Duties, Functions and Responsibilities: - Essential duties and functions, pursuant to the Americans with Disabilities Act, may include the following. Other related duties may be assigned. - Serve as subject matter expert for plan design, medical benefits, and cost share information and take principal responsibility for the Employee Benefits Fund. - Collaborate with the City’s third-party administrator ( TPA ) to track, document, and maintain updates and changes to the medical plan designs. - Prepare budget items, weekly and monthly invoicing, ACA compliance filings, and contract management of all benefit-related contracts. - Facilitates meetings with stakeholders and end users to identify, prioritize, understand, and document business and technical processes and requirements. - Develops process documentation/workflow modeling to outline current state and future state to determine process improvements and automation capabilities. - Recommends solutions from identified issues and risks regarding the health of the fund. - Identifies inconsistencies and complications to the attention of management and participates in the problem resolution. - Analyzes claims data and operational data through extracted reports and provides a high-level analysis review to identify member education campaigns. - Studies operational and performance data to identify trends and opportunities for improvement. - Partner and collaborate with key Health Fund stakeholders in: Health Analytics, Data, Policy & Strategy, Pharmacy, Shared Services. - Assist with Request for Proposal ( RFP ) initiatives and other strategic projects. - Responsibilities- Supervision and/or Leadership Exercised: May be responsible for the full range of supervisory activities including selection, training, evaluation, counseling, and recommendation for dismissal. Knowledge, Skills and Abilities: - Must possess required knowledge, skills, abilities, and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. - Must possess required knowledge, skills, abilities and experience and be able to explain and demonstrate, with or without reasonable accommodations, that the essential functions of the job can be performed. - Knowledge of the processes and theories used for public budgetary and financial policies for benefit funds. - Knowledge of forecasting models; econometric studies, analysis and forecasting; and estimating methods and techniques. - Knowledge of financial and budget systems and reporting. - Knowledge of leadership/supervisory/management best practices. - Knowledge of operational understanding of claim processing and provider reimbursement. - Knowledge of benefit rate making and self-funded financial methodologies. - Ability to propose and develop process improvement strategies using operational and performance data. - Skill in using computers and related software, including Microsoft Office products., especially Excel and PowerPoint. - Skill in effective oral and written communication and conducting presentations. - Skill in interpreting and analyzing data and applying critical and analytical thinking to resolve problems. - Skill in prioritizing multiple tasks, planning and organizing work to meet deadlines. Ability to apply project management principles and techniques to create project plans, manage scope, and schedule deliverables. - Ability to take initiatives to plan and accomplish objectives in a timely fashion. - Ability to establish and maintain effective working relationships with project team members, supervisors, employees from other departments and third-party administrators.