Human Resources Generalist

1 month ago

Santo Domingo Pueblo, New Mexico, United States Kewa Pueblo Health Corporation Full time


MISSION & VISION STATEMENT:

The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: "ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE" and the VISION OF KPHC is: "HEALTHY PEOPLE, HEALTHY COMMUNITY, and HEALTHY LIFESTYLE".

POSITION PURPOSE:

The primary purpose of this position is the overall responsibility for a full range of benefits administration in directing and planning the day-to-day operations of group benefits billing functions. This responsibility includes the submission of properly providing customer service and designing quality benefits program plans; and submitting the billing invoices in conjunction with the payroll department. This position will also serve as backup for all other HR Service lines and will be cross-trained in employee relations and recruitment.

PERFORMANCE EXPECTATIONS:

In the performance of their respective tasks and duties all employees of the Kewa Pueblo Health Center are expected to conform to the following:
  • Uphold all principles of confidentiality and patient care to the fullest extent.
  • Adhere to all professional and ethical behavior standards of the healthcare industry.
  • Interact in an honest, trustworthy, and dependable manner with patients, employees, and vendors.
  • Possess cultural awareness and sensitivity.
  • Maintain a current insurable driver's license.
  • Comply with all Kewa Pueblo Health Corporation and Santo Domingo Health Center policies and procedures, as well.
  • Maybe required to work extended work hours when needed based on patient services which may include lunch hours, weekends, and evenings.
ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES:
  • Research and work with vendor benefit program plans to identify what is presented as the best value.
  • When necessary negotiate with vendors and administrators for best plans, options and rates.
  • Serve as primary contact for plan vendors and third-party administrators.
  • Coordinate transfer of data to external contacts for services, premiums and plan administration.
  • Evaluate and revise internal processes to reduce costs and increase efficiency.
  • Document and maintain administrative procedures for assigned benefits processes.
  • Ensure compliance with applicable regulations. Ensure timeliness and accuracy of required reporting and billing fees.
  • Coordinate daily benefits processing. Handle enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, Qualified domestic relations order (QDROs), Qualified Medical Child Support Orders (QMCSOs), distributions, loans, and hardships.
  • Oversee maintenance of employee benefits files, maintain group benefits database and update employee payroll records.
  • Maintains HRIS systems as needed.
  • Gather employee data and oversee the processing of monthly billings and the preparation of vouchers for payment of administrative fees for all group plans.
  • Allocate group health and dental claims monthly and review quarterly.
  • Audit the accuracy and performance of functions performed by the benefits administrator.
  • Analyze and create reports for current benefits, evaluating the use, services, coverage, effectiveness, cost, plan experience, and competitive trends in benefits programs, and identify the company's stance.
  • Perform plan audits. Prepare, collect, and organize data for actuarial assessments. Review data in conjunction with actuarial evaluation task forces.
  • Review both short- and long-range cost estimates/projections and relevant statistical analyses regarding modifications in benefits programs and implementation of new programs.
  • Survey industry trends. Complete benefits surveys and review information obtained from the results. Analyze complex benefits information. Forecast trends and assist with future benefits designs. Develop specific recommendations for review by management.
  • Monitor administrative costs of benefits programs and recommend cost containment strategies, including alternative methods for administration and coordinate with the payroll department. Prepare payroll reconciliation of employee deductions and assist in the monitoring, verifying, and reconciling of monthly invoices.
  • Provide customer service support to internal and external customers. Develop communication tools to enhance understanding of the company's benefits package.
  • Design and distribute materials for benefits orientations, open enrollment, and summary plan descriptions. Provide training and support to group benefits associates, home office associates, and the field staff.
  • Serves as a backup in employee relations, recruitment, and other areas of overflow in the department.
  • Performs other duties as assigned.
MINIMUM MANDATORY QUALIFICATIONS:

Education:
  • Associate degree in Business Administration or a related field; degree may be substituted for an additional one (1) years' experience.
Experience:
  • Two (2) years of progressive Human Resource experience.
Mandatory Knowledge, Skills, Abilities and Other Qualifications:
  • Computer proficiency and technical aptitude with the ability to use Microsoft products, including Excel, and PowerPoint; experience with HRIS and benefits databases.
  • Project and team management/leadership skills and experience.
  • Proven ability to work effectively in a team environment with associates.
  • Effective planning and priority setting. Ability to manage several complex projects simultaneously while working under pressure to meet deadlines.
  • Strong analytical skills and a thorough knowledge of plan designs.
  • Ability to understand, evaluate, and make judgments on proposals (RFPs).
  • Knowledge of benefits contract language.
  • Knowledge of all pertinent federal, tribal, and state regulations, filing and compliance requirements, both adopted and pending, affecting employee benefits programs, including the ACA, ERISA, COBRA, FMLA, ADA, workers' compensation, Medicare, 401K KPHC Retirement Plan and Social Security and DOL requirements.
  • Excellent communication and organization skills.
PREFERRED QUALIFICATIONS:
  • Prior experience working with Indian Health Service, a Tribe or Tribal organization.
  • 3-5 years of related benefits or employee benefits administration experience.
  • THRP Certification; SHRM-CP
WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. This position may be exposed to certain health risks that are inherent when working within a health center facility.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors and staff.

