Essential Functions
Seeking two (2) professionals with experience and knowledge of health and pharmacy plan benefits, with a focus on attention to detail, thorough analysis and critical thinking. If you are a motivated, initiative-seeking person looking for an opportunity to put your skills to use in a collaborative, results-driven environment, the ERS Group Benefits division wants to hear from you! At ERS, we meaningfully impact over 500,000 state employees, higher education employees, retirees, and eligible dependents of these three populations.
Both Benefit Plan Managers play a critical role in ensuring State employees receive competitive benefits under the Group Benefits Program (GBP), and work under the direct supervision of the Director of Health Plan Operations.
- The Health Plan Manager will perform contract management, performance oversight activities, and consultative services for HealthSelect of Texas, the self-funded point-of-service medical plan, and Consumer Directed HealthSelect, the high deductible health plan, available under the GBP.
- The Pharmacy Benefits Plan Manager will perform contract management, performance oversight activities, and consultative services for the HealthSelect Prescription Drug Program the self-funded commercial prescription drug benefits plan, and the HealthSelect MedicareRx program, the Employer Group Waiver Plan (EGWP) with Wrap, available under the GBP.
ERS’ mission is to offer competitive benefits to enhance the lives of our members. ERS promotes a strong work-life balance while driving employee excellence through professional development, a collaborative working environment and a competitive benefits package. If you are looking for a career where you can make a difference in the lives of 1 of every 54 Texans, look to ERS!
Essential Responsibilities includes, but is not limited to:
- Perform plan management activities: Serve as the primary operational contact for plan vendors including establishing and maintaining positive working relationships. Conduct ongoing oversight for the administration of the assigned medical or pharmacy plans. Coordinate business solutions and facilitate the development and implementation of strategic initiatives.
- Perform contract management activities: Perform and oversee analysis of contracting policies to ensure compliance with contract deliverables and implement vendor strategies. Serve as the daily point of contact between the vendors and ERS, including gathering all relevant information to present to applicable stakeholders, as appropriate. Perform contract monitoring activities of requirements specific to the plans.
- Analyze the impact of legislation, regulations and policies and provide recommendations or analysis of impact related to the health plans.
- Perform Proposal Development and Bid Response Evaluation activities: Provide recommendations for proposals, review and analyze contract requirements, and apply best practices for evaluation of bid proposals.
- Perform other responsibilities that may include consulting with internal legal counsel, assisting with board meetings, and serve as the program Subject Matter Expert for internal stakeholders.
The above statements are intended to describe the general nature and level of work being performed by the individuals assigned to these positions. They are not intended to be an exhaustive list of responsibilities, duties and skills.
Required Minimum Qualifications
Your application for employment must reflect how you meet each of the following minimum qualifications:
- Graduation from an accredited four-year college or university. Each year of related experience over the required may be substituted for one year (30 semester hours) of required college credit.
- Five (5) years of experience in health insurance, health or employee benefits administration.
- Three (3) years of experience with medical insurance managed care concepts, operations, and health care delivery.
- Two (2) years of experience in leading cross-functional teams and/or project management experience.
- Two (2) years of experience editing and drafting complex documents and reports for a professional audience.
Preferred Qualifications
Your application for employment should reflect how you meet the following preferred qualifications:
6. Two (2) years of experience with contract management activities and concepts.
7. Two (2) years of experience with business system controls, quality assurance, and/or auditing principles and methodology.
Other Information
Special Requirements:
Complies with the requirements of Texas Government Code 2262.053 to have and maintain the Certified Texas Contract Manager (CTCM) designation; or ability to obtain the CTCM designation within the time period prescribed by the direct supervisor.
PLEASE NOTE: All applications must contain complete job histories, which includes job title, dates of employment, name of employer, supervisor's name and phone number and a description of duties performed. If this information is not submitted, your application may be rejected because it is incomplete. Resumes do not take the place of this required information.
Other Information: ERS operates in a hybrid work environment, with flexible work schedules available to all employees. Limited travel may be required. This position may require access to privileged, confidential, or sensitive data. ERS will conduct either a TXDPS or FBI criminal history check on all new hires. For more information about this policy inquiries can be made to employment@ers.texas.gov.
Military Occupational Specialty (MOS) Codes
Veterans, Reservists or Guardsmen with experience in the Military Occupational Specialty (https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_ProgramManagement.pdf) along with the minimum qualifications listed above may meet the minimum requirements and are highly encouraged to apply. Please contact Human Resources at employment@ers.texas.gov with questions or for additional information.
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