<p>Essential Duties</p> <ol> <li>Requires interpretation of complex government regulations on Healthcare, Medicare, IRS rules and law, in addition to Yale's systems, policy and processes to serve as independent decision maker on escalated complex issues and/or claims after performing a thorough analysis. Consults with senior leadership, vendors, and legal counsel, as necessary. 2. Works with vendors on client issues, to provide extensive case management on eligibility discrepancy, verification, denial of claims and sub-par service. Role is to ensure superior service, mitigate risk and issues to Yale. 3. Analyzes data, develops solutions, and determines course of action. Performs QA and analysis on data related to employee lifecycle and its impacts. Identifies trends and escalates proposals for change (where needed) to leadership. May identify areas where training is necessary. Administers payment of all employee job classification corrections after conducting the analysis and ensuring appropriate payroll processing. 4. Cultivates and fosters collaborative relationships with clients and HR partners. Serves as a resource for other HR functions, to support employees. Delivers superior customer service, maintaining positive working relationships with Union representatives, vendor contacts, Business Offices and Payroll. 5. Recommends changes as needed to improve processes and programs as Yale's policies, systems and union agreements change. Continuously review existing administrative procedures for opportunities of improvement in relation to design, practices, implementation, and communication. 6. Responsible for delivering community education and guidance on benefit administration programs to staff, faculty, managers, postdocs, HR partners and union representatives. This includes, representing HR and training across the University as it relates to on boarding, benefit fairs, annual enrollment, and Yale's Signature Benefits. 7. Administrator of Homebuyer's Program to include eligibility, payment processing, QA review, reporting, education, training and delivers workshops for members of the Yale community. 8. As an advisor, studies, analyzes, and provides guidance and counsel to clients on healthcare, retirement, Medicare, HR policies, procedures, and contractual obligations. 9. Represents unit on major HR projects and programs. 10. Mentors junior staff. 11. Provides back up and support to the Manager of the Employee Service Center. 12. May perform other duties as assigned. </li></ol> <p>Required Education and Experience</p> <p>Bachelor's degree with at least four years of professional human resources experience or the equivalent combination of education and experience.</p> <p>Background Check Requirements</p> <p>All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.</p> <p>Position Focus:</p> <p>This position will be a member of the Human Resources Operations Team, providing guidance and counsel to the Yale community, including their retiree population on HR policy, procedures, and processes. The incumbent will provide support, guidance and assist HR partners on all benefit activities and decisions, conducted in accordance with government legislation and regulations, contractual obligations, and University policy. Effectively coordinates with vendors on program compliance. Conducts analysis and review to ensure alignment and compliance of people data. Responsible for community counseling on healthcare and retirement.</p> <p>Preferred Education, Experience and Skills:</p> <p>Experience working in a Shared Service Center. Knowledge of one or more functional areas within HR (employee relations, labor relations, talent acquisition, total rewards.</p> <p>Posting Disclaimer</p> <p>The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the particular position. Employees will be assigned specific job-related duties through their hiring departments.</p>