INSURANCE LIAISON HEALTH NET AND UNITED HEALTH CARE - BENEFITS ANALYST 4 - RASC (Hybrid)
University of California UCPath Center
Location: Oakland, California
Internal Number: 3597812
INSURANCE LIAISON HEALTH NET AND UNITED HEALTH CARE - BENEFITS ANALYST 4 - RASC (Hybrid)
Location: OaklandFull Time Job ID: 44994 Job Posting
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UC OFFICE OF THE PRESIDENT
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The Retirement Administration Service Center (RASC) counsels members of the University as they transition into retirement and provides long-term pension and retirement health benefits support.
The Insurance Liaison Benefits Analyst 4 applies highly advanced benefits concepts to guide complex analyses and evaluate varied benefits programs of significant scope and impact; consults with managers, supervisors, staff, external partners, and members regarding benefit eligibility and integration of applicable policies; the liaison will leverage their expertise to guide and lead health, welfare, and/or retiree benefit program implementations in compliance with established guidelines and practices. Please note this is a hybrid position.
The Insurance Liaison Benefits Analyst 4 works closely with their manager and partner organizations and teams to 1) fulfill divisional strategic objectives to move the organization forward; 2) meet and exceed performance standards; and 3) build a culture of high performance in delivering a positive service experience to internal and external clients at every touch point.
The Insurance Liaison Benefits Analyst 4 is a highly motivated, detailed-oriented, problem solving, results-driven individual with a proven track record of delivering exemplary customer service in a fast-paced work environment while managing multiple projects with limited guidance.
The Insurance Liaison Benefits Analyst 4 is a high-level individual contributor and subject matter expert whosupports their manager to ensure the efficient use of resources, the accurate reporting of data and the effective and timely delivery of benefit services to all internal and external members, customers and key stakeholders.
Under the guidance of their manager and in conjunction with the supervisor, the Insurance Liaison Benefits Analyst 4 will monitor the workflow of the team to ensure that quality metrics are reported and operational efficiencies are streamlined, improved and met as needed.
The Insurance Liaison Benefits Analyst 4 also supports department leaders to ensure that staff comply with federal and state guidelines and polices set forth by the University of California.
Collaborates to uphold a culture of delivering exemplary service to internal and external clients and to support strategies focused on operational excellence and process and/or workflow improvements.
Works closely with manager/supervisor (and other RASC leaders) to ensure that department goals, performance targets and budget compliance are met; provides input as needed to formulate measurable unit goals and expectations using key performance metrics.
Supports the business in recommending and implementing solutions to improve operational controls and mitigate risks.
Always considers the customer's point-of-view and anticipates customers' needs when dealing with complex written and verbal inquiries from both internal business partners and external clients.
Periodically reviews organization and department policies and procedures that impact staff, in collaboration with the manager and supervisor.
Works with across the business and in collaboration with department leaders to audit departmental practices to ensure consistent implementation of best administrative practices.
Resolves issues and develops viable solutions as necessary to promote operational excellence.
Leverages internal and external reporting tools to complete analysis and ensure an efficient and high-quality service to all customers; presents findings to appropriate parties, including management.
Stays up to date on industry trends, best practices, and technology.
Compiles, summarizes and generates weekly, monthly or quarterly reports
Serves as a 'subject matter expert' who provides feedback on technology enhancements that could improve analytic tracking; supports their manager and other department leaders in responding to highly complex oral and/or written inquiries and requests from customers (i.e., retirees, faculty, employees, local benefits offices, and other internal and external organizations.)
Supports manager/supervisor in evaluating and analyzing data and trends to improve the client service experience and ensure quality results.
May support manager and supervisor and RASC leadership in conducting quality assurance surveys and other mechanisms (i.e., reporting scorecards, dashboards, etc.) to identify customer satisfaction levels and seek improvement as needed.
Training and Development
Confers with manager/supervisor and other department leaders to ensure benefit analysts are provided the appropriate training resources to further their development and on-the-job performance.
Supports manager, supervisor and other department leaders in facilitating staff cross-learning across lines of business (i.e., retirement, health and welfare and benefits administration units.)
May support manager and supervisor in facilitating team development functions, which may include attending pre-hire group interview sessions, supporting onboarding and mentoring new staff.
