City of Austin - JOB DESCRIPTION

Benefit Fund Administrator

Under minimal direction, responsible for the management and development of the Employee Benefit Fund long range forecasts, revenue estimates, rate recommendations, trends, and benefit plan design recommendations to ensure Affordable Care Act compliance, as well as financial solvency of the Employee Benefit Fund.

1. Serve as subject matter expert for plan design, medical benefits, and cost share information and take principal responsibility for the Employee Benefits Fund.
2. Collaborate with the City’s third-party administrator (TPA) to track, document, and maintain updates and changes to the medical plan designs.
3. Prepare budget items, weekly and monthly invoicing, ACA compliance filings, and contract management of all benefit-related contracts.
4. Facilitates meetings with stakeholders and end users to identify, prioritize, understand, and document business and technical processes and requirements.
5. Develops process documentation/workflow modeling to outline current state and future state to determine process improvements and automation capabilities.
6. Recommends solutions from identified issues and risks regarding the health of the fund.
7. Identifies inconsistencies and complications to the attention of management and participates in the problem resolution.
8. Analyzes claims data and operational data through extracted reports and provides a high-level analysis review to identify member education campaigns.
9. Studies operational and performance data to identify trends and opportunities for improvement.
10. Partner and collaborate with key Health Fund stakeholders in: Health Analytics, Data, Policy & Strategy, Pharmacy, Shared Services.
11. Assist with Request for Proposal (RFP) initiatives and other strategic projects.

May be responsible for the full range of supervisory activities including selection, training, evaluation, counseling, and recommendation for dismissal.

• Must possess required knowledge, skills, abilities and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed.
• Knowledge of the processes and theories used for public budgetary and financial policies for benefit funds.
• Knowledge of forecasting models; econometric studies, analysis and forecasting; and estimating methods and techniques.
• Knowledge of financial and budget systems and reporting.
• Knowledge of leadership/supervisory/management best practices.
• Knowledge of operational understanding of claim processing and provider reimbursement.
• Knowledge of benefit rate making and self-funded financial methodologies.
• Ability to propose and develop process improvement strategies using operational and performance data.
• Skill in using computers and related software, including Microsoft Office products., especially Excel and PowerPoint.
• Skill in effective oral and written communication and conducting presentations.
• Skill in interpreting and analyzing data and applying critical and analytical thinking to resolve problems.
• Skill in prioritizing multiple tasks, planning and organizing work to meet deadlines. Ability to apply project management principles and techniques to create project plans, manage scope, and schedule deliverables.
• Ability to take initiatives to plan and accomplish objectives in a timely fashion.
• Ability to establish and maintain effective working relationships with project team members, supervisors, employees from other departments and third-party administrators.

• Graduation with a Bachelor’s degree from an accredited college or university with major course work in a field related to Finance, Business, Accounting, Actuarial Science, or Health Administration or closely related plus five (5) years of experience in a related field.
• A Master's in Finance, Accounting, or Business-related field or a CPA designation may substitute for two (2) years of experience requirement.