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NEOGOV · 14 hours ago

Group Benefits Analyst 1, 2, or 3

Baton Rouge, LA

Full-time

Onsite

Entry, Mid, Senior Level

3+ years exp

NEOGOV is part of the State of Louisiana's Division of Administration, which manages the state's financial operations. The Group Benefits Analyst will provide support to management and staff in the Medical/Pharmacy Section and assist with the administration of employee benefits for over 230,000 individuals.

GovTechHuman ResourcesInformation TechnologySoftware

No H1B

Responsibilities

Serves as the principal assistant to the ASO and Self-Funded health plans

Review and reconcile monthly and weekly TPA invoices to confirm amounts billed for plan member’s benefits, claims and counts are accurate and complete

Responsible to correct and report any discrepancies discovered during the reconciliation process

Communicate with TPA representatives and OGB staff to request documentation needed to correct discrepancies

Coordinate with OGB staff, the Office of Finance and Support Services (OFSS) and TPAs for payment of weekly and monthly vendors’ invoices

Maintain Med/Pharm required spreadsheets to document TPA/vendors weekly/monthly invoices, rebates, payments and/or pass through amounts

Perform vendor audits and analysis as requested by OGB Management

Participate in all implementation efforts for TPAs required by OGB Management

Research and review reports submitted to OGB from vendors regarding plan participation, eligibility, data errors, problems, etc

Research and analyze complex rules, regulations and laws applicable to OGB’s membership and eligibility

Collaborate with vendors, the Office of Technology Services (OTS) and/or agency personnel for problem resolution

Assist in the development of presentations, workshops, seminars, etc. for delivery to agency personnel on medical/pharmacy benefits subject matter

Represent OGB for Annual Enrollment periods as needed

Develop work processes to aid in the oversight and compliance with federal and state mandates

Assist other Medical/Pharmacy Sections when necessary with system updates, reporting, etc. and perform other duties as requested by manager, director or administrator

Other duties as assigned

Qualification

Employee benefits experienceHealth insurance claims processingContract managementData analysisJudgmentCommunication skillsTeamworkDecision-making

Required

Three years of experience in employee benefits, health services, health insurance claims processing, or contracts

Six years of full-time work experience in any field

A bachelor's degree

Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field

Benefits

Insurance Coverage

Parental Leave – Up to six weeks paid parental leave

Holidays and Leave – State employees receive the following paid holidays each year: New Year's Day, Martin Luther King, Jr. Day, Mardi Gras, Good Friday, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving Day and Christmas Day.

State employees earn sick and annual leave which can be accumulated and saved for future use. Your accrual rate increases as your years of service increase.

Retirement– State of Louisiana employees are eligible to participate in various retirement systems (based on the type of appointment and agency for which an employee works).