This is professional work assisting the Health Benefits Coordinator through the review, development, statistical analysis of claims related trends, benefit comparisons, coordinating open enrollment process, and monitoring compliance changes for employees and retirees. The position requires a broad based knowledge of health, life, dental, vision, disability, and other employee and retiree insurance plans. Work is performed under the general supervision of the designated supervisor and is reviewed through conferences, reports, and evaluation of results obtained.

• Evaluates the performance results of all benefits vendors by reviewing financial and utilization reports
• Compiles reports from data collection sites and manipulates the data through Excel to evaluate, reconcile, and audit results comparing to historical and financial data.
• Shares various analyses with Health Benefits Coordinator, and works with them to decide corrective actions that are needed relative to negative trends.
• Works with the Health Benefits Coordinator to implement corrective actions plans with vendors.
• Works cooperatively with the Health Benefits Coordinator, other staff and the appropriate vendor(s) in designing and implementing benefits/plans changes/updates as well as designing reports to measure the clinical and financial performance of such plans/benefits.
• Identifies opportunities to improve healthcare results and recommends plans to enhance the health status of COL employees, retirees, and their dependents.
• Assists the Benefits Coordinator with the financials for the COL health plan trends and recommends corrective action, if indicated.
• Actively participates as a member of the department management team by sharing and soliciting appropriate information to enhance the performance of the City's Health Plan arelevant to the area of responsibility.
• Attends meetings as required to provide benefits analysis.
• Works with and through staff and vendors to ensure the development of plans/benefits and to identify expected outcomes/results for the COL employees, retirees, and their dependents.
• Assists with providing data for COL health plan as well as audits of all third-party administrators.
• Gathers feedback and evaluates the effectiveness of the performance of insurance products and the healthcare vendors that provide services to the COL.
• Assists Health Benefits Coordinator in providing essential data concerning the GASB and Medicare Part D and the Retiree Drug Subsidy.
• Performs accounting processes to reconcile and compare census utilization data.
• Keeps the Health Benefits Coordinator informed of critical issues and/or incidents within the department.Follows the COL policies and procedures.
• Responsible for keeping up to date on current technology being used by COL and the benefits industry.With the support of the COL, attending training to ensure skill level in various technologies is at the level required to perform in current position.
• Responsible for maintaining timely and accurate information and accountable for the quality of information on benefit analysis, outside vendors for Fire/Police pensions, and any differences with vendor contracts and current financials through payroll deduction and/or contract fees.
• Models the routine, intentional and effective use of technology in daily work, including communications and organization tasks.
• Manifests a professional code of ethics and values.
• May be required to work over forty (40) hours or alternate hours, as necessary for the efficient operation of the department.
• Position is designated as Mission Critical by Department Director.

• Performs related work as required.

• Bachelor's degree in Business Administration, Healthcare Management, Accounting/Finance, Project or Program Management or a related field from an accredited college or university.
• Three (3) years of experience supporting and analyzing insurance and wellness programs.

• Must possess a valid driver's license.
• Must maintain a valid phone number.

• Ability to analyze healthcare and other benefits data, identify trends and communicate this information.
• Above-average knowledge of electronic spreadsheets and premium structures.
• Appropriate understanding of per member, per month costs and utilization of current healthcare cost trends.
• Analytical skills to review healthcare information and formulate alternative solutions to problems.
• Knowledge of and commitment to decentralized decision making and accountability for results.
• Ability to evaluate the delivery of services provided by the healthcare and other benefit vendors that are contracted with COL.This is achieved by monitoring clinical outcome data (both national and COL specific), utilization per thousand, and cost units (PMPM).
• Must demonstrate the ability to identify problems from the established data collection systems and implement corrective actions working cooperatively with the vendor and other City departments involved.
• Ability to develop solutions to address new, mandated benefit requirements, both Federal and State.
• Must also possess quantitative skills and some experience with the development and management of budgets.
• Ability to conduct department activities with competence, initiative and professionalism.
• Must have demonstrated quantitative skills and the ability to work with rate calculations as well as healthcare benchmarks to improve the delivery of healthcare to employee, retirees and their dependents.
• Must have above-average knowledge of Microsoft Excel, PeopleSoft and Oracle, and experience in the retrieval of data from data collection systems, as well as the ability to compile data into a format that can be used for evaluation measurement.
• Must be proficient in PowerPoint as well as possess the ability to make related presentations.
• Ability to establish and maintain effective working relationships with co-workers, other employees, retirees, dependents and the general public.

• Requires sedentary work that involves walking or standing some of the time, exerting up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently, and routine keyboard operations.
• The job risks exposure to no significant environmental hazards.
• The job requires normal visual acuity, field of vision, hearing, speaking, color perception, sense of smell, depth perception and texture perception.

All City of Lakeland positions are subject to testing (e.g. written, oral, performance, computerized, interview, and/or any combination). Candidates selected for testing will be notified via email or telephone. Please check your e-mail and telephone messages regularly, including "junk" folders. Test times and locations to be announced.

THE CITY OF LAKELAND IS AN EQUAL OPPORTUNITY/EQUAL ACCESS EMPLOYER AND A DRUG FREE WORKPLACE