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Experience:
No experience
Employment Type:
Full time
Posted:
8/17/2015
Job Category:
Nursing
Industry:
Food & Beverage
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Sr Health Care Benefits Analyst
Wegmans Food Markets, Inc. | Rochester, New York
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Job Description

What is myjob: Analyze and evaluate health care benefits utilization, prevailing trends, regulatory changes and competitive landscape. Support Health Care Planning Manager on design and implementation of new initiatives/programs and plan design changes. Lead and support key health care benefits initiatives and projects and help to support the company priority of helping our employees live healthier better lives.

 

Note to Applicant: May require occasional travel

 

How do I make a difference? 

 

Continuously Improving Results

• Lead or assist with managing projects such as vendor implementations, plan design changes and plan audits

• Partner with Benefits Analyst to design, maintain and interpret data reporting to monitor health plan utilization, costs, efficiency and competitiveness

• Assist with evaluation, recommendation and implementation of changes and improvements to health care benefits programs

• Provide technical expertise to the team by researching issues using internal and external resources to help set company-wide strategies

• Develop communications to inform and educate HR, employees and other key stakeholders about the company’s benefit plans, programs and proposed changes

• Ensure health care plan designs are compliant with all federal and applicable state regulations, including ERISA, COBRA, HIPAA, Section 125 and ACA

• Work closely with Benefits Administration, IT, Legal, Accounting, Employee Communications and external vendors to implement plan design and rate changes

• Assist with resolving escalated employee health care benefits issues

• Work with manager to develop and monitor appropriate performance standards for employee benefit contracts

• Manage ad-hoc reporting and projects as needed

 

Living Who We Are

• Support, encourage, and respect co-workers

• Work with supervisor to set and achieve goals for professional development

• Comply with Wegmans Policies and Work Rules, as well as, federal and state laws

• Maintain open lines of communication with supervisors and coworkers to ensure the most efficient operations in the department

What skills, learnings, and experiences are required?

 • Experience analyzing health care claims and utilization, or financial modeling experience

• Thorough understanding of health care plan designs, funding arrangements (fully insured vs self-funding) and regulations

• Demonstrated quantitative, analytical, problem solving and conceptual skills

• Ability to communicate complex information simply and effectively across multiple audiences

• Bachelor’s Degree in Business, HR or related field

• Strong PC skills including proven experience in collecting, analyzing and summarizing large amounts of data in Microsoft Excel

• Possess strong listening skills and hear many points of view without bias, asking clarifying questions to check for understanding

• Use available resources to pursue goals and challenges with the intent of achieving results, striving for continued excellence and taking appropriate risks (Managing the 5 Measures)

• Effectively deal with ambiguity, handling risk and uncertainty with comfort, maintaining effectiveness in the face of change and acting on decisions without having the total picture

• Coming up with new, unique ideas using creative thinking while making connections among previously unrelated notions

• Cross-functional collaboration: initiate dialogue around different points-of-view to find a common ground; lead interdepartmental teams, facilitating organizational consensus and creating synergies to arrive at the best business outcome

• Use multiple resources to analyze data for abnormal findings, further investigating where warranted and identifying cause-effect relationships impacting the data

• Practice process improvement, implements positive change and continuously looks for ways to improve work processes; separate and combine tasks into an effective workflow by maximizing resources and providing assistance when needed and supervise output ensuring high standards and quality are achieved

• Advise others within the organization, as well as external business partners, using relevant knowledge and skills to ensure that sound business decisions are made

• Use critical thinking to solve complex and difficult problems with effective solutions skillfully questioning multiple sources for answers, seeing the underlying and hidden problems and patterns beyond obvious symptoms to address root causes

• Experience with project coordination, communicating goals and responsibilities to the team being sure to monitor performance against a project plan and effectively applying project controls. Include project stakeholders, team members, and subject matter experts in order to get things done

• Experience with risk evaluation: proactively identifying areas of potential risk exposure, thoroughly analyzing the situation to ensure the financial investment of a solution makes sense and implementing cost-effective controls to mitigate risk

 

What skills, learnings, and experiences are preferred and will set me apart?

 

Work environment

• Work involves continuous interaction with co-workers in fast-paced environment

• Work includes sitting for prolonged periods, along with repetitive hand and arm movements

• Work requires frequent use of the telephone and computer

• Responsible for moving and lifting an average of 1 – 5 pounds with a maximum weight lifted of 10 pounds occasionally

 

Other: 

• Employment at Wegmans may be contingent upon your completion and our evaluation of a drug screen physical and/or criminal background check

• All Applicants will be screened; only those closely matching the job posting will be interviewed

About Wegmans Food Markets, Inc.

Wegmans Food Markets, Inc. is a 62-store supermarket chain with stores in New York, Pennsylvania, and New Jersey. The family-owned company was founded in 1916. Wegmans is recognized as an industry leader, an innovator, and is known for its strong commitment to the communities where it operates stores. It has been listed among Fortune magazine's "100 Best Companies To Work For in America" for five consecutive years.

This company profile was created by AfterCollege and is about Wegmans Food Markets, Inc.. This page is not endorsed by or affiliated with Wegmans Food Markets, Inc.. For questions regarding company profiles, please email: care@aftercollege.com.