Carle Health logo
Carle Health

Redefining healthcare around you.

HR Director – Health & Dental Benefits

Human ResourcesHuman ResourcesFull TimeRemoteLeadTeam 10,001+Since 1946H1B SponsorCompany SiteLinkedIn

Location

Illinois

Posted

5 days ago

Salary

$59 - $101 / hour

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

HR Director – Health & Dental Benefits

Carle Health

• 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.

Job 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

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