Call 4 Health
Overview
HR Benefit & Compliance Lead - Part Time About Call 4 Health (C4H): Call 4 Health is a remote‑first healthcare call‑center organization that supports hospitals, physician groups, and healthcare partners nationwide. We operate in a regulated environment and are committed to HIPAA compliance, patient privacy, and exceptional service for our clients and employees.
Role Summary The Compliance & Benefits Lead is a hands‑on subject matter expert responsible for employee benefits administration and compliance across multiple states. This role partners with brokers and carriers to manage health and ancillary benefits, leads FMLA/ADA/leave of absence (LOA) processes end‑to‑end, oversees multi‑state unemployment insurance (UI) claims and accounts, performs benefit invoice audits and ACA reporting, and ensures HRIS data integrity—primarily in UKG (and related systems). The ideal candidate is detail‑oriented, deadline‑driven, and experienced in a remote, multi‑jurisdiction HR environment.
Key Responsibilities
Benefits Administration & Vendor Management: Serve as primary liaison with brokers and carriers for health, dental, vision, life/AD&D, disability, EAP, and voluntary benefits.
Manage Open Enrollment timelines, communications, plan mappings, testing, and post‑OE reconciliation.
Process enrollments, qualifying life events (QLEs), terminations, and corrections; ensure timely and accurate EDI/eligibility feeds.
Conduct monthly benefit invoice audits vs. HRIS/carrier eligibility; research variances and coordinate credits/debits.
Maintain plan documents, SBCs, SPDs, notices, and ensure distribution and recordkeeping.
Leave of Absence (FMLA/ADA/State Leaves): Own end‑to‑end FMLA, ADA accommodation workflows, and company/state LOAs; intake, eligibility, notices, tracking, recertifications, and return‑to‑work.
Track leave hours and balances in UKG; monitor overlaps with PTO, STD/LTD, and coordinate with payroll.
Lead the interactive process for ADA; document rigorously and coordinate accommodations with managers and IT.
Maintain a leave dashboard for leadership; report on utilization, duration, and compliance metrics.
ACA Compliance: Manage ACA measurement/stability periods, offer tracking, affordability testing, 1094‑C/1095‑C preparations, and vendor/carrier reconciliations.
Audit full‑time status, look‑back calculations, and coverage offers; partner with payroll/HRIS for accurate coding and year‑end filings.
Unemployment & Employment Status Changes: Administer multi‑state UI claim responses, hearings, and appeals; maintain state accounts and SUI rate documentation.
Coordinate terminations: eligibility/benefit end dates, COBRA notices, final pay/benefit deductions, and system updates; ensure compliant documentation and timely processing.
HRIS/UKG Data Integrity & Compliance: Maintain accurate UKG records for benefits, leaves, job codes, and status changes; drive data quality and audit readiness.
Build and run scheduled audits/reports; prepare dashboards for HR leadership and Finance. Partner with IT/HRIS on workflows, security roles, and testing of configuration changes.
Policy, Training & Documentation: Draft and update SOPs, employee communications, and manager guidance for benefits, leaves, COBRA, and ACA.
Provide training to managers and HR staff on LOA/FMLA/ADA processes, timelines, and documentation requirements.
Ensure HIPAA privacy and security compliance in all benefit and leave processes.
Qualifications
5+ years of progressive experience in benefits administration and HR compliance, including direct ownership of FMLA/ADA/LOA in a multi‑state environment.
Demonstrated experience with UKG (Pro/Core) for benefits and leave tracking; strong Excel/reporting skills.
Working knowledge of ACA, COBRA, ERISA, HIPAA, FMLA, ADA, and state leave laws; experience with multi‑state unemployment insurance claims.
Prior experience collaborating with brokers and carriers and auditing benefit invoices/eligibility.
Remote work experience with distributed teams; excellent written and verbal communication.
Preferred: Experience with benefits administration platforms (e.g., Employee Navigator) and EDI file troubleshooting; healthcare or call‑center industry experience; professional certifications (e.g., SHRM‑CP/PHR, CEBS, CPDM/CLMS) a plus.
Key Competencies
Compliance & Risk Management – interprets regulations and applies policy consistently.
Analytical Rigor – reconciliations, cost variance analysis, and data accuracy.
Project Management – manages timelines, dependencies, and stakeholder communications.
Customer Service Mindset – responsive to employee needs while maintaining compliance.
Confidentiality & Judgment – handles PHI and sensitive data appropriately.
Success Metrics (First 6–12 Months)
2% monthly variance on benefit invoice audits.
100% timely LOA notices and status updates; ADA interactive process documented within 5 business days of request.
On‑time ACA filings and less than 1% error rate on 1095‑C forms.
SLA adherence for tickets: benefits (2 business days), LOA status changes (2 business days), UI claims responses (state deadline met 100%).
Tools & Systems
UKG (Pro/Core), Excel/Google Sheets, benefits admin platforms (e.g., Employee Navigator), carrier portals, ticketing/email systems, SharePoint.
Work Environment & Requirements
Fully remote within the United States; reliable high‑speed internet and private workspace required.
Occasional after‑hours support during Open Enrollment and year‑end.
Regular handling of confidential and HIPAA‑protected information.
Pay & Benefits
Compensation: Competitive base pay commensurate with experience.
Benefits: Medical, dental, vision, life/AD&D, disability, 401(k), paid time off, and other voluntary offerings. Specifics provided during the interview process.
Schedule
Part-time, Monday through Friday 25-30 hours as needed.
EEO Statement Call 4 Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on qualifications, merit, and business need.
Note: This description retains the original job information but presents it with clean, accessible HTML using only allowed tags.
