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TSS EBD DIRECTOR
The Department of Finance Administration (DFA) Employee Benefits Division (EBD) Administrator is responsible for the State and Public School Employees Life and Health Insurance plan and directs activities to include fiscal, operational, and medical management of the plan. This position is governed by state and federal laws and agency/institution policy.
Class Code:
N036N
Job Grade:
SE02
Special Job Requirements:
None
Typical Functions:
Manages the Employee Benefits Division by hiring staff, developing budgets, outlining communications plans, and defining policy and procedures from legislative and the Insurance Board requirements, to ensure compliance with all federal, state, and agency mandates. Manages the Insurance Board and ensures the collection of insurance premiums to fund the insurance program and invests reserves within the state guidelines. Supervises the implementation and management of the health insurance and other employee benefits programs, plans, and individual and group policies made available to public school and state employees, to include deferred compensation and voluntary insurance products. Creates and evaluates requests for proposals for insurance and support services required to administer insurance programs for the Employee Benefits Division and the Insurance Board. Reports on the status of insurance programs to the Department of Finance and Administration Director and Deputy Director, the State and Public School Life and Health Insurance Board, the Insurance and Commerce Committees, and Legislators as requested. Engages and works with actuaries, consultants, and vendors regarding benefit options, cost containment initiatives, funds management, discontinuation of services, strategic planning, and actuarial projections for rates and reserves. Testifies before the legislature, interacts with the Attorney General’s office on legal matters, and communicates with members and stakeholders regarding insurance coverage and projections. Performs other duties as assigned.
Knowledge, Abilities, and Skills:
Knowledge of state and federal laws governing employee benefit programs. Knowledge of medically appropriate services, actuarial projections, and rate setting. Knowledge of investment management and strategy Ability to complete strategic planning for future health coverage, health services delivery, and health services financial management Ability to interpret and apply federal and state laws and regulations that govern employee benefit programs. Ability to understand the application and functionality of multiple technical systems required in the management of group health and life insurance Ability to understand and explain insurance coverage plan policy for implementation, application, and the appeal process Ability to provide organizational management and leadership to a staff of employees, vendors, the Insurance Board, and its subcommittees
Minimum Qualifications:
The formal education equivalent of a bachelor’s degree in a related field; plus seven years of experience in benefits administration/insurance or a related field, including three years in a supervisory or managerial capacity. Certification as a Fellow Academy of Healthcare Management or equivalent benefits certification is preferred. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.
Required Certificates:
None
Exempt:
E
