Reference #: 4528332
THE POSITION
Looking for a rewarding career in retiree health care? The Public School Employees' Retirement System (PSERS) is looking for a Director of the Health Insurance Office to oversee our unique post-employment Health Options Program administered for the sole benefit of Pennsylvania's retired school employees. We are looking for a self-motivated, forward-thinking senior health plan management professional to become a member of our team to navigate the evolving health insurance industry to ensure PSERS continues to provide comprehensive and competitive medical and Medicare prescription drug coverage to our retirees.Since 1994, PSERS has offered a voluntary, self-funded retiree health care plan to public school retirees, their spouses, and dependents that has expanded throughout the years to offer a variety of plans and services. Participants may select among two self-insured Medicare supplement plans, three Medicare Rx plans, and multiple Medicare Advantage plans from multiple managed care plans for those eligible for Medicare. Participants not eligible for Medicare have a choice between a self-insured pre-65 indemnity plan. The Health Options Program also offers a fitness program and a dental and vision option through fully insured carriers. The Health Options Program has over 123,000 participants with nearly 100,000 participants in the prescription drug plan totaling over $540 million annual health plan budget.The Health Insurance Premium Assistance Program provides a premium assistance payment for eligible PSERS retirees enrolled in an approved health insurance plan up to $100. Premium Assistance Program membership is currently over 90,000.The Pennsylvania Public School Employees' Retirement System (PSERS, www.psers.pa.gov), is an agency in the Commonwealth of Pennsylvania that administers the pension plan for Pennsylvania's public school employees. The mission of PSERS is to maintain a financially sound System that supports over a half million members with a current pension fund of approximately $70+ billion. This position will play a contributing part in ensuring PSERS fulfills its mission and values.
?
PSERS is located in Harrisburg, PA, a mid-size city situated along the Susquehanna River. The Harrisburg area is affordable and near many attractions including Hershey, and it is only two hours from major cities and airports like Philadelphia, Baltimore, and Washington D.C.DESCRIPTION OF WORK
The Director of the Health Insurance Office is responsible for overseeing the administration of the voluntary, post-employment health care programs sponsored by the Public School Employees' Retirement Board (PSERB) for Public School Employees' Retirement System (PSERS) members and their dependents. The post-employment health care programs include self-insured Medicare supplement plans, an employer-direct Medicare Part D prescription drug plan, a pre-65 medical plan, insured Medicare Advantage plans, pre-65 managed care plans, insured dental program and vision plans, premium assistance benefits, and a healthy lifestyle fitness program. Interested in learning more? Additional details regarding this position can be found here: position description.Work Schedule and Additional Information:
Full-time employment
Work hours are 8:30 AM to 5:00 PM, Monday - Friday, with 60-minute lunch. Hours are negotiable.
Telework: Teleworking is optional for this position with an occasional need to report to the Harrisburg office. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the office in Harrisburg.
Salary:In some cases, the starting salary may be non-negotiable.
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
REQUIRED EXPERIENCE, T AINING & ELIGIBILITYQUALIFICATIONS
Minimum Experience and Training Requirements:
Six years of professional experience in the design, implementation, and administration of a self-funded group health insurance benefit program that includes two years of experience in a supervisory or consultative capacity involving health insurance benefits experience, and a bachelor's degree; orCertification as a Certified Employee Benefits Specialist and five years of professional experience in the design, implementation, and administration of a self-funded group health insurance benefit program that includes two years of experience in a supervisory or consultative capacity involving health insurance benefits experience, and a bachelor's degree; orAn equivalent combination of experience or training that includes two years of experience in a supervisory or consultative capacity involving health insurance benefits experience.Additional Requirements:You must be able to perform essential job functions.
Preferred Qualifications (not required):
Seven or more years of professional experience in the design, implementation, and administration of a self-insured group health insurance benefit program.
Three or more years of experience in a management and leadership capacity involving health insurance benefits experience.
Five or more years of professional experience in strategic and operational planning for a health insurance benefit program.
Five or more years of professional experience with oversight responsibility of a Medicare Part D prescription drug plan, including development of a custom formulary, and related contracted compliance services with the U.S. Department of Health and Human Services' (HHS) Center for Medicare and Medicaid Services (CMS).
Two or more years of professional experience in the negotiation, administration, and compliance of contracts.
Two or more years of professional experience in budget administration.
Two or more years of professional experience in conducting Medicare/Medigap related market analysis.
Two or more years of working directly with a Board of Trustees or a Commission.
Two or more years of professional experience administering a dental drug plan or a vision plan.
Two or more years of professional experience overseeing a customer service call center and claims processing services.
One or more years of professional experience in managing a premium assistance program.How to Apply:
Your application must include a cover letter and resume.
You must attach a cover letter and resume to your application for review by the hiring manager. However, the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
Failure to comply with the above application requirements may eliminate you from consideration for this position.Veterans:Pennsylvania law (51 Pa. C.S. 7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go towww.employment.pa