Benefits Consultant (State Employee Health Benefits Program) - Kansas Dept. of Administration

Kansas Department of Administration, State Employee Health Benefits Program: https://healthbenefitsprogram.ks.gov

About the Position:
Who can apply: Anyone
Classified/Unclassified Service: Unclassified
Full/Part-time: Full-Time
Regular/Temporary: Regular
Work Schedule: M-F 8-5
Eligible to Receive Benefits: Yes
Veterans’ Preference Eligible: Yes
Compensation: Starting Hourly Pay: $18.73 / hr
How to Apply: Jobs.ks.gov Job #205470
Application Deadline: Open until filled

Employment Benefits:
First day of employment coverage under the State Employee Health Plan (SEHP) for medical and prescription drug coverage and dental plan.
Additional voluntary options including vision, hospital indemnity, accident and critical illness insurance plans and flexible spending accounts.
SEHP members and their covered family members have access to the HealthQuest Health Center at 9th and Kansas Avenue in Topeka for in person and virtual health care services.
Sick & Vacation leave
Paid State Holidays
Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
Employee discounts with the STAR Program
Retirement and deferred compensation programs
Visit the Employee Benefits page for more information: https://admin.ks.gov/offices/personnel-services/jobs/benefits

Position Summary & Responsibilities:
The Program Consultant position functions as a health benefits consultant to the Non-State Employer (NSE) Membership Services group. The Program Consultant position is located in the State Employee Health Benefits Plan (SEHBP) and reports to the Senior Manager, SEHP Membership Services. The SEHP Membership unit is responsible for the enrollment of 100,000 plus lives. This is one of two positions that work with the 170 + Non-State Public Employer (NSE) groups across the State of Kansas and all of the NSE HR offices.

This position also is a primary contact for COBRA administration and provides back up for the Active State and Direct Bill population. The primary duties and responsibilities of the position consist of the following:

Interpret group health insurance (GHI) policies and procedures established by the Health Care Commission (HCC) in accordance with federal and state law, statutes and regulations including Medicare and COBRA in order to determine eligibility for non-state employer (NSE) groups and members under the State Employee Benefits Health Plan (SEHBP).
Process dashboard requests daily and ensure all the correct membership documentation/correspondence is uploaded to members' records in MAP. Generate program correspondence as needed to NSE members and human resource (HR) representatives. Review member submitted communication for appeals, corrections and requests for exceptions under the SEHP. Present and discuss exceptions with supervisor. Contact carriers and other vendors with urgent membership eligibility issues and updates. Approve and enter new enrollments, terminations, life event changes and membership/eligibility data into Membership Administration Portal (MAP) for NSE group and COBRA members.
Execute reports, verify and make corrections to health plan membership data. Contact carriers and other vendors with urgent membership eligibility issues and updates. Reviews and makes decisions on member submitted communication forms for appeals, corrections and requests for exceptions under the SEHP. Presents and discusses exceptions with supervisor. Generate program correspondence to member and NSE human resource (HR) representatives.
Receive various COBRA reports and takes the appropriate action in MAP. Verify and make necessary corrections to COBRA membership data entered in MAP. Contact carriers with urgent membership updates.
Participate in the design and content of the NSE Open enrollment materials including information for the SEHP website and newsletters.

Minimum Qualifications:
High school diploma or GED and 6 months of experience in business, public health or related field. Education may be substituted for experience as determined relevant by the agency.

A valid driver’s license is required.

The incumbent will receive training in the provision of the HIPAA Privacy Regulations and HIPAA Security Regulations as they relate to the duties of this position and is required to sign a confidentiality agreement.

Recruiter Contact Information:
Name: Kim Warren
Email: dofapersonnel@ks.gov
Mailing Address: Department of Administration Personnel Office, 900 SW Jackson, Room 401-N, Topeka, KS 66612

Equal Employment Opportunity
The State of Kansas is an Equal Opportunity Employer. We value diversity, equity, and inclusion as essential elements that create and foster a welcoming workplace. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job.

If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the recruiter.

Click Here to Apply 
 

Job Posted Until 3/1/2023