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Health Benefits Manager

Job Description

Definition

Plans, organizes, and manages a variety of employee health benefits and wellness programs for the District, including but not limited to medical, dental, vision, life insurance, and flexible spending accounts, and assures compliance with District objectives, policies, contract provisions, and state and federal regulations.

Typical Duties

Plans, implements, and administers the District’s employee medical, dental, vision, life insurance, and flexible spending account programs and assures compliance with applicable objectives, rules, regulations, procedures, and contract provisions.

Develops and implements operational procedures for the effective administration of the District’s employee health benefits and wellness programs.

Acts as the District's expert to provide advice and make recommendations to District management and the Joint Labor Management Benefits Committee on matters related to the employee health benefits program.

Coordinates the operational activities of the assigned programs which include coordinating the annual open enrollment process, the annual health benefits fair, processing enrollment applications, assisting employees and retirees with insurance plan enrollment, eligibility, coverage, status change questions, transmitting enrollment data to vendors and resolving problems with plan representatives.

Assists in preparing bid specifications for insurance plans, reviewing bids, and making recommendations.

Provides technical expertise in the review, selection, negotiation, and recommendation of benefits plans, initiatives, wellness programs, vendors, and carriers.

Reviews plan effectiveness and vendor compliance with contract requirements and performance guarantees.

Reviews all IRS annual maximums pertaining to Health Savings Accounts and Flexible Spending Accounts.

Stays current on trends and developments related to employee health benefits and wellness programs; reviews proposed changes in laws, regulations, rules, and procedures related to employee health benefits and assesses its effect on District plans and makes recommendations for administrative response.

Represents the District in consultations and negotiations with employee organizations, insurance companies, and consultants regarding employee health benefits and wellness programs.

Supervises, trains, and evaluates assigned staff to ensure effective and efficient operations of the unit.

Coordinates and participates in the collection of enrollee data for insurance brokers, upon request, which is used in the negotiation of insurance plans and preparation of bid specifications.

Designs communication materials and implements education programs to maximize employee awareness of benefits programs.

Prepares and maintains the annual employee benefits budget and keeps District’s management apprised of expenditure trends and projections.

Prepares or supervises the preparation of regular and special reports on the employee health benefits and wellness programs for District Management and the Joint Labor Management Benefits Committee.

Communicates with insurance carriers on matters related to contract interpretation and enrollment processing.

Utilizes the capabilities of management information systems related to employee health benefits programs.

Directs the maintenance of record tracking systems for the unit.

Prepares correspondence, reports, and presentations related to employee health benefits and wellness programs.

Performs related duties as assigned.

Distinguishing Characteristics

A Health Benefits Manager plans, organizes, and manages a variety of employee health benefits and wellness programs for the District, including but not limited to medical, dental, vision, life insurance, and flexible spending accounts, and assures compliance with District objectives, policies, contract provisions, and state and federal regulations.

Supervision

General supervision is received from the Vice Chancellor, Human Resources. Immediate supervision is exercised over professional, technical, and clerical staff.

Class Qualifications

Knowledge of:

Principles of employee health benefits and wellness program administration

Policies and business practices of the insurance industry

Principles and methods of contract negotiations

Laws, rules, and regulations pertaining to employee benefits insurance as contained in the Education Code, Government and Insurance Codes

Insurance benefits provisions of the District’s collective bargaining agreements

Principles and practices of business and public administration

Principles of personnel management and supervision and training

Principles and practices of organization and management

Principles and procedures of budgeting

Current trends and developments in the employee health benefits and wellness fields

Computer systems, software, and hardware common used in employee health benefits and wellness programs

Ability to:

Effectively plan, implement, and administer a variety of employee health benefits and wellness programs

Interpret, analyze, and apply laws, rules, regulations, and policies related to employee health benefits and wellness programs

Recognize critical elements of problems, develop and evaluate data, determine strategies and appropriate solutions, and make logical recommendations to mitigate potential risk

Develop methods and procedures to implement new policies and regulations or improve efficiency of operations

Integrate technology into business operations

Anticipate conditions, plan ahead, and establish priorities

Secure confidence, respect, and cooperation of individuals and organizations contacted in the course of work

Organize work to meet critical deadlines

Effectively express complex concepts orally and in writing

Train, stimulate teamwork, promote cohesiveness, supervise, and evaluate employees

Consistently use and promote professional standards and practices related to assignments

Maintain a focus on details, quality, and precision in the performance of duties

Actively contribute to a culture of constructive collaboration and innovation with colleagues

Maintain poise and exercise good judgement in challenging situations

Establish and maintain effective and cooperative relationships with employees, retirees, members of the Joint Labor Management Benefits Committee, employee organization representative, insurance carriers, District administrators, governmental agency representatives, and the public

Effectively utilize specialized computer equipment and management information systems in the performance of duties

Travel to on and offsite meetings and events

Entrance Qualifications

Education:

A bachelor’s degree from a recognized college or university preferably with a major in business administration, public administration, or a related field. Supervisory experience is desirable.

Experience:

Four years of recent, full-time, professional-level, paid experience in the administration of a comprehensive employee health benefits program. Supervisory experience is desirable.

Special:

A valid Class “C" California driver's license must be obtained within 10 days of establishing residency in the State of California

Travel to locations throughout the District is required

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