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Benefits Compliance Officer

Muckleshoot Indian Tribe


Location:
Auburn, Washington 98354
Date:
09/13/2017
2017-09-132017-10-13
Job Type:
Employee
Job Status:
Full Time
Shift:
1st Shift
Categories:
  • Benefits
Muckleshoot Indian Tribe
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Job Details

Under general direction, performs a variety of complex technical and professional work in support of the Tribe’s benefits programs, ensuring compliance with all regulatory and legislative mandates. This position may be required to work at more than one location.

  1. Responsible for strategy, research, design, communication and overall management of pension, medical, dental, life, disability, EAP, and other benefit programs. Identify opportunities, define problems, and recommend viable solutions which include action plans and timetables. Assist in the development of administrative procedure manuals, forms and reports.Support plan administration responsibilities for the Muckleshoot Retirement Plan 401(k), including pension audits, compliance, and the Muckleshoot Pension Committee.
  2. Support plan administration responsibilities for the Muckleshoot Retirement Plan 401(k), including pension audits, compliance, and the Muckleshoot Pension Committee.
  3. Ensure compliance with various governmental reporting requirements such as Summary Annual Reports (SAR), participant disclosures, and Form 5500 filings.
  4. Develop and perform internal compliance audits; document and report findings to manager and relevant staff; recommend, and support implementation of, solutions to ensure ongoing compliance.
  5. Manage relationships and contract renewals with benefits consultants and vendors for pension and Health and Welfare benefits in addition to other ancillary benefits; coordinate document and contract review and approval per organizational protocols.
  6. Evaluate and compare applicable existing benefits with those of other employers/sources and provide recommendations to manager and Benefits Committee.
  7. Develop specifications for new/modified plans, solicit and evaluate quotations, and/or make recommendations to management.
  8. Develop procedures, implement, train and monitor regulatory and legislative mandates including the Affordable Care Act, US Department of Labor, HIPAA, ERISA, COBRA, IRC Section 125, and Washington State Insurance Commissioner pronouncements.  
  9. Function as Interim Privacy Officer.  Maintain the privacy and confidentiality of all protected health information in accordance with the Division’s Policies and Procedures, and in compliance with state and federal regulations. 
  10. Coordinate with Finance Director II (Global Benefits) to reconcile and approve monthly medical, dental and ancillary benefit billings from various vendors. Coordinate with manager and other departmental staff to prepare various reports related to benefits programs for in-house, insurance and regulatory purposes.
  11. Monitor/audit and provide guidance for the maintenance of benefits eligibility and enrollment for all participating Tribal employers, including pension eligibility and enrollment; performs monthly ACA-related audits and generates reports for Tribal employers.
  12. Coordinate and facilitate the Muckleshoot Pension Committee and the Muckleshoot Benefits Committee comprised of representatives from each Tribal employer.
  13. May serve as liaison with Health and Wellness Center for matters related to the Tribal employee benefits program.
  14. Provide assistance to all Tribal Human Resources Departments, as requested, relative to the full spectrum of the Tribe’s employee benefits utilizing a broad knowledge of overall Tribal Human Resources policies, practices and procedures and a thorough knowledge of the Tribe’s benefits programs, to include assisting in the preparation of materials and the presentation of benefit plan changes to employees. Also provides resources and guidance for the Benefits Specialists at each Tribal employer.
  15. Maintain thorough knowledge of benefits and government legislation, socioeconomic trends, and court decisions related to areas of responsibility, including applicability to tribes. Informs manager and Benefits Committee of developments and trends that presently or potentially impact areas of responsibility.
  16. Develop proposals of self-funding for various benefits, including medical/dental and stop-loss coverage, with close attention to fiduciary responsibility.
  17. Develop and maintain records that provide for the proper evaluation, control and documentation of assigned operations. 
  18. Avoid any perceived conflict of interest; maintain complete independence between personal financial activities and the Tribe's financial activities.
  19. Ensure the Tribe and its mission, programs, products and services are consistently presented in a strong, positive image to Tribal members, vendors, consultants, applicable federal agencies, local governments and the general public.
  20. Ensure that all actions and decisions are in the Tribe's best interests, including, but not limited to, ensuring that they are consistent with the Tribe's commitment to the wellbeing of its members.
  21. Because of the Tribe’s commitment to community service and the wellbeing of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

Requirements

Education, Experience and Training for position
  • Bachelor’s Degree in Human Resources, accounting or business-related field consistent with the requirements of the position.
  • Seven (7) years of direct experience administering employee benefits.
  • Five (5) years of self-funded and fully-insured benefit plan development, implementation and management experience.
  • Five (5) years knowledge of, and compliance with, benefit-related laws, including developing and conducting internal compliance audits.
  • Five (5) years of experience with the resolution of complicated benefit claims and issues.
  • Experience implementing, and maintaining compliance with, the provisions of the Affordable Care Act.
 

Skill in:

  • Active Listening – Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Service Orientation – Actively looking for ways to help people.
  • Social Perceptiveness – Being aware of others reactions and understanding why they react as they do; sensitivity to the business culture and overall goals of a Tribal organization.
  • Critical Thinking – Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Monitoring – Monitoring/assessing performance of you, other individuals, or organizations to make improvements or take corrective action.
  • Computer/software literacy – Proficiency in using a personal computer; intermediate to advanced proficiency using Microsoft Windows suite of software products and Human Resources Management Systems.

 

Knowledge of:

  • Compliance – Technical and working knowledge of ACA, DOL, HIPAA, ERISA, COBRA, IRC Section 125 and Washington State Insurance Commissioner pronouncements as they apply to employee benefit plans; legally required employee communications – timing and content.
  • Plan Development – Employee benefit plan development, implementation and management – self-funded and fully-insured benefit plans.
  • Customer and Personal Service – Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  •  

Ability to:

  • Maintain Confidentiality – maintain the highest degree of confidentiality in all aspects of job performance.
  • Oral Expression – Communicates information and ideas through spoken words so others will understand.
  • Oral Comprehension – Listens to, and understands, information and ideas presented through spoken words and sentences.
  • Written Expression – Communicates information and ideas through written words so others will understand.
  • Written Comprehension – Reads, and understands, information and ideas presented through written words and sentences.
  • Problem Sensitivity – Identifies when something is wrong or is likely to go wrong; recognizes the problem.
  • Inductive Reasoning – Combines pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events); define problems, collect data, establish facts and trends and draw valid conclusions.
  • Technical Interpretation and Application – able to read, analyze and interpret professional journals, technical procedures, plan documents and governmental regulations.
  • Initiative - Initiative and discipline necessary to consistently perform job duties in a timely manner with minimal supervision.
  • Integrity – Be honest and ethical.
  • Dependability – Be reliable, responsible, dependable, and fulfill obligations.
  • Self-Control – Maintain composure, keep emotions in check, control anger, and avoid aggressive behavior, even in very difficult situations; exhibit a maturity of judgment to appropriately interact with Tribal and outside agency employees, staff and officials.
  • Concern for Others – Be sensitive to others needs and feelings; be understanding and helpful on the job.
  • Attention to Detail – Be careful about detail and thorough in completing work tasks.
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