MENTAL DEMANDS:

There are a number of deadlines associated with this position. The employee must also multi-task and interact with a wider variety of people on various and, at times, complicated issues.

OTHER:

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination.

  • Human Resources Generalist

    1 month ago

    Santo Domingo, United States Kewa Pueblo Health Corporation Full time

    DescriptionMISSION & VISION STATEMENT:The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: "ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE" and the VISION OF KPHC is: "HEALTHY PEOPLE, HEALTHY...

  • Human Resources Coordinator

    4 weeks ago

    Santo Domingo Pueblo, United States Santo Domingo Tribe Full time

    Job DescriptionJob DescriptionHuman Resources CoordinatorAbout Santo Domingo:For over 400 years, Santo Domingo Pueblo has been one of the central Indian Pueblos in New Mexico. Located between Albuquerque and Santa Fe, along the I-25 corridor, over 25 different departments with more than 200 employees work together to bring the expanding top-of-line services...

  • Human Resources Coordinator

    4 weeks ago

    Santo Domingo Pueblo, United States Santo Domingo Tribe Full time

    Human Resources CoordinatorAbout Santo Domingo: For over 400 years, Santo Domingo Pueblo has been one of the central Indian Pueblos in New Mexico. Located between Albuquerque and Santa Fe, along the I-25 corridor, over 25 different departments with more than 200 employees work together to bring the expanding top-of-line services to over 5000 members of...

  • Bilingual RN

    4 weeks ago

    Santo Domingo Pueblo, United States University of New Mexico - Hospitals Full time

    Job DescriptionDepartment: Radiology - CT ScanFTE: 1.00Full TimeShift: DaysPosition Summary:Transforms care through assessment and advocacy, decreasing barrier (i.e., insurance, language, prep compliance) to access, coordinating and utilizing appropriate resources and providing a positive financial impact. An effective RN Nurse Navigator possesses skills in...

  • Community Liaison

    4 weeks ago

    Santo Domingo Pueblo, United States Kewa Pueblo Health Corporation kphc Full time

    Job DescriptionJob Description Community LiaisonDepartment: Behavioral HealthReports to: Director of Behavioral HealthFLSA Status: Non-exemptType of Position: Full-TimeRevised Date: 5/14/2024MISSION & VISION STATEMENT:The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health...

  • Community Liaison

    2 weeks ago

    Santo Domingo Pueblo, United States Kewa Pueblo Health Corporation kphc Full time

    Job DescriptionJob Description Community LiaisonDepartment: Behavioral HealthReports to: Director of Behavioral HealthFLSA Status: Non-exemptType of Position: Full-TimeRevised Date: 5/14/2024MISSION & VISION STATEMENT:The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health...

  • Community Liaison

    4 weeks ago

    Santo Domingo Pueblo, United States Kewa Pueblo Health Corporation kphc Full time

    Job DescriptionJob Description Community LiaisonDepartment: Behavioral HealthReports to: Director of Behavioral HealthFLSA Status: Non-exemptType of Position: Full-TimeRevised Date: 5/14/2024MISSION & VISION STATEMENT:The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health...

  • General Dentist

    4 weeks ago

    Santo Domingo Pueblo, United States Kewa Pueblo Health Corporation kphc Full time

    Job DescriptionJob DescriptionDentistDepartment: DentalReports to: Director of DentalFLSA Status: ExemptType of Position: Full-TimeRevised Date: 04/25/2024MISSION & VISION STATEMENT: The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC...

  • General Dentist

    1 month ago

    Santo Domingo Pueblo, United States Kewa Pueblo Health Corporation kphc Full time

    Job DescriptionJob DescriptionDentistDepartment: DentalReports to: Director of DentalFLSA Status: ExemptType of Position: Full-TimeRevised Date: 04/25/2024MISSION & VISION STATEMENT: The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC...

