Health Benefits Coordinator

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Health Benefits Coordinator

Salary

$65,346.08 - $101,373.23 Annually

Location

Lakeland, FL

Job Type

Full Time Regular

Job Number

2084-03

Department

Risk Management & Purchasing 0400000000

Opening Date

12/21/2022

Closing Date

2/6/2023 4:34 PM Eastern

FLSA

Exempt

Bargaining Unit

NA

GENERAL DESCRIPTION OF CLASS

This is professional work engaged in ensuring the City's employee health benefit programs are administered according to City policy, bargaining agreements, and governmental regulations.   An employee in this classification works under executive direction and is responsible for substantive program policy determination and selection and administration of benefit programs, providing cost-effective options for city employees and retirees. Supervises the Benefits Team for engagement and scheduling of plan enrollment, changes, adjustments, education seminars, screenings, and verifications. Coordinates with third party administrators, actuaries, and medical review agencies.  Employee has wide latitude for independent action in the performance of assigned duties and is expected to carry all functions through to completion with a minimum of supervision. Responsible for updating Risk Manager as to the financial status of City Health Plan.

ESSENTIAL FUNCTIONS AND ADDITIONAL FUNCTIONS

  • Develops, recommends and implements health, life, dental, vision, flexible spending, long-term disability, and voluntary benefit insurance programs.
  • Schedules and coordinates enrollment periods, presentations, and training concerning health benefit programs.
  • Leads, guides, and directs staff who confer with employees and retirees on benefits questions and selections for enrollment and in consultation with vendors as necessary. 
  • Functions as liaison between the City's health benefit programs, Third Party Administrators, and Employee Wellness Clinic administration.
  • Directs administration and accurate recording of changes into the employee benefits database, reviews all reports and reconciles with Payroll to resolve errors.  
  • Creates and distributes routine and unique employee health benefit wellness communications.
  • Develops and executes cost containment strategies including wellness center and related efforts, medical case management, disease management, and other wellness offerings. 
  • Functions as HIPAA Privacy Officer. 
  • Maintains compliance issues with a Section 125 Cafeteria plan, Consolidated Omnibus Budget Reconciliation Act (COBRA), the Affordable Care Act (ACA), and the Internal Revenue Service (IRS).
  • Directs recording of death claims and disability waivers under the group life insurance program and salary continuance program.
  • Conducts research, prepares and completes Requests for Proposals (RFPs), reviews the selection of providers, and prepares plan summary documents for benefit offerings. 
  • Coordinates the collection of essential data to actuary to include census with demographics and financial status of the City’s Self-Funded Health Plan for submission of the Government Accounting Standard Board (GASB/OPEB), Medicare Part D, and submission of health fund to the state to comply with the Section 112.08.  
  • Coordinates and applies for the Retiree Drug Subsidy (RDS) annual Medicare Part D Subsidy for processing the application and reimbursement.  
  • May be required to work alternate hours as necessary for the efficient operation of the department.   
  • Position designated as Mission Critical.

ADDITIONAL FUNCTIONS:

  • Performs related work as required.

QUALIFICATIONS (EDUCATION, TRAINING AND EXPERIENCE) AND SPECIAL REQUIREMENTS

  • Graduation from an accredited four (4) year college or university with major course work in insurance, public administration, business administration, or a related field.
  • Five (5) years of benefits administration experience including three (3) years of supervisory experience. 

 An equivalent combination of education, training and experience which provide the knowledge, skills and abilities and other competencies necessary for success in the target position may be considered.

SPECIAL REQUIREMENTS:

  • Must possess a valid driver’s license.
  • Public sector experience desired.

KNOWLEDGE, SKILLS, ABILITIES AND WORKING ENVIRONMENT/PHYSICAL REQUIREMENTS

  • Extensive knowledge of medical and pharmacy health benefits insurance coverage and claims administration of self-insured programs.
  • Knowledge of the Health Insurance Portability and Accountability Act (HIPAA).
  • Knowledge of Section 125 Cafeteria regulations.
  • Knowledge of COBRA 
  • Ability to think analytically to analyzing information and use logic to address work related issues and problems and solve complex problems.
  • Ability to formulate and execute insurance plans and perform health insurance audits.
  • Ability to write and speak clearly and succinctly in a variety of communication settings.
  • Ability to establish and maintain effective working relationships with co-workers, health and benefit providers, other City employees and the general public.
  • Ability to prepare and analyze Requests for Proposals (RFPs) for related benefits and third-party administrators.

