Benefits
Paid Time Off
All Major Holidays Off
Monthly Health Care Allowance
401K Plan
Job Summary
We are seeking an experienced Operations Manager to join our team. In this role, the Operations Manager will manage all IRS Section 125 Cafeteria Plans activities on behalf of employers as a third-party administrator. This includes third-party administration of POPs, FSAs, LPFSAs, DCAs, HSAs, HRAs, and other relevant insurance premium plans. The Operations Manager will also manage IRS Section 132(f) plans for transportation fringe benefits. The Operations Manager will work in collaboration with the Finance Department to report accurate daily balancing activities of the Employer Trust Account. The Operations Manager serves as the key non-technical contact for all Cafeteria Operations activities; and is responsible for maintaining the day-to-day activities of the department, including staff supervision, knowledge management, training, and office documents and processes.
Responsibilities
Set up employer accounts and qualified plans for claims processing within WexHealth, SASI Business System, and QuickBooks (in collaboration with the Senior Accountant)
Supervise Trust Account daily accounting activities, including transaction reporting, ledger maintenance, monthly reconciliations, and month-end/year-end close processes (with Senior Accountant and Financial Auditor)
Oversee participant (employee) claims processing, including reimbursements, daily adjudication, compliance checks, payroll deduction tracking, and accurate recordkeeping in accordance with employer plan rules
Manage participant open enrollment and re-enrollment processes, ensuring accurate documentation and timely completion
Supervise plan compliance activities, including nondiscrimination testing and maintenance of required records
Oversee all Cafeteria Plan operations and ensure proper execution of administrative processes and recordkeeping
Manage employer monthly billing and accounts receivable processes (in partnership with the Senior Accountant and IT Manager)
Handle administrative and operational activities for the office location in Elm Grove, WI
Lead and manage Cafeteria Operations staff, including training, daily supervision, and conducting annual performance reviews (in collaboration with the Human Resources Manager)
Supervise and track daily communications and activities with employers, participants, and other stakeholders through JIRA and JIRA Service Management
Qualifications
Bachelor’s degree in business administration, human resources, or equivalent practical experience in related fields
Minimum 5+ years of experience in human resources or employee benefit administration for Third-Party Administrators (TPA) including experience with health insurance, retirement plans, employer billing, claims processing and regulatory compliance, is highly valuable
Knowledge of IRS Section 125 Cafeteria plan rules and regulations for operations and compliance
Minimum 2+ years supervisory or management level
Experience in billing, collections and/or financial operations with Third-Party Administrators (TPA) employees and participants (employees).
Preferred Skills
Proficiency in Human Resource Information Systems (HRIS), including WexHealth, and experience with the SASI Business System
Strong skills in HR recordkeeping and report generation, ensuring compliance, accuracy, and audit readiness
Proven ability to lead, motivate, and train a team of Cafeteria Plan or benefits administration professionals
Analytical mindset with the ability to interpret data, identify trends, and troubleshoot issues related to claims processing and reimbursement transactions
Solid financial acumen in employee benefits administration, including funding mechanisms, claims processing, and contribution limits
In-depth knowledge of applicable regulations and compliance requirements, including ERISA, HIPAA, and related laws
Understanding of banking operations related to benefits administration, including debit cards, ACH/direct deposits, wire transfers, and check processing
Excellent verbal and written communication skills, with the ability to deliver clear, accurate reporting and documentation
Proficiency in Microsoft Office 365 applications, including Word, Excel, Teams, and Outlook