  • Physical Therapist

    4 weeks ago

    Pueblo, United States Ironside Human Resources Full time

    Job DescriptionJob DescriptionGreat Physical Therapist Opportunity near Colorado Springs!Full-Time, Permanent PositionSalary Range: $36.19 to $54.28 per hourSchedule: Monday to Friday, very flexible, with a 4x10s option available; no weekendsPatient Demographic: Adult populationPhysical Therapist Requirements:Bachelor’s degree in Physical TherapyValid CO...

  • Specialist, Pre-College Program Resource

    4 weeks ago

    Pueblo, United States Pueblo Community College Full time

    Description Please Note: An applicant may redact any information on an unofficial transcript that reveals years of attendance, date of graduation, or age. Please Note: Pueblo Community College is not able to provide sponsorship for applicants who do not currently have the legal right to work in the United States or require transfer of a Visa. NOTE: Must...

  • Quality Service Coordinator

    3 weeks ago

    Pueblo, United States Lakeshore Talent Full time

    To Apply for this Job Click HereLakeshore Talent, in partnership with a dynamic nonprofit organization, is thrilled to invite you join this nonprofits team as a Quality Service Coordinator. Embark on a fulfilling career where every action you take leaves a positive footprint in the community.Why You'll Love This Role:Competitive Compensation and...

  • Nonprofit Quality Service Coordinator

    4 weeks ago

    Pueblo, United States Lakeshore Talent Full time

    Job DescriptionJob DescriptionLakeshore Talent, in partnership with a dynamic nonprofit organization, is thrilled to invite you join this nonprofits team as a Quality Service Coordinator. Embark on a fulfilling career where every action you take leaves a positive footprint in the community.Why You'll Love This Role:Competitive Compensation and...

  • Nonprofit Remote Quality Service Coordinator

    3 weeks ago

    Pueblo, United States Lakeshore Talent Full time

    Job DescriptionJob DescriptionLakeshore Talent, in partnership with a dynamic nonprofit organization, is thrilled to invite you join this nonprofits team as a Quality Service Coordinator. Embark on a fulfilling career where every action you take leaves a positive footprint in the community.Why You'll Love This Role:Competitive Compensation and...

  • Engineering Summer Internship

    1 month ago

    Pueblo, Colorado, United States Trane Technologies Full time

    Engineering Summer InternshipAt Trane TechnologiesTM and through our businesses including Trane and Thermo King, we create innovative climate solutions for buildings, homes, and transportation that challenge what's possible for a sustainable world. We're a team that dares to look at the world's challenges and see impactful possibilities. We believe in a...

  • Physician Assistant Primary Care

    4 weeks ago

    Pueblo, United States UC Health Full time

    Description Location: UCHealth PMC Pueblo West Office, US:CO:Pueblo West Department: PMG Family Practice - Pueblo W FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $44.33 - $66.50 / hour. Pay is dependent on applicant's relevant experience Summary:Under the supervision of a physician, provides direct diagnostic, therapeutic,...

  • Maintenance Manager

    2 weeks ago

    Pueblo, Colorado, United States DSJ Global Full time

    Job DescriptionJob DescriptionJob Title: Maintenance ManagerLocation: Greater Colorado Springs AreaOverview: Join a global leader in chemical solutions powering the semiconductor industry and the digital universe. We're seeking a skilled Maintenance Manager to oversee our Maintenance team, ensuring the upkeep of our state-of-the-art manufacturing equipment...

  • Physician Assistant Primary Care

    2 weeks ago

    Pueblo, Colorado, United States UC Health Full time

    Location: UCHealth PMC Pueblo West Office, US:CO:Pueblo WestDepartment: PMG Family Practice - Pueblo WFTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks)Shift: DaysPay: $ $66.50 / hour. Pay is dependent on applicant's relevant experienceSummary:Under the supervision of a physician, provides direct diagnostic, therapeutic, and preventive health care...

  • Hybrid Nonprofit Service Coordinator

    4 weeks ago

    Pueblo, United States Lakeshore Talent Full time

    Lakeshore Talent, in partnership with a dynamic nonprofit in Pueblo, Colorado, is excited to present an enriching hybrid career opportunity as a Case Manager. Be a part of a team that makes a tangible difference in the community! Why Youll Love This Role: Competitive Pay: Starting at $21.15/hr - $21.99/hr, with additional compensation for bilingual skills....

  • Hybrid Nonprofit Service Coordinator

    1 month ago

    Pueblo, United States Lakeshore Talent Full time

    Lakeshore Talent, in partnership with a dynamic nonprofit in Pueblo, Colorado, is excited to present an enriching hybrid career opportunity as a Case Manager. Be a part of a team that makes a tangible difference in the community! Why You'll Love This Role: Competitive Pay: Starting at $21.15/hr - $21.99/hr, with additional compensation for bilingual...