Payton Efurd
Manager, Health Plan Operations @ArcBest
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WORK HISTORY
Manager, Health Plan Operations @ArcBest
Fort Smith, AR, US
In my role leading health plan operations, I drive strategic initiatives by analyzing monthly health plan costs and delivering actionable insights to executive leadership. I lead cross-functional teams across customer service, claims administration, and health plan operations, ensuring compliance and operational excellence. A key part of my work involves negotiating out-of-network pricing contracts and managing the renewal process for stop-loss and pharmacy benefits. I collaborate closely with actuarial teams to develop COBRA rates and employee premium structures, while also enhancing analytics and health plan reporting to use to improve the overall health of the plan. Additionally, I assist our team by championing digital transformation by developing AI and web portal tools to elevate the customer service experience.
EDUCATION
Harding University
Master of Business Administration - MBA, Management and Business Ethics
University of Arkansas - Fort Smith
Bachelor of Business Administration (B.B.A.), Business Administration
ABOUT PAYTON EFURD
I’m an highly motivated Human Resources professional with progressive leadership experience and a passion for enhancing the employee experience through strategic, data-driven benefits design. At ArcBest, I’ve built my career within the self-insured, self-administered benefits space, leading cross-functional teams and initiatives that directly impact employee well-being, health plan performance, and organizational compliance.My expertise spans health plan operations, actuarial modeling, benefits accounting, vendor management, and regulatory compliance. I’ve led out-of-network pricing negotiations, developed COBRA and employee premium structures, and overseen the administration of 401(k) plans across the U.S, Puerto Rico, and Canada. I am deeply involved in plan design for medical, pharmacy, dental, and voluntary benefits, and have successfully navigated acquisition integrations and open enrollment administration. With a strong foundation in analytics and strategic planning, I’ve developed tools to enhance customer service through AI and digital solutions, collaborated with brokers and actuaries to manage renewals and cost forecasting, and partnered with legal counsel to ensure ERISA and COBRA compliance. My leadership is grounded in ethical decision-making, continuous improvement, and a commitment to delivering meaningful impact through people-centered strategies.I hold a Bachelor’s degree in Business Administration from the University of Arkansas – Fort Smith and an MBA in Management and Business Ethics from Harding University.Specialties:Benefits strategy & design | Health plan operations | Actuarial analysis & rate setting | Vendor selection & contract management | Regulatory compliance | Employee contribution strategy | Open enrollment & communications | 401(k) strategy | Acquisition integration | Benefits accounting | Project management | Pricing negotiations | Data analysis & forecasting | AI driven service tools
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