EMPLOYEE HEALTH PLAN ADMINISTRATOR 0943

DISTINGUISHING FEATURES OF THE CLASS

Under the direction of the County Personnel Director, an employee in this class administers the activities of the Suffolk County Employee Medical Health Plan Labor Management Committee and oversees the operation of the Employee Medical Health Plan. Work requires the exercise of considerable independent judgment and initiative. The incumbent participates in all Committee and sub-committee meetings, and all meetings with Plan providers and consultants. Responsibilities include assisting in the determination of funding levels to be included in the County budget and serving as the liaison to the Plan consultants, Committee attorneys, and the medical, prescription drug and mental health providers. The incumbent takes direction from the Personnel Director and the co-chairs of the Employee Medical Health Plan Committee. Does related work as required.

TYPICAL WORK ACTIVITIES

Administers and implements all policies established by the Committee;

Meets regularly with the Personnel Director and Committee co-chairs and responds and reports on all work activities and outstanding matters relating to the Health Plan;

Serves as liaison to the Plan benefit providers, legal advisors and consultants, and to all County union presidents and their designees on all health insurance matters;

Represents the Plan in contacts with benefit providers and government agencies, as may be required;

Receives appeals cases from members, beneficiaries or legal representatives; insures that appeal procedures are followed; provides appropriate supporting documents; forwards appeals to Plan personnel and/or consultants; and monitors timeliness of response;

Develops the Plan’s informational material in conjunction with Plan providers and consultants and oversees its distribution;

Receives legal updates on Federal and State legislation which may impact the Plan;

Reports on existing New York State health plan updates;

Develops and maintains an appeals database.

FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS

Thorough knowledge of the principles, practices and techniques of administering benefit programs; thorough knowledge of the principles and practices of employee relations; good knowledge of the capabilities of computerized record systems; good knowledge of recent developments, current literature and sources of information in the field of employee health plans; good knowledge of financial and budgeting procedures; ability to analyze facts and to exercise sound judgment in arriving at solutions to organization problems and appeals; ability to establish and maintain effective working relationships with benefit providers; ability to prepare clear, accurate and comprehensive reports; ability to express oneself clearly and concisely, both orally and in writing; ability to plan and direct the activities of a staff in a manner conducive to full performance and high morale; physical condition commensurate with the demands of the position.

MINIMUM QUALIFICATIONS

OPEN COMPETITIVE

Graduation from a New York State or regionally accredited college or university with a Bachelor's Degree, and five (5) years of administrative experience managing a jointly run union/management multi-provider health benefit program.

R06/05/08

SUFFOLK COUNTY

Competitive