Remote Position
[Remote] Vice President, Contribution Accounting & Enrollment Eligibility
π Remote Β· Philippines
πΌ 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