Benefits Administrator bei Sanitas

Description

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”

Job Summary

The Benefits Administrator is responsible for managing the day-to-day administration, reconciliation, and compliance of Sanitas’ employee benefits programs. This role ensures accuracy and consistency across multiple insurance carriers, vendors, and HRIS systems. The ideal candidate will have experience with Paycom, a strong understanding of COBRA and ACA compliance, and the ability to reconcile HSA/FSA contributions through HealthEquity. The Benefits Administrator serves as a key liaison between employees, HR, Payroll, Finance, and vendors, ensuring that benefits processes are accurate, efficient, and compliant.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Benefits Enrollment and Administration

• Manage and process employee benefits enrollments, changes, and terminations throughout the year and during open enrollment periods.
• Ensure benefits data accuracy within HRIS (Paycom preferred) and across insurance carrier systems.
• Review, validate, and process Qualifying Life Events (QLEs) in the Benefits dashboard, ensuring events meet eligibility requirements and compliance timelines.
• Support COBRA administration processes and coordinate with third-party administrators as needed.
• Maintain up-to-date employee benefits records and ensure compliance with all regulatory requirements.

Employee Communication and Support

• Provide high-quality customer service by addressing employee questions about eligibility, coverage, claims, and benefit options.
• Educate employees on available benefits and how to navigate Paycom and/or HealthEquity platforms.
• Communicate benefit updates clearly and effectively through written materials, meetings, or one-on-one support.

Invoice Reconciliation and Financial Accuracy

• Reconcile monthly invoices from multiple insurance carriers to ensure accuracy between carrier billing, HRIS, and payroll deductions.
• Identify and resolve discrepancies in employee eligibility, coverage, and deductions.
• Partner with Finance to validate payments, track credits, and ensure timely invoice processing.
• Reconcile HSA and FSA contributions through HealthEquity (or similar platforms), confirming payroll deductions align with account funding.

Vendor Management and Compliance

• Serve as a key liaison between employees, HR, Payroll, Finance, and insurance carriers to ensure accurate benefits administration and timely issue resolution.
• Coordinate with vendors to verify eligibility, resolve billing errors, and maintain data integrity.
• Monitor and manage ACA compliance using HRIS dashboards (preferably Paycom) to ensure proper coding, eligibility tracking, and reporting.
• Review ACA data to confirm 1095-C accuracy and work with Payroll and vendors to correct discrepancies before year-end.
• Collaborate with vendors and system providers (e.g., Paycom, HealthEquity) to support integrations, reporting, and system accuracy.
• Ensure compliance with all applicable laws and regulations, including ACA, COBRA, HIPAA, and ERISA.
• Maintain detailed documentation and audit-ready records for all benefits, billing, and compliance activities.

Compliance and Reporting

• Assist in preparing and maintaining compliance documentation, including summary plan descriptions, Form 5500 filings, and ACA reports.
• Generate benefits reports for management and assist with audits as required.
• Stay informed of regulatory changes affecting benefits administration and recommend updates to processes and policies as needed.

Qualifications

Supervisory Responsibilities

This position has no supervisory responsibilities.

Required Education

• Bachelor’s degree in Human Resources and/or Business Administration, or a related field.

Required Experience

• 3-5 years in benefits administration, human resources or related areas.
• Experience reconciling benefits invoices across multiple carriers.

Required Licenses and Certifications

• N/A

Required Knowledge, Skills, and Abilities

• Familiarity with HealthEquity or similar HSA/FSA management platforms.
• Strong understanding of employee benefits programs, including medical, dental, vision, life insurance, retirement, and voluntary benefits.
• In-depth knowledge of benefits-related laws and regulations, including ACA, COBRA, HIPAA, and ERISA.
• Experience using HRIS systems (preferably Paycom) to:
  • Manage ACA dashboards for compliance tracking and eligibility monitoring.
  • Review and validate 1095-C forms for accuracy prior to filing.
  • Process and approve Qualifying Life Events (QLEs) in the Benefits dashboard.
• Proficiency with HealthEquity (or similar systems) for HSA/FSA reconciliation and payroll alignment.
• Strong analytical and problem-solving skills with exceptional attention to detail in financial and data reconciliation.
• Proficiency in Microsoft Office Suite, especially Excel (pivot tables, formulas, and reporting).
• Excellent organizational and time management skills, with the ability to handle multiple priorities in a fast-paced environment.
• Effective communication and interpersonal skills to work with employees, vendors, and management at all levels.
• Ability to explain complex benefits concepts clearly while maintaining confidentiality and professionalism.

Preferred Qualifications

• Experience with benefits software and HRIS (Human Resource Information Systems) preferred.
• CEBS (Certified Employee Benefits Specialist) or CBP (Certified Benefits Professional) certification preferred.

Financial Responsibilities

• This position does not handle physical money or negotiate contracts.

Budget Responsibilities

• This position has budget responsibilities - handles up to $300,000 annually.

Languages

• Advanced English required.
• Spanish is preferred.

Travel

• This position travels 20% of the time.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. 

While performing the duties of this job, the employee may be required to stand, walk, and use hands to operate tools or equipment. Must be able to exert up to 10 pounds of force regularly and occasionally up to 50 pounds. Vision requirements include close, distance, peripheral vision, depth perception, and the ability to adjust focus.

Environmental Conditions

Work performed primarily in an office environment with normal temperature and noise levels. Occasional travel to other locations may be required.
 

Physical/Environmental Activities

Please confirm for the following questions if these working conditions are encountered Occasionally (1-33% of time on the job), Frequently (34-66% of time on the job), Constantly (67-100% of time on the job), or Not Applicable N/A

• Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally (1-33% of time on the job)
• May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. N/A
• May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. N/A
• Must be able to ascend and descend ladders, stairs, or other equipment. N/A
• Subject to exposure to hazardous material. N/A