Remote Position

[Remote] Vice President, Contribution Accounting & Enrollment Eligibility

🌍 Remote Β· Philippines πŸ’Ό Full-time

Note: The job is a remote job and is open to candidates in USA. Brighton Health Plan Solutions is hiring a Vice President to lead its Contribution Accounting & Enrollment function in a multi-employer health and welfare fund administration environment. The role oversees contribution and eligibility operations, client relationships, compliance, reporting, and process improvement.

Responsibilities

  • Lead and develop the Contribution AccountingΒ  & Eligibility department, including managers, supervisors, and operational staff
  • Establish department goals, service standards, KPIs, and operational priorities aligned with organizational objectives
  • Build a culture focused on accountability, accuracy, responsiveness, and continuous improvement
  • Provide leadership visibility into operational performance, risks, trends, and opportunities
  • Drive strategic enhancements to workflows, automation, reporting, and employer contribution processes
  • Oversee the accurate and timely processing, reconciliation, and posting of employer hours files, eligibility lists and the related contributions across multiple union and multi-employer benefit funds
  • Ensure hours files, eligibility files, and contributions are processed in accordance with collective bargaining agreements, participation agreements, eligibility rules, and fund policies
  • Manage client specific Collections Policies, includingΒ  delinquency identification, discrepancy resolution, employer follow-up, escalations and reporting
  • Partner with Payroll Audit and Client teams on contribution disputes, audits, shortages, and compliance concerns
  • Ensure operational readiness during peak contribution cycles and renewal periods
  • Serve as a senior operational point of contact for fund offices, trustees, labor representatives, employers, and internal stakeholders
  • Build strong relationships with clients by providing operational transparency, responsiveness, and proactive issue resolution
  • Participate in client meetings, operational reviews, and implementation discussions
  • Communicate complex operational and contribution and eligibility issues clearly to both technical and non-technical audiences
  • Ensure adherence to all applicable regulatory requirements, trust agreements, policies, and internal controls
  • Maintain strong audit readiness and support internal, external, and client audits
  • Monitor contribution and eligibility processes to identify operational risk, data integrity concerns, and compliance gaps
  • Develop and maintain departmental procedures, controls, and documentation
  • Oversee operational reporting related to contribution activity, delinquency trends, reconciliation status, employer activity, and fund performance
  • Utilize data and metrics to identify trends, improve efficiency, and support business decisions
  • Partner with Finance teams to ensure alignment between contribution activity and member eligibility
  • Identify and implement opportunities to improve operational efficiency, automation, reporting, and employer experience
  • Partner with IT and system teams on enhancements, integrations, and issue resolution
  • Support system conversions, client implementations, and operational transformation initiatives
  • Drive standardization and scalability across contribution accounting and eligibility operations

Skills

  • 7+ years of progressive leadership experience in contribution accounting, eligibility, fund administration, healthcare operations, or related operational environments
  • Strong understanding of multi-employer health and welfare fund administration and union environments
  • Experience interpreting collective bargaining agreements (CBAs) and employer contribution requirements
  • Demonstrated success leading high-volume operational teams and driving process improvement
  • Strong analytical, organizational, and problem-solving skills
  • Excellent communication and relationship management abilities
  • Experience working cross-functionally with Finance, Operations, Technology, Compliance, and Client teams
  • Advanced proficiency in operational reporting and systems management
  • Bachelor's degree in Business, Finance, Accounting, Healthcare Administration, or related field preferred
  • Experience within a TPA, Taft-Hartley, union, or multi-employer benefits environment
  • Knowledge of eligibility administration, payroll audits, delinquency processes, and employer contribution reconciliation
  • Experience with benefit administration platforms, workflow tools, and operational reporting systems
  • Proven ability to lead through growth, operational transformation, or organizational change

Benefits

  • Fully remote role, with occasional travel required for client meetings and on-site engagement.

Company Overview

  • Brighton Health Plan Solutions is a health care company that specializes in health plan management service. It was founded in 2016, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is https://brightonhps.com.
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