This is benefits analysis work, serving as a senior technical expert, providing advice and guidance to senior management, and developing, revising and managing a variety of benefits programs. The employee is responsible for analytical projects for all benefit programs, including the analysis of demands and the development of proposals during the collective bargaining process. Communication with City managers, employees, union officials, consultants, health care professionals and insurance carriers is a significant aspect of the work. The employee must ensure compliance of benefits administration with city policies and pertinent federal and state laws. The employee is supervised by a Deputy Human Resources Director.
ALLOCATING FACTORS: (The following conditions must be met for a position to be allocated to this class.)
Tracks and monitors monthly claims spending, utilization trends and accuracy of self insured claims invoice files
Assists Manager in the evaluation and analysis of existing programs, proposed enhancements or modifications to existing programs as well as new programs
Manages the HR Benefits System to ensure accurate employee information, maintenance of benefits, and training of HR staff to ensure accurate information in the system
Provides financial administrative assistance to management staff to include maintaining a data bases of relevant benefit financial information; documenting and reconciling balances of funding documents; developing and revising budget models; reconciling budget variances and initiating corrective action with management
Ensures the timely reimbursement of stop loss claims
Assists in the management and coordination of the Cityís disease management and wellness initiative
Keeps current with industry trends and other pertinent information on each benefit program assigned
Provides oversight of staff on eligibility determination, eligibility issues, new enrollees, employee status changes and other questions involving plan participants.
Identifies cost reduction opportunities
Performs related work as required.
Under the direction of a Benefits Administrator, may perform the following:
Administration of health and welfare plans for City Administered employees and serve as liaison for health plan vendors
Maintains accurate and complete files on benefit provider/carriers regarding plan descriptions, contracts, amendments and other benefit related documents
Administers COBRA benefits program, including COBRA open enrollment by designing forms and providing plan information to COBRA participants; set up yearly elections
Carries out court-mandated benefits filings, including Medicare Retiree Drug Subsidy and future filing that may be a result of the health care reform initiative
Provides support in the development and implementation of employee education and integrated communication plans, including organizing communication and materials required for annual benefits open enrollment
Assists in training department human resources staff for yearly open enrollment.
Completion of a bachelor's degree program at an accredited college or university with major course work in business, finance, actuarial science, human resources, nursing or a related field. AND
Three years experience in the administration or analysis of a large self insured employee benefits program that has included administering large scale benefits financial data and a demonstrated level of technical proficiency in MS Word, Excel, HRIS software, and vendorsí proprietary software.
Any equivalent combination of acceptable education and experience determined to be acceptable by the Office of Human Resources that includes possession of a bachelorís degree from an accredited college or university.
Masterís degree program from an accredited college or university in business, finance, actuarial science, human resources, nursing or a related field.
PREFERRED LICENSES, REGISTRATIONS AND/OR CERTIFICATES
PHYSICAL AND MEDICAL REQUIREMENTS
Ability to physically perform the duties and to work in the environmental conditions required of a position in this class.
PAY RANGE: EP21
Class Established: 6/89
CSC: 2/10, Ad Board: 3/10
Class Code changed 11/10