benefit sessions.
• Performs quality checks of benefits-related data.
• Understands self-insured benefits plans and stop loss.
• Manage, review, validate and process life status changes.
• Serve as point of contact for benefits inquiries from employees on plan provisions, benefits enrollments, status changes and other general questions.
• Oversees leave-of-absence and disability requests.
• Effectively interprets FMLA, ADA and state leave implications as they relate to leaves of absences/disabilities.
• Manages the open enrollment process.
• Provides necessary reports for allocation/billing charges.
• Document and maintain administrative procedures for assigned benefits processes.
• Prepares special reports by collecting, analyzing and summarizing information and trends.
• Maintain up to date materials for benefits vendors on company intranet.
• Assist with the maintenance and testing of the HRIS and other systems and with benefits and wellness initiatives.
• Conduct regular audits to ensure the accuracy and completeness of benefits data, making necessary corrections and updates.
• Stay informed about changes in benefit trends, laws and regulations, ensuring ongoing compliance and timely adjustments to policies.
• Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance.

Required Qualifications

• Bachelor’s degree in HR, Business, Finance, or related field (or equivalent experience)
• Relevant certifications (e.g., CEBS, SHRM-CP) preferred
• 5+ years of benefits administration experience
• 5+ years managing leave of absence in a multi-state environment
• Strong knowledge of federal/state benefits laws (ACA, ERISA, COBRA, FMLA, ADA, Section 125, Workers’ comp, etc.)
• Experience with vendor/broker management