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HR Benefit & Compliance Lead - Part Time About Call 4 Health (C4H): Call 4 Health is a remote‑first healthcare call‑center organization that supports hospitals, physician groups, and healthcare partners nationwide. We operate in a regulated environment and are committed to HIPAA compliance, patient privacy, and exceptional service for our clients and employees.
Role Summary The Compliance & Benefits Lead is a hands‑on subject matter expert responsible for employee benefits administration and compliance across multiple states. This role partners with brokers and carriers to manage health and ancillary benefits, leads FMLA/ADA/leave of absence (LOA) processes end‑to‑end, oversees multi‑state unemployment insurance (UI) claims and accounts, performs benefit invoice audits and ACA reporting, and ensures HRIS data integrity—primarily in UKG (and related systems). The ideal candidate is detail‑oriented, deadline‑driven, and experienced in a remote, multi‑jurisdiction HR environment.
Key Responsibilities
Benefits Administration & Vendor Management: Serve as primary liaison with brokers and carriers for health, dental, vision, life/AD&D, disability, EAP, and voluntary benefits.
Manage Open Enrollment timelines, communications, plan mappings, testing, and post‑OE reconciliation.
Process enrollments, qualifying life events (QLEs), terminations, and corrections; ensure timely and accurate EDI/eligibility feeds.
Conduct monthly benefit invoice audits vs. HRIS/carrier eligibility; research variances and coordinate credits/debits.
Maintain plan documents, SBCs, SPDs, notices, and ensure distribution and recordkeeping.
Leave of Absence (FMLA/ADA/State Leaves): Own end‑to‑end FMLA, ADA accommodation workflows, and company/state LOAs; intake, eligibility, notices, tracking, recertifications, and return‑to‑work.
Track leave hours and balances in UKG; monitor overlaps with PTO, STD/LTD, and coordinate with payroll.
Lead the interactive process for ADA; document rigorously and coordinate accommodations with managers and IT.
Maintain a leave dashboard for leadership; report on utilization, duration, and compliance metrics.
ACA Compliance: Manage ACA measurement/stability periods, offer tracking, affordability testing, 1094‑C/1095‑C preparations, and vendor/carrier reconciliations.
Audit full‑time status, look‑back calculations, and coverage offers; partner with payroll/HRIS for accurate coding and year‑end filings.
Unemployment & Employment Status Changes: Administer multi‑state UI claim responses, hearings, and appeals; maintain state accounts and SUI rate documentation.
Coordinate terminations: eligibility/benefit end dates, COBRA notices, final pay/benefit deductions, and system updates; ensure compliant documentation and timely processing.
HRIS/UKG Data Integrity & Compliance: Maintain accurate UKG records for benefits, leaves, job codes, and status changes; drive data quality and audit readiness.
Build and run scheduled audits/reports; prepare dashboards for HR leadership and Finance. Partner with IT/HRIS on workflows, security roles, and testing of configuration changes.
Policy, Training & Documentation: Draft and update SOPs, employee communications, and manager guidance for benefits, leaves, COBRA, and ACA.
Provide training to managers and HR staff on LOA/FMLA/ADA processes, timelines, and documentation requirements.
Ensure HIPAA privacy and security compliance in all benefit and leave processes.
Qualifications
5+ years of progressive experience in benefits administration and HR compliance, including direct ownership of FMLA/ADA/LOA in a multi‑state environment.
Demonstrated experience with UKG (Pro/Core) for benefits and leave tracking; strong Excel/reporting skills.
Working knowledge of ACA, COBRA, ERISA, HIPAA, FMLA, ADA, and state leave laws; experience with multi‑state unemployment insurance claims.
Prior experience collaborating with brokers and carriers and auditing benefit invoices/eligibility.
Remote work experience with distributed teams; excellent written and verbal communication.
Preferred: Experience with benefits administration platforms (e.g., Employee Navigator) and EDI file troubleshooting; healthcare or call‑center industry experience; professional certifications (e.g., SHRM‑CP/PHR, CEBS, CPDM/CLMS) a plus.
Key Competencies
Compliance & Risk Management – interprets regulations and applies policy consistently.
Analytical Rigor – reconciliations, cost variance analysis, and data accuracy.
Project Management – manages timelines, dependencies, and stakeholder communications.
Customer Service Mindset – responsive to employee needs while maintaining compliance.
Confidentiality & Judgment – handles PHI and sensitive data appropriately.
Success Metrics (First 6–12 Months)
2% monthly variance on benefit invoice audits.
100% timely LOA notices and status updates; ADA interactive process documented within 5 business days of request.
On‑time ACA filings and less than 1% error rate on 1095‑C forms.
SLA adherence for tickets: benefits (2 business days), LOA status changes (2 business days), UI claims responses (state deadline met 100%).
Tools & Systems
UKG (Pro/Core), Excel/Google Sheets, benefits admin platforms (e.g., Employee Navigator), carrier portals, ticketing/email systems, SharePoint.
Work Environment & Requirements
Fully remote within the United States; reliable high‑speed internet and private workspace required.
Occasional after‑hours support during Open Enrollment and year‑end.
Regular handling of confidential and HIPAA‑protected information.
Pay & Benefits
Compensation: Competitive base pay commensurate with experience.
Benefits: Medical, dental, vision, life/AD&D, disability, 401(k), paid time off, and other voluntary offerings. Specifics provided during the interview process.
Schedule
Part-time, Monday through Friday 25-30 hours as needed.
EEO Statement Call 4 Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All employment decisions are based on qualifications, merit, and business need.
Note: This description retains the original job information but presents it with clean, accessible HTML using only allowed tags.
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