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Director Health Benefits

Company: Church Pension Group Services Corporation
Location: New York
Posted on: June 9, 2024

Job Description:


Department: Benefits Policy

Job Type: Regular Full Time

Education Level: BA/BS or combination of education and experience

Required Years Experience: 10

Church Pension Group (CPG) is a financial services organization that serves the Episcopal Church, located in Midtown Manhattan. CPG was founded in 1917 to provide pension benefits to eligible clergy of the Episcopal Church. Since then, its mission has expanded to include life and disability insurance, health benefits, property & casualty insurance, and publishing TheDirector Health Benefits is primarily responsible for managing the plan administration of all health benefits (medical, pharmacy, dental, vision, health savings accounts, employee assistance program, health plan advocacy/navigation, and travel assistance) . This position will also help identify and drive opportunities for efficiencies across the Benefits Policy team and may take on additional tasks associated with the broader Benefits Policy team goals and objectives. The incumbent is the policy and vendor relationship manager, responsible for coordinating and performing numerous plan administration activities, conducting performance analysis of the vendors and plans, and ensuring consistency in approach across all health plans. This position is typically expected to lead key projects within the business unit and organization. Effective performance of the essential functions of this position requires regular in-person, on-site interaction with colleagues, both for purposes of relationship building and meaningful collaboration. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.Execute the annual and multiple-year strategic plan for health plansResearch current market trendsCollaborate across BU/CUs to solicit information, test ideas and communicate changesComplete analysis to support strategic direction including impact analysisIdentify risksPresent recommendations to senior leadershipEnsure necessary policies associated with large corporate strategic initiatives are created and/or updated by the targeted effective date. Activities include:Coordination with Legal and Business CompliancePartnering with Business Data Operations, Client Services and Creative Services for release strategyManaging the development and quality review of all necessary policy documents by coordinating with subject matter experts and outside resources (e.g., legal counsel) as necessaryProject manage support teamWork closely with Business Compliance, Legal and management to ensure policies and procedures are addressed and documented, that vendors are compliant with all regulatory and legal requirements, and to ensure legal status is not compromised as applicable to the line of business (ex. VEBA for health)Manage day to day policy responsibilities by ensuring that any changes in plan administration is communicated (internally and externally) and key documents reflect current policies by supporting the review of:Medical Trust Administrative Policy ManualProcess documentation across benefitsJob aides and other training materialsHealth plan grids, Summaries of Benefits (SBCs) and plan document handbooksCompliance Coordinator for Benefits PolicyResponsible for managing resolution of member issues that arise and identifying emerging trends within the plansKeep apprised of market trends in benefits to bring new features and concepts to be consideredEmploy effective and proactive relationship management and communication practices to strengthen vendor and internal staff client relationshipsEnsure 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, Business Compliance, Business Data Operations, Business Relationship Management, Creative Services, Tax)Review and coordinate the appeals process for Benefits Policy team to support appeals committeeCoordinate with and support BDO and Creative Services, Research and Events with education initiatives and presentationsManage special requests for health plans (e.g., General Convention resolutions, Board of Trustees presentations, Episcopal Business Administrators Conference (EBAC), CPG Partnership Conference (PC)Manage special requests allowed under the plan rulesManage 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 prioritization 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/or EXPERIENCE
  • BA/BS in related field preferred. Combination of education and experience considered
  • 10+yrs of industry experience is required in or related to health plans, insurance industry, and/or benefits consulting with increasing responsibility
  • 5+yrs of track record of success in managing individuals, projects, or teamsPHYSICAL DEMANDS: Commuting to the office, on average, three days a week. 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, Tue-Thurs.). 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. Salary Range: $115,000 - $153,000Join us and Create A Better Future For Yourself!Flexible Benefits available to eligible employees:Medical (including Vision)DentalSupplemental DentalCore Benefits automatically provided to eligible employees:Employer funded defined benefit pension plan (five year vesting)Employee Life InsuranceSpouse and Dependent Life InsuranceAccidental Death and Dismemberment (AD&D) InsuranceShort-Term Disability (STD) coverageLong-Term Disability (LTD) coverage (elected as either pre-tax or after-tax)Business Travel Accident InsuranceWorker's CompensationEmployee Assistance ProgramRetiree health insurance (eligible after 10 years)Retiree life insuranceElective Benefits available to eligible employees:401(k) with matching contributions (immediate vesting)Flexible Spending Accounts (FSAs)Commuter BenefitsNew York's 529 College Savings Program (NY State residents)Educational Assistance Program available to eligible employeesParental Leave available to eligible employeesTime Off available to eligible employees: Vacation, Sick, Personal and HolidaysIn compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Please understand that, as a general policy, CPG does not sponsor visas. EOE: Minorities/Female/Disability/Vet/Sexual OrientationIf you are a CPG employee, please use your CPG email address when creating your profile to apply.

Keywords: Church Pension Group Services Corporation, New York , Director Health Benefits, Executive , New York, New York

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