HR Director – Health & Dental Benefits

Role Overview

• Provide comprehensive oversight of all activities related to health, pharmacy, and dental benefit programs, including plan performance, vendor management, compliance, and operational efficiency.
• Partner with internal stakeholders and external vendors
• Ensure benefit programs are administered accurately, efficiently, and in compliance with applicable regulations.
• Facilitate timely resolution of benefit‑related issues
• Oversee appeals processes to ensure fair, consistent, and prompt outcomes for team members.
• Analyze trends in health, pharmacy, and dental utilization, costs, and outcomes
• Identify opportunities for improvement.
• Assess team member satisfaction with benefit programs.
• Evaluate network adequacy, access to care, and cost efficiency across all benefit offerings.
• Monitor pharmacy utilization and cost trends
• Identify emerging issues and recommend appropriate plan or programmatic changes.
• Research, assess, and recommend plan design enhancements based on utilization trends, market benchmarks, organizational priorities, and financial sustainability.
• Collaborate with partners, vendors, and consultants to evaluate benefit design alternatives.
• Develop actionable recommendations to support team member well‑being based on health and dental usage patterns.
• Annual, or as needed, review of summary plan description
• Prepare for and lead monthly and quarterly Health and Welfare Committee meetings, including agenda development, data presentations, recommendations, and follow‑up actions.
• Partner with key stakeholders to align benefit strategies with organizational objectives.
• Maintain strong vendor relationships
• Ensure accountability, performance standards, and continuous improvement.
• Assure plans are and remain compliant with all applicable laws.
• Oversee the development and execution of all communication plans related to health, pharmacy, and dental benefits.
• Ensure benefit communications are clear, accurate, timely, and supportive of informed decision‑making by team members.
• Coordinate and lead the annual open enrollment process, including timelines, materials, vendor coordination, system readiness, and post‑enrollment follow‑up.
• Develop and implement targeted actions, programs, or initiatives to support team member well‑being, informed by health and dental utilization trends.
• Coordinate on‑site dental clinics and oversee development of related promotional and educational materials.

Requirements

• Bachelor's Degree: Healthcare Administration or Business Administration or Human Resources
• Leading health, pharmacy, and dental benefit programs in a complex organization
• 10 years
• Strong expertise in benefit plan design, vendor management, regulatory compliance, and data analysis.
• Demonstrated ability to translate analytics into actionable strategy and recommendations.
• Proven experience leading cross functional stakeholders and governance committees.
• Exceptional communication, presentation, and relationship management skills.

Benefits

• Comprehensive benefits package for team members and providers