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Employee Benefits Manager

Salary: N/A

DEFINITION: Under direction, plans, directs and supervises the operations of various employee benefit programs including health, life, accident, disability and unemployment insurance, employee assistance programs, and flexible spending plans; and performs related duties as required.

EXAMPLE OF DUTIES:

1. Plans, directs and supervises the operation of various employee benefit programs; analyzes, develops, implements and evaluates policies and procedures; advises executive management on overall program operations including premium rate determinations and significant administrative issues; directs preparation and distribution of insurance and other benefits descriptive and enrollment materials.
2. Supervises and evaluates the work of the employee benefits division staff; plans, schedules and assigns work; hires and trains staff.
3. Consults with insurance brokers to survey and obtain coverage trends, options and costs; responds to insurance proposals from brokers, agents and consultants and makes recommendations for coverage and provider changes; directs and oversees work of contract employee benefits consultants in designing benefits program changes and actuarial review of self-funded health insurance program; explain employee benefit programs and services to employees, departments and employee organizations.
4. Prepares and administers annual budget for self-funded health insurance program and unemployment insurance program; maintains and evaluates financial records, and program costs; prepares specifications and contracts for provider and employee benefits consulting services; processes and administers a wide variety of contractual agreements; oversees audits by internal staff and contractors of various benefits programs.
5. Identifies data processing criteria and requirements for computerized recordkeeping, payment and information files; coordinates and consults with auditors and data processing staff to develop, install and monitor benefits input, employee deductions processing and production of various management and ad hoc reports.

EMPLOYMENT STANDARDS:

1. Two years of professional experience in developing and managing employee health and benefit insurance programs, workers' compensation, loss control or other employee benefit programs; or,
2. a combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge and abilities.

Additional Qualifications: A valid California Class C Driver's License is required at the time of employment.

Knowledge of: principles and practices of management including program planning, implementation, administration and evaluation; current trends and issues related to employer sponsored benefits programs; contracting processes and administration; general accounting and recordkeeping methods for claims administration; data processing applications for management information systems; principles of supervision; employer group insurance and indemnity plans, and available coverage; State and Federal laws and regulations relating to employee benefit administration, health plan administration, and Health Maintenance Organizations; budget preparation and monitoring practices.

Ability to: plan, direct, supervise and evaluate subordinate staff; prepare and monitor health care and other benefits budgets; make presentations before Board of Supervisors, employee organizations, advisory bodies, county employees and others; analyze and make recommendations for policy and rate changes; establish and maintain working relationships with employees, managers, brokers, agents and other contractors; negotiate and administer contracts and agreements with insurance companies, claims and program administrators, consultants and others; analyze and interpret insurance contracts, legal documents and reports; collect, evaluate and interpret data; evaluate program policy and practices, define problem areas, develop and direct the implementation of policy decisions and practices to improve operations; communicate clearly, concisely and effectively both verbally and in writing; develop and control a budget.

Desirable Qualifications: Health Insurance plan management experience including rate and contract negotiations with insurance carriers and consultants, and coordination with provider organizations and third party administrators is desirable.

Knowledge of health plan administration is highly desirable.
 



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