CBA DESIGNATION: CONFIDENTIAL
NOTE: The term "Confidential" refers to an employee who is required to develop or present management positions with respect to employer-employee relations or whose duties normally require access to confidential information that is used to contribute significantly to the development of management positions as communicated in Government Code Section 3540.1.
Under the general direction of an appropriate manager within the Office of Human Resources, the position performs the primary administration of health and wellness benefits to District employees and provides information to employees, retirees, and the general public on the Districts employee health and wellness benefits program, and designs and implements appropriate processes to ensure employees receive benefits.
The position will act as the technical expert on employee health and wellness benefits in the Human Resources Department. The position will have essential responsibilities in the area of health and wellness benefits coordination, research, analysis, reporting, and will act as the District’s liaison between the District and employees, retirees, insurance carriers, and other members of the community. The position will be required to coordinate all employee health and wellness benefits, related events and workshops, remain current on benefits related laws and legislative changes, and assist the district develop and implement policies relating to benefits. The position will provide lead direction to employees in the human resources department assigned to the health and wellness benefits division.
ESSENTIAL JOB FUNCTIONS
HEALTH AND WELLNESS BENEFTITS COORDINATION
- Coordinates the day to day administration of the District’s employee health and wellness benefit programs.
- Assists in the administration of contracts and agreements and resolution of administrative problems with health and wellness benefit providers and third party administrators as directed.
- Coordinates employee benefit enrollments and terminations.
- Assists in developing material communicating new health and wellness plans to employees. Revises and reissues all communication materials on benefits.
- Processes employee benefit election forms;
- Determines benefits eligibility and effective dates;
- Ensures that all health and wellness plan documents, summary plan descriptions, booklets and information brochures are accurate and current for dissemination.
- Plans and implements open enrollment activities and other related events;
- Plans and conducts workshops.
- Assists with wellness programs, flu shots, and health promotions, and other wellness projects as assigned.
- Maintains health and wellness Benefits Calendar.
RESEARCH, ANALYSIS, & REPORTING
- Reviews and analyzes changes of state and federal laws pertaining to health and wellness benefits, and reports necessary or suggested changes to management.
- Assists management in developing, implementing, and enforcing new operational procedures to accommodate legislative changes; develops and monitors operational procedures to enhance workflow and program effectiveness;
- Remains current on related laws, regulations, and practices affecting all aspects of the position.
- Interprets language in collective bargaining agreements, district policy and legislation related to employee health and wellness benefits administration.
- Research participant records for internal and external information requests and inquiries, including verification of data for plan audits, open enrollment, etc.
- Researches and prepares federal, state, and district mandated reports.
- Enter and retrieve information from insurance carrier and/or vendor websites.
- Documents and maintains administrative procedures for assigned health and wellness benefit processes.
- Perform eligibility and enrollment audits.
DISTRICT BENEFIT LIAISON
- Maintains contact with insurance companies, employees, and beneficiaries to facilitate proper and complete utilization of health and wellness benefits for all employees.
- Provides information and assistance to District personnel and the public in regards to a variety of HR matters.
- Serves as District liaison to LACOE and all health and wellness benefit providers.
- Serves as District resource to employee, retirees, beneficiaries, and COBRA participants for health and wellness benefits information
- Send retirement plan participation communication to newly eligible employees.
- Provide information and guidance on health and wellness benefit plans, eligibility requirements, enrollment procedures, insurance claims resolution, coverage, and other related issues.
EDUCATION AND EXPERIENCE
Any combination of training and experience that would provide the required knowledge, skills, and abilities is qualifying. A typical way to obtain the required qualifications would be:
- Bachelor's degree in Accounting or Finance and four years of direct, increasingly responsible experience required.
- Six years of increasingly responsible, directly related work experience in excess of the four years of required experience may be substituted for the bachelor’s degree.
Planning, organization and coordination of employee health and wellness benefit programs
Practices and procedures used in health and wellness benefits administration.
Federal, state, and local laws and regulations that relate to benefits administrations.
Bargaining agreements and union contract interpretation.
Effective oral and written communication skills.
Record-keeping and report preparation techniques.
Correct English usage, grammar, spelling punctuation, and vocabulary.
Interpersonal skills, use of tact, patience, and courtesy.
Problem solving and conflict resolution in an academic environment.
- Modern office practices, procedures, equipment, and software applications.
Understand and interpret laws, rules, and regulations relating to employee health and wellness benefits and eligibility.
Coordinate and administer health and wellness benefits programs for employees and retirees.
Conduct research and prepare reports.
Make oral presentations to employee related to insurance enrollment options, contract provisions, and claims filing procedures.
Read, interpret, and apply applicable laws, regulations, codes, procedures, and MOU provisions.
Work independently with minimal supervision.
Provide lead direction to lower level classifications.
Communicate effectively both orally and in writing.
Interpret, apply, and explain rules, regulations, policies, and procedures.
Analyze situations accurately and adopt an effective course of action.
Ensure compliance with local, state and federal guidelines, policies, rules, and regulations.
Establish and maintain effective working relationships with others.
Demonstrate clear evidence of sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, and ethnic backgrounds of community college students, faculty, staff, and community
This position will require the frequent exhibition of mobility and communication skills; continuous repetitive movement of hands and fingers – typing and/or writing; the ability to grasp objects with both hands with a simple/light grasp; and to seldom lift, carry, and push/pull object weighing 10lbs -25lbs.
The position will frequently work within a moderate office climate with moderate noise exposure. The position will frequently work with members of the campus community, vendors and subordinates. The position will also frequently come into contact with the general public.
This is a non-exempt position and is subject to overtime.
LEVEL OF SUPERVISON EXERCISED
PROBATIONARY PERIOD: One year
Pasadena City College
1570 East Colorado Boulevard, Pasadena, CA 91106
(626) 585-7361 direct ⋅ (626) 525-7924 fax