 WORKING ENVIRONMENT/ PHYSICAL REQUIREMENTS: 

  • Requires sedentary work that involves walking or standing some of the time, exerting up to 10 pounds of force on a recurring basis, routine keyboard operations.
  • The job risks exposure to no significant environmental hazards.
  • The job requires normal visual acuity, and field of vision, hearing, speaking, color perception, sense of smell, depth perception, and texture perception.

All City of Lakeland positions are subject to testing (e.g. written, oral, performance, computerized, interview, and/or any combination).  Candidates selected for testing will be notified via email or telephone.  Please check your e-mail and telephone messages regularly, including "junk" folders.  Test times and locations to be announced.

THE CITY OF LAKELAND IS AN EQUAL OPPORTUNITY/EQUAL ACCESS EMPLOYER AND A DRUG FREE WORKPLACE

 
City of Lakeland
Summary Sheet 

Annual Leave
Annual leave is accumulated bi-weekly and based upon years of service as follows:



Sick Leave
Sick rate is accrued biweekly based upon years of service and standard hour classification. Eligible for use as soon as earned. Regular part-time employees who work at least 20 hours per week accrue sick leave at the rate of 4 hours per month.
 
*NOTE: REGULAR employees with a working day other than 8 hours, please contact your supervisor regarding these policies.

Sick Leave Pool
Allows employees to receive sick leave benefits in cases involving catastrophic or long-term illnesses or injuries after all personal leave time has been depleted. Regular full-time employees contribute 8 hours and Regular part-time employees contribute 4 hours on an annual basis. Employees must have completed one full year of service on or before December 31st of the calendar year enrollment, and have accumulated at least 40 hours of sick time (20 hours for Regular part-time employees). Participation in this program is voluntary.

Family & Medical Leave
Federal legislation guarantees up to 12 weeks per year off work under certain circumstances outlined in the policy manual. The employees must have been employed by the City for at least 12 months and have at least 1,250 hours of service during the 12-month period before the requested leave. The City will continue its group life and health insurance for an employee on leave at the same level and under the same conditions that existed while the employee was working.

For more information, contact Lynnette Larmouth at 834-8793.

Pension Plan
Provision for retirement income requiring mandatory participation for full-time regular employees.
 
Defined Benefit Plan: 
Plan C Employee 5.81%
Employer 19.33% 

 OR 

Defined Contribution Plan:
Executive and new hires over age 52 Employee 8.5% or 10.73% per election upon hire Employer 15.39%
 
Deferred Compensation 457 Plan:
A voluntary plan that is invested in mutual funds. The Employees' Pension Board performs the due diligence on the mutual funds. Employees may reallocate their account at any time.

Maximum contribution for 2022 is $20,500; employees age 50 or older can also add a "catch-up" amount of $6,500. Additionally, a match of up to 5% of salary is offered by the City in Plan C.
 
Holidays
Eleven (11) holidays, includes one personal floating holiday to be used at any time after three months of employment and prior to the end of the calendar year.
 
Funeral Leave
Up to three days off with pay due to death of an immediate family member (as defined in the policy manual). Up to four hours off with pay may be obtained through supervisor approval to attend local funeral services of persons other than immediate family.
 
Jury/Witness Duty
Employees required to serve on jury duty will be relieved of responsibility for their regular work shift or portion thereof and receive full pay while serving. All fees received for such service may be retained by the employee. Employees subpoenaed to any civil or criminal court proceeding, which employee is not personally or monetarily interested, shall be paid as if engaged in regular work activities.

Military Leave
Allows for up to 240 hours in any one calendar year for annual military training without loss of pay or benefits for any employee in some type of reserve status for the United States Armed Forces. (see policy manual for additional information).

