Assistant Director of Health Benefits Operations & Contract Compliance

The New Jersey Department of Treasury, Division of Pensions & Benefits is seeking an Assistant Director of Health Benefits Operations & Contract Compliance. Under the direction of the Deputy Director of Health Benefits and Financial, this position oversees all Division operations within Health Benefits Operations and Contract Compliance. They will directly supervise the Chief of Health Benefits Operations and Manager of Contract Compliance and provide direction, oversight and resources necessary to enable Health Benefits Operations and Contract Compliance to efficiently and effectively meet its mission. Will assist the Executive Deputy Director and Deputy Director in the administration of public employee health benefits programs including operational performance to ensure effectiveness and increased productivity. Develops cost containment strategies for the delivery of health benefits to NJ public employees. Also, represents the Director in meetings and conferences with employers, the legislature and interested third parties in benefit administration. Directs the Contract Compliance Bureau responsible for the management of Health Benefits Contracts staff, vendor contracts, vendor monitoring, monitoring of service level agreements, rate renewals and management of Request for Proposals (RFPs). Oversees the timely processing of contract payments to Treasury Fiscal in accordance with contract payment schedules, contract terms and conditions. Acts as management advisor for Health Benefit RFP evaluation committees and Contract Manager for resulting contracts. Directs the development, review and evaluation of various health and other benefit plan RFPs. Reviews requests to initiate/amend contracts and verification of funding. Tracking/monitoring deadlines and paperwork required and facilitate staff contributions and ensure timely processing of forms, approvals, and reviews. Reviewing expenditure reports for accuracy, completeness, and appropriateness in accordance with the contract agreement.

 

Conducts analysis of new laws, regulations and contract trends to determine potential impact on the State Health Benefits Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) contracts. Reviews and interprets state and federal laws and their impact on health benefits, costs and administration. Develops recommendations for new legislation and regulations. Reviews and analyzes proposed legislation. Participates in the development of the Division's fiscal budget as well as monthly/annual reports as it pertains to the areas of supervisory responsibility and oversight. Reviews changes to and provides input for pension and health benefit bond disclosure statements. Establishes internal controls and develops strategies and procedures to insure adherence. Assists the Deputy Director in the development of sound personnel management policies and resource management. Assists in the development of a comprehensive succession and management integration policy. Evaluates personnel and makes recommendations for personnel training and development. Assists the Director, Treasury, and Office of Employee Relations with bargaining matters by presenting Health Plan Options and proposing solutions and opportunities to achieve Administration objectives. Works with Health Care Consultant and Actuaries to develop Rate Renewals for all benefit plans, development of 5-year strategic plan for SHBP/SEHBP.

 

The desired candidate will have the knowledge, skills, and abilities to work with health benefits administration at the Federal, State, or Local level. This includes experience in finance, procurement, contract administration, and strategic planning. The candidate should also have knowledge of public administration, including the legislative process, and management of programs with statewide impact. Additionally, they should have knowledge of healthcare goals, methods of service delivery, reimbursement methodologies and philosophies, and general principles that govern healthcare systems. Someone who can understand complex problems, identify solutions, and make recommendations. Excellent writing skills, strong customer service skills, and public speaking experience are also important. The ability to effectively communicate with a variety of agency officials and vendor representatives is key. Candidates should be prepared to provide writing samples during the interview process.

 

SALARY: $174,900.63

 

EDUCATION:  Graduation from an accredited college or university with a Bachelor's degree.

 

EXPERIENCE:  Six (6) years of experience in a public or private organization involved in programs providing either social/community, medical/health, rehabilitation/education, or vocational/occupational services to a specific client population (mentally/physically handicapped, developmentally disabled, juvenile offenders, socially/economically disadvantaged).

 

-OR-

 

Six (6) years of experience as an administrator involving planning, budgets and administration of programs in a large public or private agency, three (3) years of which shall have been in a supervisory capacity.

 

Preference will be given to candidates with degrees in Health Science, Business Administration, Public Administration, Hospital or Healthcare Administration, Public Health, Human Services, Healthcare Services, or a related field.

 

WORKWEEK & BENEFITS:  The standard workweek is Monday through Friday. This position may be eligible to participate in the Department's pilot telework program, which allows eligible employees to work remotely for up to two (2) days per week, as approved by management. The position offers a comprehensive benefits package including medical, prescription drug, and dental coverage, benefit leave, Pension, supplemental pension plan, tax saving programs, and paid holidays.

 

SAME APPLICANTS:  Candidates applying under the New Jersey “SAME” program, must include a Schedule A or B letter with other supporting documents (resume, proof of degree, etc) by the closing date indicated above. For more information, please visit:

 https://nj.gov/csc/same/overview/index.shtml, email: [email protected] or call CSC at (609) 292-4144, option 3.

 

VETERANS PREFERENCE:  Veterans must provide proof of New Jersey Veteran’s Preference with their initial application by including a copy of their New Jersey Civil Service Commission Notification of Veteran’s Status. For more information, please visit: http://www.state.nj.us/csc/seekers/veterans.

 

NOTE FOR FOREIGN DEGREES:  Degrees and/or transcripts issued by a college or university outside of the United States must be evaluated for accreditation by a reputable evaluation service at your expense. The evaluation must be included with your application submission. Failure to submit the required evaluation may result in an ineligibility determination.

 

RESIDENCY REQUIREMENT:  In accordance with the New Jersey First Act, P.L. 2011, c.70, new public employees are required to establish and maintain principle residence in New Jersey within one (1) year of employment. For more information, please visit: https://nj.gov/labor/lwdhome/njfirst/NJFirst.html.

 

WORK AUTHORIZATION:  Applicants must possess acceptable work authorization in the United States in accordance with United States Citizenship and Immigration Services and Department of Homeland Security regulations. Candidates on student visas, F1 visas, OPT, or H1B visas are not eligible for employment.

 

INSTRUCTIONS TO APPLY:  Submissions must be received timely to the email address listed below in order to be considered. Failure to submit all required documents may result in an ineligibility determination. Interviews will be granted on the basis of the resume.

 

If you are qualified, please submit the documents listed below by 5:00 p.m. on September 16, 2024:

• Cover letter/Letter of interest
• Resume
• Proof of degree (unofficial transcript reflecting the date the degree was awarded/conferred or copy of diploma)

 

Submissions must be received in a timely manner to the email address listed above in order to be considered. Failure to submit all required documents may result in an ineligibility determination. Interviews will be granted on the basis of the resume.

 

Treasury Employment Recruiter

[email protected]

(Please list the “2024- 122-P - Assistant Division Director Health Benefits” in the Subject Line)

 

The State of New Jersey is an Equal Opportunity Employer