HR Director – Health & Dental Benefits
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Director managing health, pharmacy, and dental benefits programs at Carle Health. Overseeing strategic leadership and operational oversight while ensuring compliance and member satisfaction.
Responsibilities:
- Provide comprehensive oversight of all activities related to health, pharmacy, and dental benefit programs, including plan performance, vendor management, compliance, and operational efficiency.
- Partner with internal stakeholders and external vendors
- Ensure benefit programs are administered accurately, efficiently, and in compliance with applicable regulations.
- Facilitate timely resolution of benefit‑related issues
- Oversee appeals processes to ensure fair, consistent, and prompt outcomes for team members.
- Analyze trends in health, pharmacy, and dental utilization, costs, and outcomes
- Identify opportunities for improvement.
- Assess team member satisfaction with benefit programs.
- Evaluate network adequacy, access to care, and cost efficiency across all benefit offerings.
- Monitor pharmacy utilization and cost trends
- Identify emerging issues and recommend appropriate plan or programmatic changes.
- Research, assess, and recommend plan design enhancements based on utilization trends, market benchmarks, organizational priorities, and financial sustainability.
- Collaborate with partners, vendors, and consultants to evaluate benefit design alternatives.
- Develop actionable recommendations to support team member well‑being based on health and dental usage patterns.
- Annual, or as needed, review of summary plan description
- Prepare for and lead monthly and quarterly Health and Welfare Committee meetings, including agenda development, data presentations, recommendations, and follow‑up actions.
- Partner with key stakeholders to align benefit strategies with organizational objectives.
- Maintain strong vendor relationships
- Ensure accountability, performance standards, and continuous improvement.
- Assure plans are and remain compliant with all applicable laws.
- Oversee the development and execution of all communication plans related to health, pharmacy, and dental benefits.
- Ensure benefit communications are clear, accurate, timely, and supportive of informed decision‑making by team members.
- Coordinate and lead the annual open enrollment process, including timelines, materials, vendor coordination, system readiness, and post‑enrollment follow‑up.
- Develop and implement targeted actions, programs, or initiatives to support team member well‑being, informed by health and dental utilization trends.
- Coordinate on‑site dental clinics and oversee development of related promotional and educational materials.
Requirements:
- Bachelor's Degree: Healthcare Administration or Business Administration or Human Resources
- Leading health, pharmacy, and dental benefit programs in a complex organization - 10 years
- Strong expertise in benefit plan design, vendor management, regulatory compliance, and data analysis.
- Demonstrated ability to translate analytics into actionable strategy and recommendations.
- Proven experience leading cross functional stakeholders and governance committees.
- Exceptional communication, presentation, and relationship management skills.
Benefits:
- Comprehensive benefits package for team members and providers
Similar Jobs
HR Administrator, Workforce Administration
HR Administrator in a remote role within the People and Culture team at FCL. Supporting various HR functions including onboarding, data management, and benefits administration.
HR Workday/Help Journey's Specialist
HR Workday Specialist providing expert guidance on security access in HR/Payroll system at Trinity Health. Managing effective processes and building collaborative relationships with various departments.
HR Generalist
HR Generalist providing comprehensive support in onboarding, performance management, and employee engagement at Aleto. Aiming to maintain positive employee experience and compliance with HR practices.
HR Generalist – Part-time
Part-Time HR Generalist handling payroll, benefits, and compliance tasks for mental health company. Supporting recruiting, onboarding, and general HR functions in a remote role for Utah residents.
HR Generalist II
HR Generalist II responsible for employee relations and HR tasks for defined groups. Focus on engagement, support, and compliance within HR functions.
Associate HR Business Partner
Associate HR Business Partner leading HR strategies in high-growth business units within NextEra Energy Resources. Collaborating with leaders on talent management, diversity, and organizational effectiveness.
Benefits Specialist – 3 Month Contract
Benefits Specialist designing and maintaining benefits processes at Pebl. Collaborating with cross-functional teams to enhance operational efficiency.
Talent Management Pod Assistant
Operational engine for digital talent management pod handling brand sourcing, outreach, and scheduling. Supports contract workflows and manages brand deal deliverables in a fast-paced environment.
Human Resources Director – U.S. Commercial, Global Customer Capabilities and Innovation
Human Resources Director shaping and delivering people strategies to enhance business performance at Amgen. Strategic HR partner for senior leaders, influencing organizational effectiveness and talent development.
Global HR Lead
Global HR Lead acting as the operational engine of an AI-powered consultancy. Architecting HR infrastructure and driving compliance across multiple jurisdictions.
HR Business Partner
Regional People and Culture Business Partner responsible for executing HR policies and programs. Onboarding new team members, conducting trainings, and managing employee relations in airport locations.
Director, HR
HR Director overseeing HR operations and serving as strategic partner to the CEO at Columbus McKinnon. Driving workforce capability and leadership effectiveness in manufacturing environments.
Senior Human Resources Business Partner
Senior Human Resources Business Partner at Brightwheel driving department-level people strategy with AI integration. Collaborating with teams to enable high performance in early childhood education.
HR Business Partner
HR Business Partner managing HR processes across multiple locations for Camping World. Collaborating with leaders on employee relations and compliance in a high-volume, multi-site environment.
HR Generalist
Full-time HR Generalist responsible for consulting with employees and managing personnel files. Supporting the organization by handling employee leave documentation and offboarding processes.
Part-Time Human Resource Management Subject Matter Expert – SME
Senior Human Resource Management Subject Matter Expert providing expert support to U.S. Government Institutional Capacity Building programs. Advising on HR management strategies and workforce capabilities.
Mgr HR Regulatory Compliance
Manager of HR Regulatory Compliance responsible for managing compliance policies and procedures at HCSC. Leading and supervising HR compliance programs while consulting on EEO laws and regulations.
HR Intern
HR intern supporting recruitment processes and employee experience initiatives at Lumis. Engaging with candidates, conducting interviews, and organizing internal events.
HR Business Partner
HR Business Partner collaborating with EPD teams at Ashby to provide strategic people ops guidance. Cultivating employee development and aligning business objectives with people strategies.
HR Business Partner, Care
HR Business Partner at Hims & Hers, supporting Care organization by collaborating with leaders and resolving complex HR issues. Focusing on building high-performing teams through coaching and performance culture.