Overview 

The Health Benefits Manager is responsible for negotiating and managing benefits contracts, third party administration of benefits, conducting compliance audits, updating policies covering health benefits, and maintaining financial aspects of the City’s benefits plans and budget.

Responsibilities

·      Direct the activities of servicing agencies and outside consultants working on behalf of the City

·      Review and updates policies covering health insurance and benefits, and conducts formal health related presentations

·      Review the City’s health related insurance policies, recommends revisions, writes specifications for quotations, and negotiates with vendors to purchase appropriate coverage

·      Ensure cost containment for the City and adequate health insurance coverage for employees

·      Develop, maintain, and monitor financial aspects of the City’s benefit plans and ensures the City’s compliance with all aspects of the Affordable Care Act

·      Maintain configuration on ERP to determine Affordable Care Act compliance, benefits eligibility and plan rates 

·      Oversee projected revenue stream and expenditure estimates for health plans based on analysis of claims data and actuarial reports

·      Update, maintain and analyze actuarial data. Interface with actuaries, answer inquiries and providing data as requested

·      Assist with creating complex analysis reports on claims data

·      Prepares 10-year forecasts and adjust rate increases, performs fund balance computation for City funds

·      Ensure compliance with Affordable Care Act. Research ACA changes, makes recommendations for City procedures. Compute and pays ACA fees, track and document ACA offers, create and document employer appeals, produce and file annual 1095-C documents with the IRS

·      Track, update and issue compliance notifications

·      Prepare and monitor the division budget and statistical reports as related to the division

·      Required to supervise and monitor performance of the benefits staff, including hiring when needed

·      Coordinate related City compliance with State and Federal health laws

·      May be asked to perform other duties as assigned

Qualifications

·      Requires a Bachelor's Degree in Business, Management, or Finance

·      Six (6) years of direct or highly related experience

·      Three (3) years of supervisory experience is required

·      A combination of education and pertinent experience may be considered

·      A valid driver's license is required

·      Successful out of state candidates must be able to obtain a valid Texas driver's license within 90 days of hire