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Talkiatry, the largest dedicated psychiatry practice in the U.S., is seeking an experienced Benefits Manager to own the day-to-day administration, compliance, and continuous improvement of health, retirement, and wellbeing programs. This is a strategic role that combines operational excellence with high-impact project leadership.
You will own benefits reconciliation and administration across all carriers and legal entities, including medical, dental, vision, life, disability, 401(k), and voluntary offerings. You'll maintain data integrity between HRIS, payroll, and carrier systems, identify and resolve billing discrepancies, and document root causes for recurring issues.
A key priority is leading the end-to-end transition from level-funded or fully insured to self-funded medical plans. This includes plan design, stop-loss selection, implementation timeline, and building funding and claims exposure models in partnership with Finance. You'll serve as the primary point of contact with brokers, TPAs, and stop-loss carriers.
You will manage ACA compliance end-to-end: monthly affordability and eligibility tracking, measurement period administration, IRS reporting, 1094-C/1095-C filing, and IRS notice response. You'll ensure ongoing compliance with ERISA, COBRA, HIPAA, PCORI, and applicable state mandates across both entities.
Open enrollment ownership spans strategy, timeline, vendor coordination, system configuration, testing, employee communications, and post-OE audit and reconciliation. You'll develop clear, plain-language education for a clinical and administrative workforce.
You'll analyze benefit utilization, cost trends, and market benchmarking to recommend enhancements and efficiencies. You'll manage broker and carrier relationships, including renewal negotiations, RFPs, and service accountability. You'll partner with HRIS/technology teams on benefits configuration, life event tracking, and vendor integrations, and build SOPs and process documentation for audit readiness.
Talkiatry is transforming mental health care by making high-quality psychiatry more accessible and sustainable. With 750+ psychiatrists, 250+ therapists, and two million patient visits delivered nationwide, the company is redefining behavioral healthcare delivery in America.
REQUIREMENTS:
Minimum:
- 5 to 8+ years of progressive employee benefits experience, including direct plan ownership (P3/P4 scope)
- Strong working knowledge of ACA reporting, ERISA, COBRA, HIPAA, and PCORI requirements
- HRIS experience (ADP Workforce Now or similar) and strong Excel/analytical skills
- Bachelor's degree or equivalent experience
Must Have:
- Direct, hands-on experience leading a transition from level-funded or fully insured medical plan to self-funded, including funding arrangement design, stop-loss procurement, and financial risk modeling
- Proven ownership of benefits reconciliation: monthly carrier billing audits, eligibility discrepancies, and payroll/HRIS/carrier data integrity
- Deep benefits compliance and ACA management and reporting experience: affordability testing, eligibility tracking, and 1094-C/1095-C filing
- Full lifecycle open enrollment ownership, from strategy and vendor coordination through employee communications and post-OE audit
Preferred:
- Multi-entity and/or multi-state benefits administration experience
- Experience supporting benefits in a fast-paced healthcare, clinical, or matrixed organization
- Experience maintaining a benefits knowledge base and ticketing system for employee inquiries
- CEBS, CBP, or equivalent HR/benefits certification