Supports manager and supervisor with communication to team members to ensure compliance of internal and external business policies, procedures and processes.
Customer Service Excellence
Serves as a 'change agent, champion, or initial adopter' who embraces change and encourages colleagues to support pending or newly-implemented change initiatives.
Participates on cross-functional committees to facilitate information exchange and address operational issues.
Establishes and builds rapport/relationships with members and colleagues within and outside of RASC.
Works with manager to create effective communication channels for staff feedback.
Location stakeholders and partners
University of California faculty and staff, retirees and survivors
Minimum of 7+ years of experience in a lead role supporting and driving the overall performance of Health and Welfare benefits in a corporate or Insurance provider setting and have advanced knowledge of Medicare, retirement, health & welfare, benefits administration, with knowledge of other areas of employee benefits and associated programs.
Demonstrated experience working with Health and Welfare insurance carriers in solving technology, enrollment, eligibility and billing issues at the individual and overall business level.
Leverages technology and proficient in supporting software applications to drive overall business and individual performance.;
Advanced knowledge of CMS, Medicare Parts A, B, and D; experience in educating customers in all matters of Medicare coordination, and resolving Insurance carrier eligibility and enrollment discrepancies due to member Medicare enrollment issues.
Must be able to analyze large amounts of data (from various systems), problem solve, draw conclusions & make recommendations to leadership to drive results.
Ability to prioritize multiple tasks and deliver reports, projects and results within tight timelines and fast turnarounds; able to proof and audit reports for accuracy.
Strong organizational, prioritization and time-management skills required.
Excellent problem-solving skills; able to influence and advise people at all levels, including leaders.
Must have an innovative, positive self-directed attitude; proven problem-solver who can develop and implement strategies or methodology for improved deliverables.
Able to 'go the extra mile' in delivering service to both internal and external customers.
Maintains professional and technical knowledge; attending educational workshops and professional organizations; reviewing professional publications and establishing personal networks.
Willingness to take initiative and work independently.
Must be experienced in managing metrics ensuring customer satisfaction and reporting statistical performance levels related to operations.
Exemplary verbal, written and change communication and presentation skills; able to work in a highly collaborative manner and formulate a clear point of view.
Able to work with strong personalities and different work styles while remaining calm, tactful, courteous and respectful under pressure.
Able to troubleshoot and resolve complex, emerging issues and meet critical deadlines.
Advanced knowledge of pertinent federal and state regulations and filing and compliance ACA, ERISA, COBRA, FMLA, ADA, Section 125, workers' compensation, Medicare, OBRA, and Social Security and DOL requirements a plus.
Must possess a Bachelors in Business Administration, Human Resources, Operations Management, Marketing, Public Health or equivalent work experience.
Certified Employee Benefit Specialist (CEBS) or equivalent certifications a required or a plus
SALARY AND BENEFITS
Salary: The recommended hiring range is $100,000 - $114,000. Commensurate with experience.
Benefits: For information on the comprehensive benefits package offered by the University visit: Benefits of Belonging
HOW TO APPLY
Please be prepared to attach a cover letter and resume with your application.
APPLICATION REVIEW DATE
The first review date for this job is November 23, 2022. The position will be open until filled.
Smoke Free Work Environment: The University of California, Office of the President, is smoke & tobacco-free as of January 1, 2014. UC Smoke & Tobacco Free Policy
August 2021 Update: The University of California has issued a policy requiring employees to be fully vaccinated against COVID -19 before physically accessing the University location or programs. Upon hire into a UCOP position, you will be provided detailed instructions on how to comply with this policy including access to the COVID vaccination at no cost. New hires to UCOP who work onsite or will come onsite for any activities at a UCOP or other UC location must comply with this policy within 8 weeks after their start date. The policy allows for employees to request approval for an exception or deferral. UC COVID-19 Vaccine Policy
The University of California, Office of the President, is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. EEO/AA Employer UC Nondiscrimination Policy
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The UCPath Center is the transactional hub for human resources, payroll, benefits, general ledger, workforce administration and academic processes across the entire University of California system.Located in Riverside, California, the UCPath Center will serve more than 200,000 employees from each UC campus and medical center as well as vendors, location administrators, and policy makers from the University of California Office of the President.