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ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Execute the annual and multiple-year strategic plan for health plans: Research current market trends, Collaborate across BU/CUs to solicit information, test ideas and communicate changes, Complete analysis to support strategic direction including impact analysis, Identify risks and Present recommendations to senior leadership
- Ensure necessary policies associated with large corporate strategic initiatives are created and/or updated by the targeted effective date. Activities include: Coordination with Legal and Compliance, Partnering with IBO, CS and Communication for release strategy, Managing the development and quality review of all necessary policy documents by coordinating with subject matter experts and outside resources (e.g., legal counsel) as necessary and Project manage support team
- Work closely with Compliance, Legal and management to ensure policies and procedures are addressed and documented, that vendors are compliant with all regulatory and legal requirements.
- Manage policy responsibilities by ensuring that any changes in plan administration is communicated (internally and externally) and key documents reflect current policies
- Responsible for managing resolution of member issues that arise and identifying emerging trends within the plans
- Keep apprised of market trends in benefits to bring new features and concepts to be considered
- Employ effective and proactive relationship management and communication practices to strengthen vendor and internal staff client relationships
- Ensure vendor implementations are completed by the targeted effective date. Activities include managing in design, policy, and risk identification, manage the development and quality of the set up between the vendor and all key areas of CPG (Legal, Compliance, IBO, CS, IBAMS, Communications, Tax)
- Review and coordinate the appeals process for Benefits Policy team to support appeals committee
- Coordinate various initiatives and presentations
- Manage special requests allowed under the plan rules and manage all plan corrections through identification, escalation, and updates to processes and procedures
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Solid knowledge and understanding of health plans
- Experience with vendor performance standards development, monitoring, and enforcement
- Demonstrated ability to make sound decisions and recommendations based on business judgment, established guidelines and individual circumstances and to provide support and documentation for conclusions
- Excellent written communication skills, including prior experience developing and documenting policies; excellent verbal communication skills, including preparing and conducting presentations presentation skills
- Knowledge and experience with the legal and regulatory environment relating to benefits lines of business
- Ability to prepare executive summary reports
- Possess the ability to work collaboratively across all levels of the organization and with external clients and vendors
- Must be tactful, discreet, and professional in dealing with confidential/privacy matters
- Intuitive sense of honesty and highest ethical standards; all actions and decisions are consistent with corporate values
- Must be able to work on multiple tasks simultaneously, possess strong organizational and prioritizations skills, work independently, and meet urgent deadlines
- Ability to develop and maintain effective working relationships with a variety of stakeholders; consultative and collaborative style that allows for influence without authority
- Ability to operate and thrive in a fast-paced environment with competing priorities
- Flexible and comfortable to roll-up the sleeves, used to being hands-on
- Proficiency in MS Office (Words, Excel, PowerPoint, Outlook)
Education and Experience
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Bachelor’s degree in business or related fields - 10+ years of industry experience is required in or related to health plans, insurance industry, and/or benefits consulting with increasing responsibility, as well as 5+ years track record of success in managing individuals, projects, or teams
PHYSICAL DEMANDS: Extensive use of a computer keyboard is a demand of the position to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of this position.
WORK ENVIRONMENT: Hybrid (two days working from home, three days working in a standard office environment). Church Pension Group employees must maintain a professional, compassionate, and trustworthy work environment always. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of the job within this environment.
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Flexible Benefits available to eligible employees:
- Medical (including Vision)
- Dental
- Supplemental Dental
Core Benefits automatically provided to eligible employees:
- Employee Life Insurance
- Spouse and Dependent Life Insurance
- Accidental Death and Dismemberment (AD&D) Insurance
- Short-Term Disability (STD) coverage
- Long-Term Disability (LTD) coverage (elected as either pre-tax or after-tax)
- Business Travel Accident Insurance
- Worker’s Compensation
- Employee Assistance Program
- Staff Retirement Plan
- Other Post-Retirement Benefits
Elective Benefits available to eligible employees:
- Flexible Spending Accounts (FSAs)
- Commuter Benefits
- New York’s 529 College Savings Program (NY State residents)
Educational Assistance Program available to eligible employees
Maternity/Paternity Leave available to eligible employees
Time Off available to eligible employees: Vacation, Sick, Personal and Holidays