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HomeMy WebLinkAboutBenefits and Wellness Program AdministratorPage 1 of 2 City of Georgetown JOB DESCRIPTION Job Title: Benefits and Wellness Program Administrator Effective Date: 05/05/2014 FLSA Category: Exempt Revision Date: 05/07/2014 SUMMARY: Under the general supervision of the Human Resources Director, manages all aspects including health plan design, contracts, consultant, providers and health claims fund of the City’s benefit programs for all City employees and retirees. Provides direction and oversight to a comprehensive wellness program through continued education and outreach to address general and specific employee wellness challenges and opportunities within the City. ESSENTIAL FUNCTIONS: Essential functions, as defined under the Americans with Disabilities Act, may include any of the following representative duties, knowledge, and skills. This is not a comprehensive listing of all functions and duties performed by incumbents of this class; employees may be assigned duties which are not listed below; reasonable accommodations will be made as required. The job description does not constitute an employment agreement and is subject to change at any time by the employer. Essential duties and responsibilities may include, but are not limited to, the following: • Provides strategic oversight for health, welfare and wellness programs structure, pricing, financial reporting, and statistical reporting; researches and monitor health industry trends and projections. • Monitors benefit programs cost and trends and recommends appropriate actions to mitigate cost and trend impacts; analyzes quarterly and annual program performance reports; ensures development of comprehensive claims data to monitor trends and performance; oversees, reviews and recommends premium rates, stop loss levels, and reserve changes. • Coordinates the selection of outside consultants; collaborates with and manages the efforts of outside consultants that may be employed to assist with the development of strategic alternatives that complement employee needs pertaining to benefit programs. • Facilitates the annual renewal and/or bid process for employee insurance, to include assisting in the development and review of the RFPs. • Installs new plans, changes, and program providers, according to contractual agreements, ensures accurate and timely implementation. • Ensures that benefit plan vendors administer plans according to design and that escalated issues are resolved time. • Maintains accurate written benefit summaries, Summary Plan Descriptions and other benefit related documents. • Collaborates with benefit vendors and benefit consultants to solicit, review and assess quotes, manage accounts and to address issues and to conduct census and cost analysis. • Collaborates with Finance to develop strategy in managing self-funded health claims fund to ensure well- balanced, cost-effective benefits program, and to develop budget recommendation. • Maintains, evaluates and redesigns current wellness initiatives, develops and implements new initiatives • Analyzes wellness activity expenses and determines any return on investments; researches, evaluates, and leads the selection of new wellness initiatives and vendors. • Develops and conducts training/communication sessions for employees on policies, practices and processes related to the management of benefit and wellness programs; assists employees and management with questions, issues, qualifications, requirements and procedures related to ADA, FMLA, and long-term disability. • Ensures ongoing compliance with all applicable state and federal regulations by monitoring and evaluating state and federal legislative trends and regulations and making appropriate recommendations to ensure risk and cost mitigation; prepares and submits all necessary annual reporting and fillings. • Manages the reparation and distribution of written and verbal information designed to inform employees of benefit programs and their cost. • Evaluates benefits plans and recommends alternatives and enhancements to continually meeting the changing Page 2 of 2 needs of the City’s workforce and their eligible dependents. • Manages enrollment and orientation of new employees signing up for benefits; leads annual open enrollment process; ensures smooth transition for employees for benefit changes; processes enrollment forms. • Advises, counsels and assists employees on benefits administration and issue resolutions. • Serves as City Correspondent for Texas Municipal Retirement System and administers the retirement benefits program; administers the deferred compensation program. • Provides policy and procedure interpretations to employees and supervisors; provides assistant with employee relations issues. • May serve on committees for various City initiatives. • Performs other duties as assigned or required. MINIMUM QUALIFICATIONS: Education, training and Experience Guidelines Bachelor’s Degree from an accredited college or university with major coursework in Human Resources, Public or Business Administration or a related field. Five years of full-time work experience in benefit administration. Two years of the required experience must have been in a lead capacity. Public sector human resource administration preferred or any equivalent combination of experience and training that provides the required knowledge, skills, and abilities. Knowledge of: • Employee benefits program applications, methods and techniques. • Applicable Federal, State and City rules, regulations, guidelines, policies and procedures related to health, welfare and wellness programs and events, ERISA, HIPPA, FMLA, and ADA. • Customer service and public relations practices and methods. • Common terminology related to benefit and wellness program management. • Business process analysis and project management practices, principles techniques. • City policies and procedures. Skill in: • Resolving benefits issues, internally and externally. • Communicating effectively, including written, oral and group presentation. • Establishing and maintaining effective working relationships, both internally and externally. • Handling information restricted to specific persons and confidentiality of information • Interpreting insurance and benefit handbooks and using the information to assist others. • Reading and understanding technical manuals, policies and procedures, system documentation, etc. • Writing clear and concise memos in non-technical terminology to brief managers, supervisors and other employees. • Performing mathematical calculations and to make projections and/or forecasts. • Analyzing and interpreting complex documents. • Conducting investigations, mediating and negotiating differences and developing consistent enforcement of Human Resources laws, rules, regulations, practices and procedures related to ADA, FMLA, and employee benefits. • Resolving employee and dependent complaints and concerns related to the City’s health, welfare and wellness programs; handling hostile, conflict, and uncertain situations. • Using computer and various software programs. • Data analysis and problem solving. LICENSES AND CERTIFICATION REQUIREMENTS Valid Class C Texas driver’s license PHYSICAL DEMANDS AND WORKING ENVIRONMENT Standing, sitting, walking, lifting, carrying, pushing, pulling, reaching, handling, fine dexterity, crouching, bending, vision, hearing, talking, use of foot controls.