“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.