Maternity Leave
Refer to Family & Medical Leave for those employees who qualify. Others may take up to three months leave of absence available upon approval of the Department Head. Employees may opt to utilize any combination of paid (sick or annual leave) or unpaid leave.

Leave of Absence Without Pay
Written requests are subject to approval by Department Head and City Manager or designee for less than 90 days. Requests for more than 90 days also require Civil Service Board approval for employees in a Civil Service classification.
 
Longevity Pay



Tuition Reimbursement
Eligible after one year of employment. The program provides employees up to $2,000 per fiscal year (October 1 through September 30) for reimbursement of tuition of approved college, university, vocational, or correspondence classes upon completion with a grade of "C" or better in credit courses only. Full reimbursement is given for courses and fees, upon approval. The program does not include reimbursement for the cost of books, supplies or other related expenses.

For more information, contact Sue Cook at 834-6844.
  
Suggestion Awards
A program designed to provide a consistent and organized method for employees to submit and be rewarded for constructive ideas for improvement. The maximum award is $1000.

For additional information, contact Kathy McNelis at 834-6348.
 
Direct Deposit of Paycheck (refer to handout in new employee folder)
An account must be established with the institution of your choice prior to signing up for direct deposit.
 
Uniforms/Equipment
Uniforms are issued at no cost to employees for those job classifications which require them. Equipment is given to employees at either no cost or discounted cost depending upon job classification.

Break Periods
Employees may be permitted two 15-minute breaks during the work day. The time shall be at the discretion of the supervisor.
 
For Information on Health Insurance, Dental, Vision, and Life Insurance please contact Benefits at 834-6797. 

For Information on Retirement Benefits, contact the Retirement Services Department at 834-8784 or 834-8794.
 
For Information on Firefighter and Police Officer Retirement Benefits, contact Foster & Foster at 239-333-4872.

01
Please indicate your highest level of education.
  • Less than a High School Diploma or GED
  • High School Diploma or GED
  • Some College - less than 30 credit hours
  • Some College - 30 credit hours, but less than 60 credit hours
  • Associate's Degree or 60 credit hours
  • 90 Credit Hours
  • Bachelor's Degree or 120 credit hours
  • Master's Degree
  • Doctorate Degree
02
Please indicate your years of experience in benefits administration.
  • None
  • Less than 1 year
  • At least 1 year, but less than 3 years
  • At least 3 years, but less than 5 years
  • At least 5 years, but less than 11 years
  • At least 11 years, but less than 14 years
  • At least 14 years, but less than 17 years
  • 17 years or more
03
Please provide a narrative supporting your answer to the above question. Be sure to include specific job title(s), job duties, organization(s) and the dates where the work was performed. Note: The employers and dates of employment you list here must also be included in the "Work Experience" section of this job application.
04
Do you possess three (3) years of supervisory experience?
  • Yes
  • No
05
How many years' experience do you have of medical and pharmacy health benefits insurance coverage and claims administration of self-insured programs? Please describe your experience.
06
How many years' experience working with the Health Insurance Portability and Accountability Act (HIPAA)? Please describe your experience.
07
How many years' experience working with Section 125 Cafeteria regulations? Please describe your experience.
08
How many years' experience working with COBRA? Please describe your experience.
09
How many years' experience working with preparing and analyzing Requests for Proposals (RFPs) for related benefits and third-party administrators? Please describe your experience.
10
How many years' experience working with formulating and executing insurance plans and perform health insurance audits? Please describe your experience.
11
By clicking "Yes" below, I understand that all relevant work experience MUST be entered in the "Work Experience" section on my application. In addition, all current City of Lakeland employees must list all previous City of Lakeland work experience in the "Work Experience" section of the application. Failure to complete the "Work Experience" section will disqualify you from the application process.
  • Yes
  • No

Required Question

Agency
City of Lakeland, Civil Service
Address
500 N Lake Parker Avenue

Lakeland, Florida, 33801
Phone
(863)834-8790
Website
http://www.lakelandgov.net/employmentservices
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