|HEALTH SERVICES FINANCIAL MGR|
|Performs professional administrative work managing financial activities associated with self-funded employee health care program. An employee assigned to this position performs audits of financial and employee eligibility records, financial analyses, and develops forecasts. Produces comprehensive reports and makes presentations. Works closely with the City's Benefit Consultant, Actuaries, Employee Benefits Section and Budget Office in monitoring compliance and the financial status of the medical plan and other insurance products. Work is highly independent, performed under the general direction of the Human Resources Division Manager and is reviewed through conferences, reports submitted and results obtained.|
|Analyzes and reports healthcare program financial, utilization, trends and eligibility information to Division Manager, Benefits staff and Ad Hoc Advisory Committee.
Prepares monthly medical plan eligibility and premium reconciliation. Authorizes payment as appropriate.
Develops audit procedures and plans. Conducts random audits of claims, eligibility records, etc.
Prepares monthly financial statements.
Monitors and reports on benefit plans performance guarantees, as applicable.
Assists Division Manager in preparation and monitoring of budget and expenditures.
Analyzes current and proposed regulations, policies and procedures to determine impact on the Health care program. Makes recommendations to deal with all financial and operational concerns.
Assists in development of "Request for Proposal" and evaluation of proposals/bids for services that support medical and other related benefit programs.
Coordinate data flow and assistance with Benefits consultant, Actuaries and Auditors.
Serves as project manager and assigns project task to other HR staff; monitors progress and ensures that work is accomplished according to established plans/objectives. Reports upon completion of project.
Conducts process/workflow analysis to ensure efficient and effective operations.
Performs other related duties as assigned.
|Knowledge of generally accepted accounting principles and practice.
Knowledge of budget preparation and administration.
Knowledge of Federal and State regulations that impact health care and other employee benefit programs.
Knowledge of computerized financial management systems.
Knowledge of statistical and analytical evaluation techniques.
Knowledge of auditing techniques and procedures.
Skill in use of computer and business applications.
Skill in both verbal and written communications.
Ability to develop comprehensive reports and presentations.
Ability to effectively communicate verbally and in written form.
Ability to analyze and interpret financial and statistical data.
Ability to apply knowledge and skills in a collaborative setting.
Ability to establish and maintain effective working relationships.
Ability to serve as Project manager for major/special projects.
Ability to supervise the work of others.
Ability to analyze, develop and implement operating procedures.
|Bachelor Degree in Finance, Business, Accounting or related field required. A minimum of four (4) years professional experience performing detailed financial analyses, forecasting, auditing of financial and program records, and related experience. Proficiency in the use of computers and Microsoft business applications, including Excel and Access required.|