Department:14202 Enterprise Corporate - People & Culture Benefits
Status:Full time
Benefits Eligible:Yes
Hours Per Week:40
Schedule Details/Additional Information:M-F, 8:00 - 5:00
Pay Range:$99.75 - $159.60
What You'll Do- Lead the design, ongoing management, and performance of medical, dental, vision, pharmacy, and clinical well-being programs.
- Develop clinical program and care management strategies aligned with population health priorities.
- Provide market expertise and strategic recommendations that shape the enterprise health benefits roadmap and broader Total Rewards strategy.
- Monitor healthcare, pharmacy, regulatory, and clinical innovation trends and translate emerging developments into actionable recommendations.
- Manage relationships and performance across medical, pharmacy, clinical, and point-solution vendors, including third-party administrators, carriers, pharmacy benefit managers, and specialty partners.
- Establish clear service expectations and drive vendor accountability through data-informed performance reviews, service-level agreements, and measurable outcomes.
- Lead requests for proposals, contract negotiations, implementations, and vendor transitions for health and pharmacy programs.
- Oversee pharmacy strategy, including formulary management, rebate contracting, specialty pharmacy, clinical trend management, GLP-1 medications, and biosimilars.
- Evaluate and integrate clinical programs, Centers of Excellence, care management services, and point solutions.
- Ensure program compliance with applicable federal and state requirements, including ERISA, ACA, HIPAA, HITECH, COBRA, MHPAEA, the No Surprises Act, the Consolidated Appropriations Act, and relevant pharmacy transparency requirements.
- Monitor emerging legislation and regulatory guidance and assess the potential impact on benefit programs and enterprise strategy.
- Apply strong analytical and financial capabilities to cost forecasting, healthcare trend analysis, vendor evaluation, and program performance measurement.
- Develop executive-level presentations that clearly communicate complex clinical, financial, and strategic information.
- Influence senior leaders and support enterprise-level decision-making through a collaborative, consultative approach.
- Select, coach, and develop a high-performing team, establishing clear objectives aligned with organizational priorities.
- Lead performance management, succession planning, talent development, and recognition within the assigned areas of responsibility.
- Support large-scale implementations, enterprise transformations, and merger and acquisition activity.
- Promote a culture of ethical conduct, accountability, continuous improvement, and exceptional teammate service.
What You'll Bring- Bachelor's degree in human resources, finance, business, healthcare administration, public health, or a related field.
- Ten or more years of progressive benefits experience within a large, complex, multi-site organization.
- Five or more years of leadership experience, with a demonstrated ability to build, coach, and develop high-performing teams.
- Deep experience with self-funded medical and pharmacy plan design in a large-employer environment.
- Significant experience managing pharmacy benefit manager relationships, formulary strategy, rebate contracting, specialty pharmacy, and clinical trend management.
- Experience designing and evaluating clinical programs, care management strategies, Centers of Excellence, and point solutions.
- Strong understanding of medical and pharmacy benefit design, network management, clinical program strategy, and population health analytics.
- Working knowledge of applicable federal and state benefit laws and regulations, including ERISA, ACA, HIPAA, HITECH, COBRA, MHPAEA, the No Surprises Act, the Consolidated Appropriations Act, and IRS Sections 105, 125, and 129.
- Strong financial, analytical, and critical-thinking skills, including cost forecasting, trend analysis, and vendor performance evaluation.
- Experience leading requests for proposals, contract negotiations, vendor implementations, and program transitions.
- Demonstrated ability to influence senior leaders and translate complex clinical and financial concepts for executive audiences.
- Experience supporting large-scale implementations, organizational transformations, or merger and acquisition activity.
- Exceptional relationship-building, communication, presentation, and change management skills.
- A consultative leadership style with the ability to influence across functions without direct authority.
- The ability to navigate ambiguity, anticipate emerging issues, and solve complex problems.
- A strong commitment to teammate service and organizational values.
Preferred- Master's degree in business administration, healthcare administration, public health, human resources, or a related field.
- Certified Employee Benefit Specialist certification.
- Experience within a Fortune 500 organization or large, integrated health system.
- Experience working with HR enterprise resource planning platforms such as Workday, Oracle, or SAP.
- Experience with benefits administration systems and related technology platforms.
DISCLAIMER
All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities.
This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.
Our Commitment to You:Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
